• Dr. Kaitlin Dupuis MD CCFP

Exam Questions About Sleeping Disorders Keeping You Up At Night?

Don’t let an exam question about sleep disorders keep you up at night! Defined as a recurrent, poor sleep quantity or quality that impairs a patient’s function, insomnia loves to pop up in SOOs and SAMPs.

The DSM-5 has over 20 sleep disorders listed; make sure you can list at least five!

An easy way to remember the broad categories of sleep disorders:

1) Not enough sleep (i.e. insomnia disorder)

2) Too much sleep (i.e. hypersomnolence disorder, narcolepsy)

3) Busy sleep (i.e. restless legs syndrome, obstructive sleep apnea hypopnea, nightmare disorder)

When referring a patient for a sleep study, remember that a Level 3 sleep study is done in the patient’s home with monitors for heart rate, oxygen levels and snoring. A Level 1 study (polysomnography) is a more intensive, overnight sleep study in a lab setting; measuring brain wave activity, limb movements, oxygen levels with electrocardiography.

Lastly, remember to always screen for depression with a PHQ-2:

“Over the last 2 weeks, how often have you been bothered by the following problems:

1. Little interest or pleasure in doing things?

2. Feeling down, depressed or hopeless?”

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The only Canada-Wide CCFP exam course - created by two Family Doctors who wished this existed when we were residents, and are on a mission to help CCFP exam candidates. Disclosures: The Review Course founders have no conflicting commercial interests. As is the case with any private events hosted on a university campus or hospital, this event is not affiliated with nor endorsed by the host venues. Our materials are peer-reviewed and prepared by Canadian physicians; we do not guarantee that our preparation materials are representative of any Canadian examination and we do not provide questions from any other examination nor are they intended as medical advice. The College of Family Physicians of Canada does not affiliate with nor endorse any exam preparation course.