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Old 06-09-2011
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Psyche Behavioral Sc. - Sleep disorder question

A 32-year-old woman is being evaluated because of strange “spells”. She often seems to “pass out” when she is startled or when she laughs quite hard. What sleep disorder is she most likely suffering from?

A. Primary insomnia
B. Primary hypersomnia
C. Narcolepsy
D. Breathing-related sleep disorder
E. Circadian rhythm sleep disorder
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Old 06-09-2011
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C. Narcolepsy

She is showing signs of cataplexy
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D- breathing-related sleep disorder
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C
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Originally Posted by bebix View Post
A 32-year-old woman is being evaluated because of strange “spells”. She often seems to “pass out” when she is startled or when she laughs quite hard. What sleep disorder is she most likely suffering from?

A. Primary insomnia
B. Primary hypersomnia
C. Narcolepsy
D. Breathing-related sleep disorder
E. Circadian rhythm sleep disorder
D.breathing related sleep disorder..?
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Signs and Symptoms do point to Cataplexy, so its C)

Last edited by patelMD; 06-09-2011 at 09:53 PM.
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C....narcolepsy
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C) narcolepsy
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Correct Answer correct answer

A 32-year-old woman is being evaluated because of strange “spells”. She often seems to “pass out” when she is startled or when she laughs quite hard. What sleep disorder is she most likely suffering from?

A. Primary insomnia
B. Primary hypersomnia
C. Narcolepsy
D. Breathing-related sleep disorder
E. Circadian rhythm sleep disorder

Narcolepsy
- Cataplexy: sudden loss of muscle tone associated with strong emotions
- Hypnagogic and hypnopompic hallucinations: REM intrusions that occur during the transition period between sleep and wakefulness (Hypnagogic symptoms occur when going to sleep and hypnopompic occur while waking up.)
- Sleep paralysis: inability to move just before going to sleep or awakening

btw...Breathing-related sleep disorder (e.g. Obstructive sleep apnea):
During the night they frequently stop breathing and then are awoken by hypoxia. These frequent arousals prevent the patients from getting deep, restful sleep.
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