Download SDS - KITTERING EXAM ,SDS - KITTERING EXAM ,SDS - KITTERING EXAM and more Exams Advanced Education in PDF only on Docsity!
SDS - KITTERING EXAM
Which of the following is the most common surgical procedure for the tx of OSA a. Tracheostomy b. UP c. ULAP d. advanced mandible displacement - ANSWERS-b A pt undergoing a split-night study has spiked T waves on ECG channel. The most likely cause of this is a. Hypokalemia b. Hyperkalemia c. Hyponatremia d. Hypernatremia - ANSWERS-b The minimum peak to peak voltage needed to identify a K-complex is a. 50V b. 100V c. 150V d. Not stipulated - ANSWERS-d While gathering the necessary equipment for an MSLT, which of the following would NOT be necessary?
a. Intercostal EMG b. Central EEG leads c. Occipital leads d. M1 reference - ANSWERS-a All of the following are considered sleep disorders except a. Bruxism b. RLS c. PLMS d. Somniloquy - ANSWERS-b The difference in the electrical charge between two points in a circuit and expressed in volts can best be described as which of the following? a. Plethysmography b. thermistor c. Pressure Transducer d. Pneumotachometer - ANSWERS-b After interviewing a pt, a dr suspects the pt may have advanced sleep syndrome. Which of the following would be most helpful in assisting the physician with a dx? a. Overnight study b. MWT c. MSLT
a. "Roll-off" effect at the top b. "Peak" effect at the bottom c. "Narrowing" effect at the bottom d. "Widening" effect at the bottom - ANSWERS-b Which of the following is the most effective method to eliminate 60Hz artifact? a. Common mode rejection b. Grounded equipment c. Low impedances d. Avoiding extension cords - ANSWERS-a All of the following can occur in Stage REM except a. Sawtooth waves b. Transient muscle activity c. 0.5Hz - 2.0 Hz wave activity d. Sleep spindles - ANSWERS-c Ondines Curse mainly affects which of the following pts? a. Infants b. Obese c. Adolescents d. Alzheimers - ANSWERS-a
An attending MD has ordered a 12 lead ECG for a pt prior to an overnight PSG. The tech notes that the ECG tech has placed ten electrodes on the pt. The sleep tech should a. do nothing. This is correct procedure b. ask the EVG tech to place two additional electrodes c. contact the phsician d. ask the ECG tech to remove two electrodes - ANSWERS-a A physician has dx a pt with Wittmaack-Ekborns syndrome. Which of the following best describes this condition? a. PLMS b. Klein_Levin syndrome c. RLS d. Pierre-Robin syndrome - ANSWERS-c A pt going to bed at 3am and waking up at 2pm could be described as having which of the following? a. Delayed sleep phase syndrome b. Excessive daytime sleepiness c. Advanced sleep phase syndrome d. Narcolepsy - ANSWERS-a A pt is recently dx with a REM d/o wishes to have another sleep study in a different lab to confirm the dx. What would the sleep tech expect to observe that would confirm the pt dx of a REM d/o?
c. the pt shows signs of sundowning d. this is normal response for his age - ANSWERS-c While viewing an ECG from a pt, the tech notes that the T wave is upright and relatively the same size as the P wave. How should this be interpreted? a. Depolarization of the heart b. Atrial contraction c. Repolarization of the heart d. Ventricular depolarization - ANSWERS-c If the distance from Fpz to Oz is 48cm, what is the distance from Pz to Oz? a. 12.4cm b. 11.6cm c. 9.6cm d. 4.8cm - ANSWERS-c A dr orders transcutaneous monitoring during a PSG for a 34 year old female with anemia. The tech should expect the displayed results values to be: a. the same as the pt values b. lower than the pt values c. higher than the pt values d. out of acceptable range - ANSWERS-b
The term"vegetative organism" refers to a. the destruction of all microorganisms b. a resistant form of bacteria c. growing microorganisms d. the introduction of disease-causing microorganisms - ANSWERS-c What is the recommended initial pressure for a pt receiving CPAP therapy? a. 3cmH2O b. 4cmH2O c. 5cmH2O d. 6cmH2O - ANSWERS-b When the sensitivity of an amplifier is increased from 10uv/mm to 5uv/mm, the pen deflection should: a. double b. increase by 5 times c. decrease by half d. decrease by 10 times - ANSWERS-c When informing a pt of his medical rights, which of the following should NOT be included? a. Involuntary participation by the pt b. The pts right to the information
What are the primary reasons for recording eye movements during a sleep study?
- to capture SREM at the beginning of sleep
- to determine when the pt is asleep
- to see phasic bursts of rapid eye movement
- to capture the E1-M2 and E2-M2 reference a.1 and 2 b.1 and 3 c. 2 and 4 d. 3 and 4 - ANSWERS-b Acid gluteraldehyde will function as a sporicidal in: a. 1 hr b. 10 hr c. 14 hr d. 24 hr - ANSWERS-a An ECG tracing with a QRS complex of 0.16sec should be interpreted as a. bradycardia b. Ventricular tacycardia c. tachycardia
d. atrial flutter - ANSWERS-b A pt with emphysema is undergoing a PSG. EEG hook up and attachment of the pulse ox has been completed. The initial pulse ox saturation is 80%. After 7 minutes the displayed SpO2 is 82%. The tech shuold: a. start the pt on 1l/m NC and recheck SpO2 in 10 min b. continue to monitor SpO2 for additional 10min allowing the pt to rest c. allow the pt to rest and repeat SpO2 reading in 20min d. continue with the equipment calibration and proceed to lights out. - ANSWERS-a What is the voltage if a unit has a pen deflection of 8mm and a sensitivity of 5uv/mm? a. 16uv b.40uv c.62uv d. 104uv - ANSWERS-b The first epoch of any stage of sleep is defined as a. sleep latency b. sleep onset c. sleep period time d. stage N1 - ANSWERS-b
c. 220 epochs d. 220 min - ANSWERS-a Pt grounding can be described as:
- A rtn path for an electical circuit
- A reference for the other electrodes
- Increased resistance to earth
- Path from pt to earth a. 1 and 2 b. 1 and 3 c. 2 and 4 d. 3 and 4 - ANSWERS-c A pt has been dx with circadian rhytm disorder. What therapy should the sleep tech recommend? a. Bright light therapy b. CPAP therapy c. Low dose hypnotic (Restoril) d. LAUP - ANSWERS-a An ECG tracing shows an atrial rate of 80/min and a ventricular rate of 32/min. The PR interval cannot be determined and the QRS complex is widened. This best describes which of the following? a. 1st degree AV block b. 2nd degree AV block, Mobitz I
c. 2nd degee AV block, Mobitz II d. 3rd degree AV block - ANSWERS-d skipped - ANSWERS-b skip - ANSWERS-c What is the resistance in a circuit with a current of 5.8amperes and a voltage of 12volts? a. 69.6 ohms b. 0.48 ohms c. 2.06 ohms d. 48 ohms - ANSWERS-c The term "Zeitgebergers" can best be described as signals in the brain synchronizing our a. external clock to the internal enviorment b. internal clock to the external enviorment c. internal clock to our internal enviorment d. external clock to our external enviorment - ANSWERS-b skip - ANSWERS-b Bright light therapy is transitted to the brain through optic nerve and stimulates which component of the brain?
The percent of time spent asleep compared to the amount of time in bed is defined as a. Sleep latency b. sleep period c. sleep efficiency d. total recording time - ANSWERS-c While performing channel calibrations prior to an overnight study, the sleep tech notes that the spacing between the two EOG channels is not equal. The tech should calibrate the a. patient b. time axis c. electrical baseline d. mechanical baseline - ANSWERS-d
- ANSWERS-d Which of the following is not considered a component of malpractice prevention a. compliance b. competence c. carefullness d. correspondence - ANSWERS-c
Based on the following information, where should the sleep tech set the sensitivity? Voltage = 75uv Deflection = 10mm a. 75uv/mm b. 0.075uv/mm c. 7.5uv/mm d. 75uv/mm - ANSWERS-c What is the minimum sampling rate for the recording of EMG on a digital computer? a. 25Hz b. 50Hz c. 100Hz d. 200Hz - ANSWERS-d What is the minimum amount of time allowed for a pt to fall asleep during an MSLT? a. 10 min b. 15 min c. 20 min d. 25 min - ANSWERS-c A sleep tech is advised by his supervisor to use two seperate ground connections for the upcoming PSG. The sleep tech should...
d. AHI < 9 - ANSWERS-b Which of the following is not mandatory guideline for the accreditation of a sleep lab? a. RPSGT on staff b. Medical Director on staff c. Board Certified sleep specalist on staff d. Facility license - ANSWERS-a The following information is available following a sleep study: TIB is 380 min. Latency to sleep onset is 30min. WASO and before the lights are turned on is 34min. What is the TST for this pt? a. 310 min b. 316 min c. 350 min d. 355 min - ANSWERS-b Which LFF setting is most appropriate in order for an EEG waveform to rtn to baseline and be recorded clearly? a.1 Hz b.2 Hz c. 7 Hz d. 10 Hz - ANSWERS-a
Which of the following is the most common cause of OSA in pts with Down syndrome? a. Epitaxis b. Macroglossia c. Diplopia d. Leukoplakia - ANSWERS-b The digital display on a CPAP machine has malfunctioned. What other method could the tech use to evaluate the pressure delivered by the CPAP machine? a. Barometer b. Water column manometer c. Aneroid sphygmomanometer d. Pneumotachometer - ANSWERS-b What stage of sleep contains Berger Waves of 8 - 13 Hz? a. N b. N c. N d. REM - ANSWERS-a A pt has a nasal-oral cannula in place. The EtCO2 displays a value of 3%. This condition would best be described as a. Normal b. Increased
