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RPSGT Exam Cards With Complete Solutions
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RPSGT Exam Cards With Complete SolutionsAdult Mild RDI - Affer 5 to < 15
Adult Moderate RDI - Affer 15 to 30
Adult Severe RDI - Affer more than 30
Child Mild RDI - Affer 1 to < 5
Child Moderate RDI - Affer 5 to < 10
Child Severe RDI - Affer more than 10
Indication for PAP Titration Referral - Affer Diagnosis of OSA during a PSG
(polysomnogram)
Minimum Adult CPAP Pressure - Affer 4cm H2O
Adult Maximum CPAP Pressure - Answer 20cm H2O
Child Minimum CPAP Pressure - Answer 4cm H2O
Child Maximum CPAP Pressure - Answer 15cm H2O
Increase pressure by minimum of ______ no less than _____minute interval - Answer 1cm,
5min
Increase Pressure by minimum of 1cm with CHILDREN when Patient shows______(list) -
Answer 1 Obstructive Apnea, 1 Hypopnea, 3 RERAs, 1min of Loud snoring
Raise Pressure by at least 1cm with ADULTS if patient demonstrates_____(list) - Answer
2 Obstructive Apnea, 3 Hypopnea, 5 RERAs, 3 min of Loud snoring
,OPTIMAL RDI with CPAP - Answer Less than 5 per hour
OPTIMAL SpO2 with CPAP - Answer Above 90%
OPTIMAL Postion, Sleep Stage, Behavior (list) - Answer Supine Position, REM Sleep, No
Spontaneous arousals or awakenings
GOOD RDI on CPAP-Answer 10 or greater but 75% less than baseline
GOOD CPAP Titration- short answer-Answer Same Goals as good as optimal but was not
recorded in REM sleep in supine position.
GOOD RDI on CPAP-Answer less than 10 or 50% less than baseline if RDI is less than 15
GOOD SpO2 on CPAP-Answer above 90%
GOOD Position, Sleep Stage, Behavior with CPAP - Answer Supine Position, REM Sleep,
No Spontaneous arousals or awakenings
Reason to repeat Titration - Answer Does not meet any of the Optimal, Good, or
Adequate requirements
When to switch to Bi-PAP (short answer) - Answer When PT is uncomfortable or
intolerant of High pressure, When Respiratory Events continue with 15cm
Starting Bi-PAP pressure (child and adult) - Answer IPAP-8cm, EPAP-4cm
Max IPAP for CHILD - Answer 20cm
,Minimum I/E PAP Difference for CHILD - Answer 4cm
Maximum I/E PAP Difference for CHILD - Answer 10cm
Max IPAP for ADULT - Answer 30cm
Minimum I/E PAP Difference for ADULT - Answer 4cm
Maximum I/E PAP Difference for ADULT - Answer 10cm
Increase both I/E PAP by at least 1cm if CHILD has - Answer 1 Obstructive Apnea within
5 or more mins
Increase both I/E PAP by at least 1cm if ADULT has - Answer 2 Obstructive Apnea within
5 or more mins
Reasons to Increase IPAP only in CHILD (list) - Answer 1 hypopnea, 3 RERAs, 1 min of
loud snoring
Reasons to Increase IPAP only in ADULT (list) - Answer 3 hypopnea, 5 RERAs, 3 min of
loud snoring
Bi-PAP Optimal, Good, Adequate Titration - Answer Same Parameters as CPAP
Supplementation of O2 should be recommended when the PT is (short answer) -
Response when SpO2 is less than 88% for 5 min or more while the patient is awake
Location to hook up O2 on CPAP Equipment (short answer) - Response Hook up through
the CPAP Tubing via an adapter or T connector.
, Recommended initial rate for O2 - Response 1 L/min
Rate of O2 increase (short answer) - Answer Increase 1 L/min with 15 min intervals until
pt is within 88%-94% SpO2
reason to lower O2 (short answer) - Answer When CPAP/Bi-PAP pressure in Increased.
Split-Night studies (list/ short answer) - Answer more than 3 hours of Titration time,
Should not be performed on children (<12yo), pressure increase with minimum of 2cm
with interval of 5 min or more
TST: Total Sleep Time- Answer Time in minutes and/or # of epochs of Sleep not including
(WASO, Arousals and TNR)
TRT: Total Recording Time- Answer Time in mins Lights out - Lights on
Sleep Latency- Answer Time from Lights out to the first epoch of sleep
Stage R Latency - Answer Time from Sleep onset to the first epoch of REM
WASO: Wake After Sleep Onset - Answer Time(mins) the patient is wake after AFTER
sleep onset. including time not connected/recorded. WASO= TRT-SL-TST
Sleep Efficiency Percent - Answer TST/TRT x 100
Time in each stage - Answer # of epochs and mins
Percent of TST in each stage - Answer Time in stage(n1,n2,n3,R)/TST x 100
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