NEW RPSGT EXAM- 2023 Study Guide
The purpose of an intentional mask leak is to... - Answer Wash out CO2 and prevent rebreathing
Recommended
... [Show More] guidelines state that HSV can be considered when.... - Answer Cheyne Stokes and central Apneas have not been eliminated.
What is aerophagia? - Answer The swallowing of air
What is maxillomandibular advancement? - Answer Treatment that involves cutting and advancing the upper and lower jaw bones; enlarging and stabilizing the posterior airway.
What is the PRIMARY function of the EPAP setting? - Answer To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? - Answer 1
What are the AASM guidelines for supplemental O2 during PAP studies? - Answer 1lmp during PAP titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the absence of obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of BiLevel should be used? - Answer IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti depressants. - Answer Alcohol: impairs arousal response which can lead to longer than normal events and severe desats. Inhibits upper airway activity
What syndrome would a pt with COPD and OSA have? - Answer Overlap syndrome
What are hypoxemia and hypercapnia? - Answer Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with? - Answer Hypoventilation
What is an MWT's MOST important use? - Answer Measure patients ability to resist the urge to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been known to trigger what? - Answer REM sleep behavior disorder
Recommended impedance for eeg and eog - Answer 5k ohms
The amount of space needed to archive digitized data is MOST impacted by? - Answer Sampling rate
Cortical activity is best described as - Answer Spontaneous arousal
Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep - Answer 11
According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is - Answer .5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an adult polysomnogram is - Answer Occurrence of hypoventilation during the diagnostic study in adult
The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring criteria is - Answer Obstructive hypopnea
An ECG arrhythmia commonly seen when recording PSG's, particularly in patients that have obstructive sleep apnea and cardiac disease. It can be identified by the morphology of an irregularly irregular ventricular rhythm associated with replacement of consistent P waves by rapid oscillations that vary in size, shape, and timing - Answer Atrial fibrillation
The stage that is the greatest portion of the epoch - Answer The stage that is the greatest portion of the epoch
What is the best response when a patient asks the technologist if they have sleep apnea and will need to wear a CPAP mask? - Answer Provide the patient with educational material about sleep apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM latency - Answer Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of at least 10 minutes is - Answer Cheyne Stokes respiration
An important responsibility of the scoring tech is to - Answer Confirm accuracy of report components
Which type of calibration is based on a series of patient instructions intended to verify the signal response and quality - Answer Physiological
The most important reason for performing a MWT is to - Answer Measure the patient's ability to resist the urge to fall asleep
The importance of selecting sampling rates according to RECOMMENDED guidelines is to - Answer Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2 elevation that worsens during sleep is - Answer Obesity hypoventilation
The patient's medical history indicates the patient has been taking tricyclic antidepressants for the past 5 years. The technologist should anticipate that the patient may have an increased likelihood of - Answer REM Sleep Behavior Disorder
According to RECOMMENDED guidelines, the sampling rate to provide the optimal resolution for recording EEG in a patient with suspected nocturnal seizure is - Answer 500Hz
The electrode located 30% above the left pre-a crease is - Answer C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be acceptable when the patient - Answer Had REM on at least two nap opportunities
A patient's history indicates a diagnosis of overlap syndrome. The tech can anticipate that the patient has - Answer COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS - Answer END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS THE RESULT OF - Answer SYSTEM REFERENCING
WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF HYPOVENTILATION INCLUDE - Answer HYPOXEMIA AND HYPERCAPNIA
WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS THE PHYSICAL LIMITATIONS OF A CHANNEL THE MOST IMPORTANT ADJUSTMENT THE TECH CAN MAKE TO OPTIMIZE WAVEFORM DISPLAY IS TO - Answer DECREASE SENSITIVITY
WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE F4-M1 ELECTRODES DURING REM SLEEP THE BEST IMMEDIATE ACTION WOULD BE TO - Answer RELY ON F3-M2
A PATIENT WITH MILD DEMENTIA BECOMES MORE CONFUSED AND/OR AGITATED IN THE EARLY EVENING. THE PATIENT IS MOST LIKELY EXPERIENCING - Answer SUNDOWNING
THE MOST COMMON METHOD TO MONITOR BLOOD OXYGEN SATURATION DURING POLYSOMNOGRAPHY IS - Answer PULSE OXIMETRY
THE MOST APPROPRIATE ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE IS CONFIRMED VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS - Answer INITIATE EMERGENCY RESPONSE SYSTEM
A PATIENT'S CHART INDICATES THAT THEY USE 30 L/MIN OF OXYGEN AT HOME. THE TECH NOTES THAT THE PHYSICIAN'S ORDERS FOR THE PSG SPECIFIES THE STUDY WITHOUT SUPPLEMENTAL OXYGEN AND TO ADD 1.0 L/MIN OXYGEN IF THE SATURATION IS LESS THAN 89%. THE BEST ACTION FOR THE TECH IS TO - Answer CALL THE PHYSICIAN FOR CONFIRMATION
WHICH OF THE FOLLOWING IS THE MOST LIKELY EFFECT OF ZOLPIDEM AND ZALEPLON ON SLEEP ARCHITECTURE - Answer INCREASED SLEEP LATENCY
WHICH OF THE FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE - Answer THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION
ACCORDING TO RECOMMENDED GUIDELINES, THE DEVICE THAT SHOULD BE USED TO MONITOR AIRFLOW AND DETECT APNEA DURING A DIAGNOSTIC STUDY IS - Answer ORONASAL THERMAL SENSOR
WHICH PROCESS WOULD BE AN ADEQUATE ROUTINE FOR DISINFECTING CUP ELECTRODES AFTER REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC MATERIAL, AND WASHING IN WARM WATER AND MILD DETERGENT - Answer SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN.
WHICH OF THE FOLLOWING WOULD BE MOST IMPORTANT TO DOCUMENT DURING A POLYSOMNOGRAM - Answer POSITION CHANGES
THE ELECTRODE ARRAY USED FOR RECORDING PHYSIOLOGIC ACTIVITY IS REFERRED TO AS - Answer MONTAGE
ACCORDING TO RECOMMENDED GUIDELINES, THE MAXIMUM ELECTRODE IMPEDANCE FOR EEG AND EOG RECORDING IS - Answer 5000 OHMS
ACCORDING TO RECOMMENDED GUIDELINES, UNATTENDED PORTABLE MONITORING CAN BE USED AS AN ALTERNATIVE TO IN LAB TESTING WHEN - Answer THERE IS A HIGH PROBABILITY OF MODERATE TO SEVERE OSA WITHOUT COMORBID CONDITIONS
A SELF REPORTING TOOL USED TO EVALUATE SUBJECTIVE SLEEP QUALITY AND DISTURBANCE OVER THE PREVIOUS MONTH IS - Answer PITTSBURGH SLEEP QUALITY INDEX
THE MOST APPROPRIATE SETTING A TECHNOLOGIST WOULD USE TO CONTROL THE FREQUENCY BAND OF WAVEFORMS ON A RECORDING IS THE - Answer (LOW FILTER (HIGH PASS FILTER)
WHICH OF THE FOLLOWING CAN NEGATIVELY IMPACT ALL BIOELECTRIC CHANNELS - Answer CONTAMINATED M1
WHICH OF THE FOLLOWING SUBSTANCES CAN REDUCE THE EFFECTIVENESS OF PAP THERAPY - Answer ALCOHOLIC BEVERAGES
A PATIENT THAT INTENTIONALLY ENGAGES IN BEHAVIORAL PATTERNS THAT ARE INCONSISTENT WITH SLEEPING WELL IS DEMONSTRATING - Answer INADEQUATE SLEEP HYGIENE [Show Less]