STUDY TIPS FROM THE REVIEW COURSE

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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