Epidemiology & Risk Factors/ Screening
Clinical presentation
Diagnosis
Treatment
100

Define OSA and OSA syndrome.

repeated episodes of upper airway closure during sleep causing recurrent oxyHb desaturation and sleep fragmentation.

 OSA syndrome: combination of OSA and resulting symptoms.

100

Name any atypical presenting features of OSA and especially prevalent in?


Insomnia and Fatigue

Especially prevalent in women

100

Q. Which screening tools is used to assess for pre-op eval of patients with OSA

(name all components)


A. STOP-BANG

100

What is the first line treatment for moderate to severe OSA and Contraindication of it

CPAP

C/I:  Cheyne Stokes breathing

200

Which question from the ROS is recommended by AASM to screen for OSA in the clinic

Asking all adults whether they are dissatisfied with their sleep, or have day time sleepiness

200

how does OSA affect mood?

increased risk of depression and irritability

200

Which scale has been adopted by many insurance plans for preauthorization of sleep study?


Epworth Sleep Scale

200

What to specify when writing a script for CPAP machine (name 2)


Specifications for the pressure settings

Mask type 

Associated device supplies

300

Why are people of east Asian decent more prone to developing OSA?


Because of differences in the facial bone structure

300

Name 2 clinical features that suggest a central cause of sleep apnea

Observed episodes of apnea and nocturnal gasping

300

What do you consider a relative contraindication for HSAT

other causes of OxyHb desaturation e.g CHF, chronic lung disease, or high likelihood of a central cause of sleep apnea

300

Name 3 surgical procedures to help with OSA



Nasal septoplasty or turbinate reduction

Uvulopalatopharyngoplasty

Maxillomandibular Advancement

Tracheostomy

400

Name 2 diseases, that commonly occur with OSA

Treatment resistant HTN, A fib, CHF, Stroke, T2DM

400

what patient population may benefit from evaluation and Rx of OSA, even if asymptomatic.

pts with HTN refractory to 5 or more medications.

400

What is the difference between AHI and REI

AHI: Number of apnea hypopnea episodes per hour of sleep

REI: Number of apnea hypopnea episodes per hour of recording

400

Define “adequate adherence criteria” for CPAP


4 or more hours of use per night on 70% of the nights

500

Persons of which occupation should be regularly screened for OSA?


Commercial truck drivers and public transit operators

500

Name 3 PE findings that suggest Upper Airway narrowing


Neck circumference >16 in in women and >17 in in men

Tonsillar hypertrophy

A modified mallampati of 3 or 4

Enlarged or elongated uvula

High or arched palate

Retrognathia

Signs of nasal obstruction (polyps, septal deviation, turbinate hypertrophy)

500

What do you mean by “Split night” sleep study

In which an initial diagnostic recording of at least 2 hours that documents OSA is immediately followed by CPAP titration

500

What to do if daytime sleepiness persists despite optimal trial of CPAP


Modafinil

Armodafinil

Solriamfetol