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RPSGT 2024-2025 LATEST EXAM TEST BANK
WITH 400 EXAM QUESTIONS AND ANSWERS
RPSGT EXAM 2024 PRACTICE Questions And
Answers
what has the largest impact on adherence to PAP therapy - ANSWER patient education A patients chart indicates that they use 3.0 L/min of oxygen at home. the technologist notes that the physicians orders for the PSG specifies starting the study without supplemental oxygen and to add 1.0 L/min oxygen if the sp02 is less than 89%. the best action for the technologist is to..... - ANSWER call the physician for confirmation when reviewing a patients history in preparation for a polysomnogram, psysiologic findings suggestive of hypoventilation include - ANSWER hypoxiemia and hypercapnia a self-reporting tool used to evaluate subjective sleep quality and disturbance over the previous month is...... - ANSWER pittsburgh sleep quality index 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 is true regarding sleep apnea - ANSWER there is one level of pressure for inspiration and expiration a process to decrease fear of artificial circumstances by repeated and controlled exposure to a feared situation is...... - ANSWER desensitization
which of the following is the most likely cause of a 35 minute REM latency - ANSWER untreated depression which of the following substances can reduce the effectiveness of PAP therapy - ANSWER antidepressant medication which of the following is the most likely effect of zolpidem and zaleplon on sleep architecture - ANSWER increased sleep efficiency the syndrome characterized by prolonged episodes of sever hypoxemia and associated pac02 elevation that worsens during sleep is...... - ANSWER obesity hypoventilation what is the best tool that a physician could use to more clearly explain the results of the sleep study and the importance of therapy to a patient - ANSWER histogram which of the following can negatively impact all bioeletric channels
- ANSWER dislodged system reference electrode which type of calibration is based on a series of patient instructions intended to verify the signal response and quality - ANSWER physiological the most common method to monitor blood oxygen saturation during polysomnography is..... - ANSWER pulse oximetry 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 adults
according to recommended guidelines, the device that should be used to monitor airflow and detect obstructive apnea during a diagnostic study is - ANSWER oronasal thermal sensor the most important reason for preforming a MWT is to - ANSWER measure the patients ability to resit the urge to fall asleep the importance of selecting sampling rates according to recommended guidelines is to - ANSWER minimize aliasing effect when the amplitude of a signal exceeds the physical limitations of a channel the most important adjustment the technologist can make is to optimize waveform display is to - ANSWER decrease sensitivity 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 which of the following best describes a referential montage - ANSWER localization is by phase reversal the electrode located 30% above the left pre-auricular crease is - ANSWER C which process would be an adequate routine procedure for disinfecting cup EEG 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 minutes the best method for detecting apneas and hypopneas during PAP titration is to use an - ANSWER airflow signal generated by the PAP delivery device
which of the following is most likely to occur due to an improperly fitting PAP interface - ANSWER conjunctivitis according to recommended guidelines, what is the minimum and maximum pressure support for bilevel PAP - ANSWER 4cmh2o and 10cmh2o excessive warming and humidification will cause - ANSWER water to pool in the CPAP tubing the primary benefit of heated humidification is to - ANSWER help reduce nasal congestion during a titration study the patients apneas are eliminated at 10cmh2o but hypopneas and snoring continue at 16cmh2o. according to recommended guidelines, the appropriate pressures to begin a bilevel titration are - ANSWER IPAP 4 and EPAP 8 in patients with severe sleep-disordered breathing the most commonly seen response resulting from successful PAP titration is - ANSWER increased hypoxemia when a patient complains of claustrophobia , is unable to tolerate PAP and requests to end the PSG, the next best step is to - ANSWER schedule desensitization the primary function of EPAP is to - ANSWER prevent upper airway occlusion a side effect of CPAP is - ANSWER aerophagia during stage N2 sleep, the patient changes position and the technologist notes increased snoring and an increasing leak. the
according to recommended guidelines for the titration of supplemental oxygen during PAP titration - ANSWER titrated with a target spo2 between 88-94% according to recommended guidelines, which of the following should be included when recording pediatric patients - ANSWER end-tidal co the most appropriate action a technologist would take when there is confirmed ventricular tachycardia lasting greater than 30 seconds is - ANSWER initiate emergency response system according to recommended guidelines for scoring stage N3 in pediartic patients, which of the following is the best statement - ANSWER slow wave activity is often of higher amplitude compared to adults according to recommended guidelines for scoring cardiac events in adults, which of the following is the best statement - ANSWER asystole is a cardiac pause for 3 seconds or greater according to recommended guidelines, a requirement for scoring obstructive apneas in pediatric patients is - ANSWER apnea criteria is met for the length of 2 breaths and is associated with respiratory effort throughout this period the respiratory event that requires oxygen desaturations and/or an arousal as part of the scoring criteria is - ANSWER obstructive hypopnea according to recommended guidelines for pediatric CPAP titration, how many hypopneas must occur prior to increasing pressure - ANSWER one
according to recommended guidelines , when coexisting sleep stages occur in a single epoch, the epoch should be scored - ANSWER the stage that is the greatest portion of the epoch according to recommended guidelines for scoring stage N2 in adults , which of the following is required - ANSWER sleep spindle or k-complex in the first half of an epoch following an epoch of stage N according to recommended guidelines, which is a required characteristic for scoring rhythmic movement disorder - ANSWER the maximum frequency is 2.0 hz according to recommended guidelines for scoring arousals in adults, which of the following is the best statement - ANSWER the 10 seconds of sleep required prior to scoring an arousal ay begin in the preceding epoch , even if that epoch is scored as stage W the purpose of an intentional mask leak is to - ANSWER was out CO2 and prevent rebreathing recommended 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
recommended impedance for EEG and EOG - ANSWER 5ooo ohms the amount of space needed to archive digtized data is most impacted by - ANSWER sampling rate cortical acrivity 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. according to recommended guidelines an optional parameter to include in the report for an adult PSG 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 PSGs particularly in patients that have obstructive sleep apnea and cardiac disease. it can be identifies 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 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 the most important reason for preforming a MWT is to - ANSWER measure the patients 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 characreized by prolonged episodes of severe hypoxemia and associated PaC02 elevation that worsens during sleep is - ANSWER obesity hypoventilation the patients 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 500 hz the electrode located 30% above the left pre-a crease is - ANSWER C
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 patients chart indicates that they use 30 l/min of oxygen at home. the tech notes that they physicans orders for the PSG specifies the study without supplemental oxygen and to add 1. 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 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 10min
