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CCSH EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024
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CCSH EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024
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Page 1 of 9CCSH EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024
Which patient would you screen for OSA based on their history?
A) 75-year old male with BMI 27, chest pain, history of resistant hypertension.
B) 65-year old female, BMI 26, no witnessed apnea.
C) 38-year old male surgical patient with stop-bang of 0.
D) 15 year old female with recent tonsillectomy. - CORRECT ANSWER-A) 75 year old male, BMI 27, chest
pain, and history of hypertension.
Scenario 1: Hispanic female is at new patient consult. Risk factors include age, BMI>30, diabetes. OSA is
suspected. English is not first language and she is having difficulty in completing intake forms. What
should sleep professional do? - CORRECT ANSWER-Offer to assist in completing the forms.
At end of visit patient is scheduling for an HST but seems distracted and is fidgeting with her crucifix, but
keeps noting her head but does not seem to understand the procedure. What is your first step? -
CORRECT ANSWER-Ask permission to give her more information.
Lower health literacy is found with what demographic? - CORRECT ANSWER-Lower socioeconomic
economic status.
Sencario 2: 20 year old white male student who lives and works on campus seems disheveled, hair
uncombed, sleepy and is stressed about school and money. This is causing him to not be able to get a
good night sleep. Pt is articulate and engaging. What is the first thing the sleep professional would do? -
CORRECT ANSWER-Perform and initial assessment of patient.
In addition to a delayed circadian rhythm, the sleep professional knows that sleep hygiene is often a
problem with students. The sleep specialist does not suspect pt has sleep disorder given pt history.
What instructions should be give to improve sleep? - CORRECT ANSWER-Limit light exposure in the
evenings and turn off electronic devices 30 mins before bedtime.
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Senario 3: 25 year old goes to bed early but complains of tossing and turning until 2 or 3 am. Ex gf states
he used to snore and has trouble getting up for morning classes with grogginess first few hrs of the day.
Uses 32-64 OZ of Chaffee before noon. Pt has no sleep issues on weekends. What would be the most
helpful to evaluate prior to testing? - CORRECT ANSWER-Sleep and temperature logs.
Epworth Sleepiness Scale (ESS) - CORRECT ANSWER-An evidenced based screening tool used in PCP care
setting.
ASV - CORRECT ANSWER-(Adaptive support ventilation) most effective therapy for Cheyne-stokes
respiration.
outcome measures - CORRECT ANSWER-Measurement of impact of a service or intervention on health
status.
A sleep navigator may want to be involved in what post-operative event? - CORRECT ANSWER-
Unplanned re-intubation post operatively
What evaluation is most helpful to address a pt pap therapy with on going concerns of dry mouth and
daytime sleepiness? - CORRECT ANSWER-Compliance report.
When doing and HST in hospital what might cause test to be inaccurate? - CORRECT ANSWER-Head of
bed elevated while using O2 therapy.
The most effective therapy option for patients with restrictive disorders is? (Ex:paralyzed diaphragm w/
O2 issues and in need of ventilator w/ volume) - CORRECT ANSWER-AVAPS
Sleep disturbances in children with autism have a prevalence rate of what? - CORRECT ANSWER-40-80%
Which insomnia is most difficult to treat? - CORRECT ANSWER-Chronic
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