WorksheetsSleep
Total questions: 40
Worksheet time: 1hrs 20mins
During this stage of sleep, muscle activity and eye movements completely stop, and you become difficult to awaken.
Stage 1
Stage 2
Stage 3
Stage 4
Parasomnia includes all the following expect
nightmares
sleepwalking
apnea
teeth grinding
Typical features of this sleep disorder include loud snoring, obesity, and excessive daytime sleepiness.
Insomnia
Restless leg syndrome (RLS)
Sleep apnea
Narcolepsy
This sleep disorder tends to run in families with a history of sleep disorders, and it also occurs in some people who have experienced head trauma or injury.
Insomnia
Sleep apnea
Restless leg syndrome (RLS)
Narcolepsy
Symptoms of this sleep disorder can occur at any age, but the most severe cases usually occur in the elderly.
Insomnia
Sleep apnea
Narcolepsy
Restless leg syndrome (RLS)
Normal sleep progresses through the four NREM stages before the first REM sleep period begins
True
False
Because REM sleep usually begins about 90 to 120 minutes after the onset of sleep, normal REM latency is 90 to 120 minutes.
True
False
The bulk of REM sleep occurs in the early night, whereas the bulk of NREM sleep occurs in the early morning
False
True
The normal sequence of NREM-REM sleep recurs with a periodicity of about 90 minutes
True
False
REM sleep is almost entirely devoid of physical and mental activity
True
False
Stages 3 and 4 of NREM sleep provide great physical restfulness
True
False
Sleep always begin with stage 1 of NREM sleep
True
False
Aside from eye movement artifact, REM sleep EEGs resemble ones during wakefulness
True
False
The EEG during NREM sleep is characterized by slow activity
True
False
In the night following sleep deprivation, which of the following will probably not occur?
Sleep may begin wit ha period of REM activity (sleep onset REM, SOREM)
Epileptiform discharges may emanate from the temporal lobe of a patient with partial complex seizures
Total sleep time will lengthen
REM sleep time will rebound
Stages 1 and 2 will rebound more than stages 3 and 4 of NREM sleep
Where are the principle nuclei that generate the rapid eye movements that accompany dreams?
Diencephalon
Midbrain
Pons
Medulla
Where are the principle nuclei that produce the arflexic quadriparesis that accompanies dreams?
Diencephalon
Midbrain
Pons
Medulla
Narcolepsy typically begins in middle age when normal afternoon fatigue becomes prominent
True
False
Hypnopompic refers to phenomena that occur on awakening, and hypnagogic refers to phenomena that occur on falling asleep
True
False
Which of the following statements concerning melatonin is false?
It is synthesized in the pineal gland
Serotonin is a precursor in its synthesi
Its maximum secretion coincides with the brightest time of the day
Selective serotonin reuptake inhibitors increase melatonin plasma concentration
Which characteristic is common to the sleep patterns of both depression and sleep following sleep deprivation?
Increased sleep latency
Shortened REM latency
Sleep terrors
Interruptions in sleep
Which three conditions are characterized by short sleep latency?
Alcohol and drug induced sleep
Narcolepsy
Parkinson's disease
Sleep deprivation
Depression
Which one of the following conditions usually does not begin before the age of 25 years?
Delay sleep phase syndrome
Kleine-Levin syndrome
Sleep apnea
Narcolepsy
REM behavior disorder
Which feature distinguishes the daytime sleepiness of sleep deprivation from narcolepsy
Falling asleep when sitting and ored
Daytime naps are refreshing
REM at onset of sleep
Falling asleep during the day can occur in potentially dangerous situations
Sleep paralysis on awakening from daytime sleep
Which of the following is not a benzodiazepine side effect?
Hip fractures from an increased tendency to fall
Anterograde amnesia
With long-acting preparations, daytime sleepiness
Lowered seizure threshold
Exacerbation of sleep apnea syndrome and chronic obstructive lung disease
In which direction is travel most likely to produce jet lag?
East to west
West to east
North to south
South to north
None of the above
Many high functioning, productive individuals exist on relatively little sleep. In general, how do they adjust to 5 to 6 hours of sleep each night.
They increase the proportion of their REM sleep
They increase the proportion of their stage 1 and 2 NREM sleep
They increase the proportion of their stage 3 and 4 NREM sleep
They virtually eliminate REM sleep
As individuals age, which of the following changes is most apt to occur
Increase in REM, slow-wave, and total sleep time
Although a decrease in total sleep time, an increase in REM and slow-wave sleep
Decrease in REM sleep, slow-wave sleep, and total sleep time
None of the above
By what age do children usually control their bladder at nights?
3 years
5 years
7 years
9 years
By what age do children consolidate their sleep into night-time and give up their afternoon nap?
2 years
4 years
6 years
8 years
Which of the following is the best treatment for an elderly man who, during REM sleep, flails his arms and frequently strikes his wife. Sometimes, during these episodes, he kicks her. His violence is restricted to REM sleep. He has minimal cognitive impairment but no thought disorder.
Clonazepam
Phenytoin
Carbamazepine
Tricyclic antidepressants
When used to treat cataplexy, which is the mechanism of action of chlorimipramine, imipramine, and protriptyline?
They enhance dopamine activity
They act as alpha-1 adrenergic agonists
They inhibit adrenergic reuptake
None of the above
When used to treat narcolepsy, which is the mechanism of action of methylphenidate and amphetamine?
They enhance dopamine activity
They act as alpha-1 adrenergic agonists
They inhibit adrenergic reuptake
None of the above
