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Old 01-05-2013
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Psyche Sleep disorders

A husband comes to the family physician to discuss his wife's sleep behaviour. During the past 2 mnths, she has been kicking and hitting him in her sleep. She does not remeber these occurences the next morning or if he wakes her in the night. He is concerned that she developed some anger towards him, which she is unwilling r unable to discuss. Which of the following is the most likely diagnosis?

a) narcolepsy
b) Night terrors
c) Non REM sleep disorder
d) Rapid eye movement sleep disorder
e) Sleep apnea disorder
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Old 01-05-2013
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E
Sleep apnea disorder
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Old 01-05-2013
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A husband comes to the family physician to discuss his wife's sleep behaviour. During the past 2 mnths, she has been kicking and hitting him in her sleep. She does not remeber these occurences the next morning or if he wakes her in the night. He is concerned that she developed some anger towards him, which she is unwilling r unable to discuss. Which of the following is the most likely diagnosis?


e) Sleep apnea disorder
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Old 01-05-2013
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yeaa i too guessed sleep apnea because of the kicking and hitting in sleep.. but the answer says
D) Rapid Eye Movement disorder : Sleep disorder in which normal paralysis of muscles during REM sleep is not present, and the person 'acts out' the dream they are experiencing. This often results in injury to oneself or to others with whom the person is sleeping. In addition the content associated with this sleep problem is often vioent or aggressive.

But i dont understand if the patient is having a REM sleep disorder then she should have remembered the events of kicking and hitting, as unlyk NREM sleep the brain is awake and the person can recollect the dreams.??

Thus ques is out of kaplan qbook 2012
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Old 01-05-2013
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Quote:
Originally Posted by Nitika View Post
yeaa i too guessed sleep apnea because of the kicking and hitting in sleep.. but the answer says
D) Rapid Eye Movement disorder : Sleep disorder in which normal paralysis of muscles during REM sleep is not present, and the person 'acts out' the dream they are experiencing. This often results in injury to oneself or to others with whom the person is sleeping. In addition the content associated with this sleep problem is often vioent or aggressive.

But i dont understand if the patient is having a REM sleep disorder then she should have remembered the events of kicking and hitting, as unlyk NREM sleep the brain is awake and the person can recollect the dreams.??

Thus ques is out of kaplan qbook 2012
There are two contradictions to this answer
During REM-body is paralyzed so limb movements are unlikely
And second as u mentioned if she sees a bad dream and u wake her up she probably will remember the dream and cause of her kicking and punching behavior is obvious then
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Old 01-10-2013
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Quote:
Originally Posted by Nitika View Post
A husband comes to the family physician to discuss his wife's sleep behaviour. During the past 2 mnths, she has been kicking and hitting him in her sleep. She does not remeber these occurences the next morning or if he wakes her in the night. He is concerned that she developed some anger towards him, which she is unwilling r unable to discuss. Which of the following is the most likely diagnosis?

a) narcolepsy
b) Night terrors
c) Non REM sleep disorder
d) Rapid eye movement sleep disorder
e) Sleep apnea disorder

Rapid eye movement sleep disorder.


Person with REM sleep behavior disorder, the paralysis that normally occurs during REM sleep is incomplete or absent, allowing the person to act out his or her dreams. Characterized by the acting out of dreams that are vivid, intense, and violent. Dream enacting behaviors include talking, yelling, punching, kicking, sitting, jumping from bed, arm flailing, and grabbing. In morning, he or she will never remeber.
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sleep apnea is person stops breathing for at least 10 - 15 sceonds repeatedly during sleep.
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Old 04-02-2013
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Default sleeping disorder

Is is really sleep apnea? I have also sleeping disorder I cant sleep during the night and I cant wake up during morning without wake up call. It affects a lot my work.
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