ASTEP Practice Test

These questions are part of the practice quiz. Start practicing

• Disorders of partial arousal are also known as?
• What does AHI stand for in sleep medicine?
• Best practices during a sleep study are to perform electrical calibrations at the beginning and end of study.
• A patient has 20 respiratory events during a 2-hour baseline. What is his AHI (events per hour)?
• Which EEG waveforms are typically associated with stage N2 sleep?
• During an MWT, if the patient falls asleep after 15 minutes, what should be done?
• How often should a tech document on the observation notes?
• Which term describes a partial reduction in airflow during sleep with ongoing respiratory effort?
• Which term is listed as the transitional sleep stage?
• Which mode includes both spontaneous and timed events?
• What is the functional unit of the nervous system?
• Which statement describes the primary function of the SA node?
• Cheyne Stokes respiration during sleep: which statement is correct?
• The most frequent sleep-related complaint is known as:
• What is the frequency range for Delta waves?
• Is C3M2 monopolar or bipolar?
• In addition to 2 or more sleep onset REM episodes, what else must a MSLT reveal about a patient’s sleep for a positive diagnosis of Narcolepsy?
• Which pair correctly identifies the two major subdivisions of the nervous system?
• Is C3O2 monopolar or bipolar?
• How many electrodes should be placed on the scalp for a standard EEG hookup?
• Which term describes the difficulty initiating or maintaining sleep and is the most common sleep complaint?
• The thermistor channel is used to score which events?
• Which brain structure is primarily responsible for the control and regulation of NREM sleep?
• The electrode placed for the left eye should be positioned 1-2 cm out from the left outer canthus and 1-2 cm in which direction?
• Which EEG feature is most characteristic of stage N2 sleep?
• Which brain structure is the final relay station for almost all sensory input to the brain?
• The SA node is known as what in pacing?
• For CPAP retitration, if the patient cannot keep his mouth closed, which mask type is most beneficial?
• Which statement correctly describes Wenckebach block?
• Of sleep disturbances, which one is the most commonly reported by individuals?
• Which sleep-related problem do patients most often cite as their primary sleep complaint?
• Which frequency band is associated with awake relaxation with eyes closed?
• What is the best way to troubleshoot EKG/ECG artifact?
• Iron deficiency may precipitate or exacerbate restless legs syndrome. Which option correctly reflects this statement?
• What is the frequency range for Beta waves?
• If a drug is to be given at HS, when should it be given?
• What is the best way to troubleshoot sweat artifact during a sleep study?
• Which type of apnea has a central component followed by an obstructive component?
• Which of the following is a subdivision of the Autonomic Nervous System?
• Among sleep-related concerns, which is the leading complaint among adults?
• Caffeine intake before an MSLT: which statement is correct?
• Narcolepsy is a type of which sleep disorder?
• CPAP stands for?
• Which of the following is NOT a bi-level mode?
• Xyrem is unique because it treats which symptom of narcolepsy?
• Which description defines hypopnea?
• Ventricular fibrillation requires immediate intervention because there is no cardiac output.
• REM Sleep Behavior Disorder is characterized by dreaming and enacting behaviors due to loss of REM atonia.
• Which apnea type is defined by >90% decrease in airflow for 2 missed breaths with absent respiratory effort during one portion and inspiratory effort during another?
• REM sleep suppression by alcohol occurs early in the night according to the material.
• What is the primary mechanism by which CPAP helps in obstructive sleep apnea?
• Which AV block type is Mobitz II?
• When asked about sleep, which problem is usually the top complaint?
• If a mistake is made on a medical record, you should
• Optimal impedance during electrical calibrations is best described as which?
• Which statement about PLMs scoring is accurate?
• In medical visits, which sleep issue is typically the most common complaint?
• The sympathetic and parasympathetic nervous systems belong to which broader system?
• Which sleep stage is commonly referred to as deep sleep?
• Longstanding complaint of insomnia with subtle onset occuring during infancy or early childhood
• Which action is most appropriate to address electrode popping?
• The QRS complex represents which of the following?
• What is the term for vivid, often frightening imagery that occurs while a patient is falling asleep?
• Which two waveforms are characteristic of Stage N2 sleep?
• An obstructive event for more than 10 seconds with more than 30% reduction in airflow is which event?
• Chin 1 and Chin 2 should be placed at what distances relative to the mandible and the midline?
• The formula for Ohm's Law E= I x R? True or false
• What are 2 types of Slow Wave Artifact?
• For the purposes of Polysomnography, impedances are measured in?
• The thermistor channel is used to score apneas.
• The Hypothalamus is responsible for all of the following functions except?
• Atrial Flutter is described as?
• In polysomnography, impedance values are typically expressed in which unit?
• Which symptom would trigger an emergency response?
• Which statement describes Restless Legs Syndrome?
• MSLT stands for which of the following?
• CPAP pressures are measured in which units?
• Which sleep disorder is reported most frequently by patients seeking help for sleep problems?
• Iron deficiency may precipitate or exacerbate RLS?
• Which test might an airline pilot treated with PAP need to undergo prior to work?
• Which statement about the MSLT is true?
• Lights Out is at epoch 10. The patient falls asleep at epoch 25. What is the sleep latency?
• MWT stands for which of the following?
• What is the recommended LFF setting for an EEG channel?
• Delta waves are most associated with which sleep stage?
• Which of the following is NOT considered a Slow Wave Artifact?
• Which term best describes confusion after waking with disorientation and memory impairment?
• What is the frequency range for Theta waves?
• The American Academy of Sleep Medicine considers a pressure to be optimal if the AHI is below how many?
• Confusional Arousals, Sleep Terrors, and Sleepwalking are all examples of this category of sleep disorders?
• Which of the following is NOT listed as a stage of infant sleep?
• How do you calculate the mean of a set of sleep latency values?
• What is the most common sleep-related complaint?
• Goals for a CPAP titration include the elimination of obstructions and snores.
• Which frequency band is associated with high levels of mental activity and concentration?
• This brain region is critical in the initiation of REM sleep.
• Which practice best reduces sweat artifact during data collection?
• Which statement about the thalamus is true?
• Which EEG waves are more prevalent in children compared to adults?
• In surveys of sleep health, which issue consistently ranks as the most common complaint?
• Sleep latency is at epoch 25 and the patient goes into REM sleep at epoch 125. What is the REM latency in epochs?
• The top sleep-related complaint you would expect to hear from patients is:
• During the MSLT, sleep latency is recorded how?
• By 6 months of age, which waveforms are identifiable on a PSG?
• Your patient has come in for a CPAP titration. At a pressure of 20 cm H2O, obstructive events persist while the patient is lateral. What action do you take next?
• What is the purpose of Chin 1 and Chin 2 placements?
• The technical observation form is a legal medical document subject to review in a court of law.
• Mean sleep latency on MSLT diagnostic threshold for Narcolepsy is?
• It is recommended that a patient washes out Modafinil prior to MSLT testing.
• PLMs can only be scored while the patient is awake?
• Cheyne Stokes respiration: which statement is true?
• Which of the following is a side effect reported with CPAP therapy?
• What is the frequency range for Alpha waves?
• How many naps does the MSLT typically include?
• How long before an MSLT should the patient stop smoking?
• Which of the following is NOT a good sleep hygiene practice?
• What condition is described by an irresistible urge to move the limbs due to uncomfortable sensations?
• Observation documentation interval should be kept at what frequency?
• What type of respiratory event has both central and obstructive component?
• Bundle Branch Block is the result of one ventricle firing slower than the other.
• In clinical practice, which sleep-related complaint is most frequently reported by patients?
• Excessive worrying about not being able to fall asleep, trying too hard to fall asleep
• Which EEG rhythm is most associated with deep sleep and is more prevalent in children?
• The leading sleep-related complaint encountered in clinics is:
• Which statement is not supported by the provided material?
• Which sleep disorder involves acting out dreams, sometimes violently?
• Time constant is the time to fall what percent of the amplitude?
• Which feature is a hallmark of Stage N2 sleep?
• Which heart rhythm would necessitate using the AED?
• Which structure is most closely associated with initiating REM sleep?
• Which type of AV block has a PR interval that lengthens with each beat until a QRS complex is dropped?
• Which two branches are the autonomic nervous system's primary pathways?
• In Ohm's Law, what does E represent?
• If an all-night sleep study shows AHI 15.7 supine and 2.1 lateral, which treatment is most appropriate?
• Which bi-level mode is described as spontaneous?
• What is the best way to troubleshoot muscle tension?
• Which statement about CPAP therapy is correct?
• A decrease of 90% in airflow for more than 10 seconds with no respiratory effort is which event?
• Cataplexy is a feature of Narcolepsy type 1?
• ____________ are a category of sleep disorders that involve abnormal and unnatural movements, that occur while falling asleep, sleeping, between sleep stages, or arousal from sleep?
• Which sleep disorder is typically the most commonly reported complaint by patients?
• CPAP is the preferred treatment for obstructive sleep apnea.
• Transient generalized inability to move or speak during the transition between sleep and wakefulness is known as?
• True or False: The MSLT requires a patient to try to remain awake in a darkened room for the duration of the test.
• The lowest and highest CPAP pressures are 5 cm and 20 cm.
• Iron supplements can be a treatment for RLS?
• SA node located in which chamber of the heart?
• Sleepwalking usually occurs during arousal from which stage of sleep?
• When measuring the head for EEG placement, which system is used?
• Resolves in conjunction with the identified stressor or after individual has adapted to the stressor
• Which type of apnea is defined by absence of airflow and respiratory effort for >20 sec or two missed breaths followed by arousal?
• Which test is used to assess the ability to stay awake for extended periods in a calm environment?
• Which of the following is NOT a function attributed to the hypothalamus according to the options given?
• Which action is recommended to troubleshoot electrode popping?
• Which of the following is NOT a biocalibration task?
• The prevailing sleep-related complaint among patients is:
• Sensitivities on the respiratory channels can be changed during recording.
• Which statement best defines Mixed Apnea?
• List 3 examples of good sleep hygiene?
• Consciousness is preserved during a cataplexy attack.
• Mean sleep latency for the set 8, 12.5, 5.5, 4.0, 2.5 is?
• Which statement best describes central apnea?
• A decrease of 90% in airflow for more than 10 seconds with respiratory effort is classified as which event?
• Which event is defined by >30% decrease in nasal pressure for 2 missed breaths followed by an arousal or >3% desaturation?
• Alcohol suppresses REM sleep early in the night?