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Insomnia (exemplar) 2024 Questions with verified correct answers
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Insomnia (exemplar)A 54-year-old female patient presents to the clinic complaining of difficulty sleeping,
which has persisted for over a month. She reports experiencing hot flashes and night
sweats. Considering potential causes of her insomnia, which of the following is the
most likely?
A) Shift work sleep disorder
B) Obstructive sleep apnea
C) Menopause-related hormone shifts
✅✅
D) Restless leg syndrome
E) Chronic pain - -C) Menopause-related hormone shifts
A patient with a history of opioid use disorder is experiencing severe insomnia after
recently completing a detoxification program. Which of the following is the most likely
cause of his insomnia?
A) Withdrawal from opioids
B) Excessive caffeine intake
C) Delayed sleep phase syndrome
✅✅
D) Sleep apnea
E) Use of electronic devices before bedtime - -A) Withdrawal from opioids
Insomnia is more prevalent in individuals with certain demographic characteristics.
Which of the following patient profiles aligns most closely with this increased risk?
A) A 22-year-old college graduate with a full-time job
B) A 35-year-old married male with a master's degree
C) A 28-year-old single female living in a high-income neighborhood
✅✅
D) A 45-year-old divorced female with a high school diploma
E) A 60-year-old married male with a doctoral degree - -D) A 45-year-old
divorced female with a high school diploma
In assessing a patient's insomnia, which of the following symptoms would indicate a
difficulty in maintaining sleep?
A) Taking more than 30 minutes to fall asleep
B) Waking up multiple times during the night
C) Feeling very sleepy and tired during the day
✅✅
D) Needing to take sleeping pills to fall asleep
E) Waking up before the alarm and not being able to go back to sleep - -B)
Waking up multiple times during the night
A patient reports experiencing excessive daytime sleepiness (EDS) and irritability,
which she attributes to her poor sleep quality. In this context, EDS is best described
as:
A) A rare neurological condition that causes sudden sleep attacks
B) A common manifestation of insomnia that impacts daily functioning
, C) A symptom of sleep apnea rather than insomnia
✅✅
D) A psychological condition with no relation to sleep quality
E) A side effect of sleep medications - -B) A common manifestation of insomnia
that impacts daily functioning
Fill in the blank: One of the behavioral manifestations of poor sleep due to insomnia
includes __________, which can significantly impact a person's ability to perform
tasks that require attention and precision.
A) Increased appetite
B) Hypertension
C) Forgetfulness
✅✅
D) Polyuria
E) Tachycardia - -C) Forgetfulness
Considering the impact of environmental factors on sleep hygiene, which of the
following adjustments would most likely improve a patient's insomnia related to poor
sleep hygiene?
A) Increasing physical activity right before bedtime
B) Drinking a cup of coffee in the evening to relax
C) Reducing noise and light in the sleeping environment
✅✅
D) Taking short naps throughout the day to catch up on sleep
E) Using the bed for work-related activities to associate it with productivity - -C)
Reducing noise and light in the sleeping environment
A patient reports waking up frequently during the night with an uncomfortable urge to
move their legs, which temporarily relieves upon moving or walking. This condition is
most consistent with:
A) Narcolepsy
B) Sleep apnea
C) Restless leg syndrome
✅✅
D) Circadian rhythm sleep disorder
E) Sleepwalking - -C) Restless leg syndrome
A patient suspected of having insomnia is advised to maintain a self-report log. What
is the primary purpose of this diagnostic tool in the evaluation of insomnia?
A) To objectively measure brain wave activity during sleep
B) To record the patient's subjective sleep experiences and patterns over time
C) To measure the patient's oxygen levels during sleep
D) To assess the patient's movement during sleep through the use of a wearable
✅✅
device
E) To diagnose sleep apnea through overnight monitoring in a sleep lab - -B)
To record the patient's subjective sleep experiences and patterns over time
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