Download Sleep Disorders Part 3: Elderly/Geriatrics 1) According to Townsend

Sleep Disorders Part 3: Elderly/Geriatrics
1) According to Townsend-Roccichelli et al., adults an age of their late 70s need
approximately _____ minutes of less sleep each night when compared to a young
adult in their early 20s.
a) 10 to 30
b) 30 to 60
c) 60 to 90
d) 90 to 120
2) After going through a cycle of NREM sleep, the sleeping person enters rapid eye
movement (REM) sleep, which typically occurs approximately 90 minutes after first
falling asleep.
a) 10
b) 30
c) 60
d) 90
3) Approximately _____ of elders are affected by sleep-disordered breathing.
a) 5%
b) 15%
c) 25%
d) 35%
4) Apnea is defined as a n absence of breathing for _____ seconds or more
a) 5
b) 10
c) 20
d) 40
5) A diagnosis of OSA can be made if the patient complains of excessive daytime
sleepiness and is noted to have _____ or more periods of apnea or hypopnea each
hour.
a) 5
b) 7
c) 12
d) 15
6) Which is NOT a characteristic that makes it more likely for a person to have OSA?
a) Small neck
b) Jutting jaw
c) Large tongue
d) Enlarged tonsils
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7) Which ethnic group is more likely to develop OSA?
a) Caucasians
b) African Americans
c) Asians
d) Hispanics
8) Approximately _____ of patients with heart failure have concurrent sleep apnea.
a) 5%
b) 10%
c) 20%
d) 30%
9) The main form of treatment for OSA is
a) Positional therapy
b) CBT
c) CPAP
d) Benzodiazepines
10) One of the most common medications used in people with OSA is modafinil, which is
a
a) Blood thinner
b) Antidepressant
c) Stimulant
d) Beta blocker
11) Ramelteon is a _____ agonist that can help induce sleep within 30 minutes for
people who experience insomnia.
a) Oxytocin
b) Melatonin
c) Prolactin
d) HGH
12) Zeitgebers are environmental cues that help a person to know
a) If they are hungry
b) The time
c) Their position in 3 dimensional space
d) If they need to urinate
13) Advanced sleep phase disorder is diagnosed using
a) A Video camera and a sleep diary
b) A sleep diary and Actigraphy
c) Actigraphy and CPAP
d) CPAP and a Video camera
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14) A type of circadian rhythm disorder that may be less common in older adults is
a) Advanced sleep phase disorder
b) REM Behavior disorder
c) Delayed sleep phase disorder
d) Periodic limb movement disorder
15) Which disorder, formerly called nocturnal myoclonus, is a type of sleep disorder that
can be disruptive to sleep because it causes frequent awakenings during the night?
a) Advanced sleep phase disorder
b) REM Behavior disorder
c) Delayed sleep phase disorder
d) Periodic limb movement disorder
16) Symptoms of restless legs syndrome may be worsened with the use of certain types
of _____ or _____ medications.
a) Antipsychotic, Antianxiety
b) Antianxiety, Blood Pressure
c) Blood Pressure, Antidepressant
d) Antidepressants, Antipsychotic
17) Which subgroup of primary hypersomnia is also known as idiopathic hypersomnia?
a) Group 1
b) Group 2
c) Group 3
d) Group 4
18) Someone with primary hypersomnia typically has short sleep latency and can fall
asleep in less than 8 to 10 minutes, which is considered abnormal.
a) 8 to 10
b) 12 to 15
c) 18 to 24
d) 26 to 30
19) There is no cure for narcolepsy.
a) True
b) False
20) Narcolepsy affects roughly one out of every _____ people.
a) 500
b) 1,000
c) 2,000
d) 4,000
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21) Bruxism is a type of parasomnia in which a person _____ while asleep.
a) Sleepwalks
b) Binge eats
c) Sings
d) Grinds or clenches their teeth
22) A person with _____ may get up out of bed, yell, scream, cry, punch the air, or run
around the room.
a) Advanced sleep phase disorder
b) REM Behavior disorder
c) Delayed sleep phase disorder
d) Periodic limb movement disorder
23) One situation that may occur among individuals with dementia is _____ , in which
affected patients exhibit increasingly confused, aggressive, and anxious behaviors in
the late afternoon, evening, and at night.
a) Sundown syndrome
b) Lake effects
c) REM Behavior disorder
d) Advanced sleep phase disorder
24) Some people with dementia have had success with using _____ , a hormone that is
available by supplement without a prescription.
a) Melatonin
b) Oxytocin
c) Prolactin
d) HGH
25) Chronic bronchitis and emphysema are the 2 main types of
a) CHF
b) HTN
c) Afib
d) COPD
26) In a study reported by the National Sleep Foundation, people with depression are
_____ times more likely to suffer from sleep-disordered breathing, including OSA.
a) 3
b) 5
c) 7
d) 9
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27) Up to _____ of patients who have had an acute stroke or who are undergoing
rehabilitation after a stroke have experienced obstructive sleep apnea or periodic
oxygen desaturations while sleeping.
a) 30%
b) 50%
c) 70%
d) 90%
28) There is a strong correlation between REM behavior disorder and the development
of Parkinson’s disease.
a) Sundown syndrome
b) REM Behavior disorder
c) Delayed sleep phase disorder
d) Periodic limb movement disorder
29) The National Sleep Foundation reports that regular exercise
a) Improves total sleep time
b) Increases time spent in slow-wave sleep
c) Results in prolonged latency to REM-stage sleep
d) All the above
30) The first and foremost drug recommended for pain control in patients who are able
to tolerate it is
a) Advil
b) Acetaminophen
c) Steroids
d) Opioids
31) Nocturia is
a) Sleep walking
b) Nighttime urination
c) Frequent awakening during the night
d) Binge watching Netflix seasons until the early morning hours
32) Hot flashes and skin flushing may make it difficult or uncomfortable to try and go to
sleep. Hot flashes occur in up to _____ percent of perimenopausal women and may
persist on and off for up to _____ years after onset.
a) 20, 2
b) 40, 3
c) 60, 4
d) 80, 5
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33) Which technique taught through CBT-I instructs the affected person to actively try
not to fall asleep?
a) Paradoxical intention
b) Sun rising
c) Hyperfocus
d) The Espresso technique
34) CPAP is most effective when it is worn for at least _____ hours at a time.
a) 5
b) 6
c) 7
d) 8
35) CPAP is typically used more often than BiPAP.
a) True
b) False
36) Modafinil, armodafinil, and sodium oxybate are currently approved by the U.S. Food
and Drug Administration in the treatment of
a) Severe insomnia
b) REM Behavior disorder
c) Excessive daytime sleepiness
d) Sleepwalking
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