Deck 31: Sleep Apnea
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Deck 31: Sleep Apnea
1
Systemic hypotension is associated with periods of sleep apnea.
False
2
The Pickwickian syndrome is associated with the absence of diaphragmatic excursion.
False
3
The muscles of the arms and legs are in a state of paralysis during REM sleep.
True
4
Which of the following cardiac arrhythmias is/are associated with severe sleep apnea? 
A) II only
B) IV only
C) III and V only
D) II, III, IV, and V only
E) I, II, III, IV, and V

A) II only
B) IV only
C) III and V only
D) II, III, IV, and V only
E) I, II, III, IV, and V
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5
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
ERV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
ERV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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6
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
RV/TLC %
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
RV/TLC %
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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7
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
FRC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
FRC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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8
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
RV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
RV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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9
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
VC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
VC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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10
Non-REM sleep is also called active sleep.
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11
The O2ER is decreased in sleep apnea.
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12
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
TLC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
TLC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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13
Ventricular tachycardia is commonly seen during periods of severe sleep apnea.
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14
During periods of sleep apnea, the patient commonly demonstrates an increased heart rate.
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15
Normal periods of sleep apnea during REM sleep last for about 5 to 10 seconds.
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16
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
IC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
IC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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17
Negative-pressure ventilation is contraindicated in obstructive sleep apnea.
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18
Central sleep apnea is the sleep disorder most commonly encountered in the clinical setting.
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19
MATCHING
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
VT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Next to the pulmonary function studies listed, match the findings that typically develop in patients who have sleep apnea. Items may be used once, more than once, or not at all.
VT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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20
Match what arterial blood gas changes occur in patients with severe sleep apnea with the items below. Items may be used once, more than once, or not at all.
pH
A)Increases
B)Decreases
C)Normal
pH
A)Increases
B)Decreases
C)Normal
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21
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
CVP
A)Normal
B)Decreases
C)Increases
CVP
A)Normal
B)Decreases
C)Increases
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22
Match what develops in the oxygen indices of patients with sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
O2ER
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
O2ER
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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23
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
RVSWI
A)Normal
B)Decreases
C)Increases
RVSWI
A)Normal
B)Decreases
C)Increases
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24
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
CO
A)Normal
B)Decreases
C)Increases
CO
A)Normal
B)Decreases
C)Increases
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25
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
RAP
A)Normal
B)Decreases
C)Increases
RAP
A)Normal
B)Decreases
C)Increases
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26
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
LVSWI
A)Normal
B)Decreases
C)Increases
LVSWI
A)Normal
B)Decreases
C)Increases
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27
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
SVI
A)Normal
B)Decreases
C)Increases
SVI
A)Normal
B)Decreases
C)Increases
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28
Match what develops in the oxygen indices of patients with sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
C(a-v)
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
C(a-v)

A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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29
Match what develops in the oxygen indices of patients with sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
DO2
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
DO2
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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30
Match what arterial blood gas changes occur in patients with severe sleep apnea with the items below. Items may be used once, more than once, or not at all.
PaCO2
A)Increases
B)Decreases
C)Normal
PaCO2
A)Increases
B)Decreases
C)Normal
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31
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
PCWP
A)Normal
B)Decreases
C)Increases
PCWP
A)Normal
B)Decreases
C)Increases
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32
Match what develops in the oxygen indices of patients with sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
S/
T
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
S/
TA)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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33
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
PA
A)Normal
B)Decreases
C)Increases
PA
A)Normal
B)Decreases
C)Increases
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34
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
SV
A)Normal
B)Decreases
C)Increases
SV
A)Normal
B)Decreases
C)Increases
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35
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
PVR
A)Normal
B)Decreases
C)Increases
PVR
A)Normal
B)Decreases
C)Increases
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36
Match what arterial blood gas changes occur in patients with severe sleep apnea with the items below. Items may be used once, more than once, or not at all.
HCO3-
A)Increases
B)Decreases
C)Normal
HCO3-
A)Increases
B)Decreases
C)Normal
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37
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
SVR
A)Normal
B)Decreases
C)Increases
SVR
A)Normal
B)Decreases
C)Increases
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38
Match what develops in the oxygen indices of patients with sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
O2
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
O2A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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39
Match what develops in the oxygen indices of patients with sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
SvO2
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
SvO2
A)Remains normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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40
Match what hemodynamic indices develop during severe sleep apnea to the items listed below. Items may be used once, more than once, or not at all.
CI
A)Normal
B)Decreases
C)Increases
CI
A)Normal
B)Decreases
C)Increases
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