Deck 206: Sleep Disorders

Question 1

A patient who has excessive daytime sleepiness tells the practitioner that he goes to bed and gets up at the same time each day but still wakes up tired. The spouse reports that the patient snores so much she has had to move to another bedroom. The patient is otherwise healthy and does not take any medications or drink alcohol. Which diagnostic test may be performed for this patient?

A) Full overnight polysomnography (PSG)
B) Multiple sleep latency test (MSLT)
C) Overnight pulse oximetry
D) Unattended out of center sleep testing (OCST)

Answer 1

D

Question 2

A patient is diagnosed with mild restless leg syndrome (RLS) which occasionally interferes with sleep. Which initial treatment will be helpful?

A) A continuous positive airway pressure (CPAP) devices
B) A dopaminergic agonist
C) Hot baths and exercise
D) Supplemental iron

Answer 2

C

Question 3

Which patient would benefit from a polysomnography evaluation to assess a potential sleep disorder?

A) A child with enlarged tonsils who has daytime sleepiness
B) A patient with gastroesophageal reflux disease (GERD) who has difficulty falling asleep
C) A shift worker who has trouble adjusting to new schedules
D) An elderly woman with osteoarthritis who has difficulty staying asleep

Answer 3

A