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NEW RPSGT EXAM Question and answers rated A+ 2023
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NEW RPSGT EXAM Question and answers rated A+ 2023
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NEW RPSGT EXAM- Study Guide and Practice Test Question with complete solution 2023The purpose of an intentional mask leak is to... - correct answer Wash out CO2 and prevent rebreathing
Recommended guidelines state that HSV can be considered when.... - correct answer Cheyne Stokes and central Apneas have not been eliminated.
What is aerophagia? - correct answer The swallowing of air
What is maxillomandibular advancement? - correct 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? - correct answer To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? - correct answer 1
What are the AASM guidelines for supplemental O2 during PAP studies? - correct 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? - correct answer IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti depressants. - correct 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? - correct answer Overlap syndrome
What are hypoxemia and hypercapnia? - correct 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? - correct answer Hypoventilation What is an MWT's MOST important use? - correct 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? - correct answer REM sleep behavior disorder
Recommended impedance for eeg and eog - correct answer 5k ohms
The amount of space needed to archive digitized data is MOST impacted by? - correct answer Sampling rate
Cortical activity is best described as - correct 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 - correct answer 11
According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is - correct answer .5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an adult polysomnogram is - correct 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 - correct 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 - correct answer Atrial fibrillation
The stage that is the greatest portion of the epoch - correct 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? - correct 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 - correct answer Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of at least 10 minutes is - correct answer Cheyne Stokes respiration
An important responsibility of the scoring tech is to - correct 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 - correct answer Physiological
The most important reason for performing a MWT is to - correct 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 - correct answer Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2 elevation that worsens during sleep is - correct 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 - correct 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 - correct answer 500Hz
The electrode located 30% above the left pre-a crease is - correct answer C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be acceptable when the patient - correct 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 - correct answer COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS - correct answer END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS THE RESULT OF - correct answer SYSTEM REFERENCING WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF HYPOVENTILATION INCLUDE - correct 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 - correct answer DECREASE SENSITIVITY
WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE F4-M1 ELECTRODES DURING REM SLEEP THE BEST IMMEDIATE ACTION WOULD BE TO - correct 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 - correct answer SUNDOWNING
THE MOST COMMON METHOD TO MONITOR BLOOD OXYGEN SATURATION DURING POLYSOMNOGRAPHY IS - correct answer PULSE OXIMETRY
THE MOST APPROPRIATE ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE IS CONFIRMED VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS - correct 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 - correct answer CALL THE PHYSICIAN FOR CONFIRMATION
WHICH OF THE FOLLOWING IS THE MOST LIKELY EFFECT OF ZOLPIDEM AND ZALEPLON ON SLEEP ARCHITECTURE - correct answer INCREASED SLEEP LATENCY
WHICH OF THE FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE - correct 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 - correct 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 - correct answer SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN.
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