Domain 4

Oxygen and Alternative Therapies

Use oxygen cautiously and recognize oral, positional and surgical options.

50questionsExam mode

Question 1 of 50

A patient remains hypoxemic after obstructive events are controlled on PAP. What is the best next principle?

A.Follow the ordered oxygen-titration protocol while evaluating ventilationB.Turn off CO2 monitoringC.Replace PAP with oxygen automaticallyD.Ignore the saturation because AHI is controlled

Question 2 of 50

A sleep laboratory competency review presents this case: A patient remains hypoxemic after obstructive events are controlled on PAP. What is the best next principle?

A.Follow the ordered oxygen-titration protocol while evaluating ventilationB.Turn off CO2 monitoringC.Replace PAP with oxygen automaticallyD.Ignore the saturation because AHI is controlled

Question 3 of 50

A second technologist independently reviews the following scenario: A patient remains hypoxemic after obstructive events are controlled on PAP. What is the best next principle?

A.Turn off CO2 monitoringB.Replace PAP with oxygen automaticallyC.Follow the ordered oxygen-titration protocol while evaluating ventilationD.Ignore the saturation because AHI is controlled

Question 4 of 50

During a quality-assurance conference, the team considers this question: A patient remains hypoxemic after obstructive events are controlled on PAP. What is the best next principle?

A.Ignore the saturation because AHI is controlledB.Follow the ordered oxygen-titration protocol while evaluating ventilationC.Turn off CO2 monitoringD.Replace PAP with oxygen automatically

Question 5 of 50

A board-style practice form presents the following case: A patient remains hypoxemic after obstructive events are controlled on PAP. What is the best next principle?

A.Ignore the saturation because AHI is controlledB.Replace PAP with oxygen automaticallyC.Turn off CO2 monitoringD.Follow the ordered oxygen-titration protocol while evaluating ventilation

Question 6 of 50

Which patient needs particular caution when supplemental oxygen is added?

A.A patient with chronic hypoventilation and CO2 retention riskB.A patient with a loose leg electrodeC.A patient with isolated sleep bruxismD.A patient with normal ventilation and no hypoxemia

Question 7 of 50

A sleep laboratory competency review presents this case: Which patient needs particular caution when supplemental oxygen is added?

A.A patient with isolated sleep bruxismB.A patient with a loose leg electrodeC.A patient with normal ventilation and no hypoxemiaD.A patient with chronic hypoventilation and CO2 retention risk

Question 8 of 50

A second technologist independently reviews the following scenario: Which patient needs particular caution when supplemental oxygen is added?

A.A patient with isolated sleep bruxismB.A patient with chronic hypoventilation and CO2 retention riskC.A patient with a loose leg electrodeD.A patient with normal ventilation and no hypoxemia

Question 9 of 50

During a quality-assurance conference, the team considers this question: Which patient needs particular caution when supplemental oxygen is added?

A.A patient with a loose leg electrodeB.A patient with normal ventilation and no hypoxemiaC.A patient with isolated sleep bruxismD.A patient with chronic hypoventilation and CO2 retention risk

Question 10 of 50

A board-style practice form presents the following case: Which patient needs particular caution when supplemental oxygen is added?

A.A patient with normal ventilation and no hypoxemiaB.A patient with chronic hypoventilation and CO2 retention riskC.A patient with a loose leg electrodeD.A patient with isolated sleep bruxism

Question 11 of 50

Which alternative treatment is commonly considered for selected patients with obstructive sleep apnea who cannot tolerate PAP?

A.Daytime oxygen aloneB.Antibiotic therapyC.Loop diuretic for all patientsD.Mandibular advancement oral appliance

Question 12 of 50

A sleep laboratory competency review presents this case: Which alternative treatment is commonly considered for selected patients with obstructive sleep apnea who cannot tolerate PAP?

A.Loop diuretic for all patientsB.Antibiotic therapyC.Mandibular advancement oral applianceD.Daytime oxygen alone

Question 13 of 50

A second technologist independently reviews the following scenario: Which alternative treatment is commonly considered for selected patients with obstructive sleep apnea who cannot tolerate PAP?

A.Mandibular advancement oral applianceB.Daytime oxygen aloneC.Loop diuretic for all patientsD.Antibiotic therapy

Question 14 of 50

During a quality-assurance conference, the team considers this question: Which alternative treatment is commonly considered for selected patients with obstructive sleep apnea who cannot tolerate PAP?

A.Antibiotic therapyB.Loop diuretic for all patientsC.Daytime oxygen aloneD.Mandibular advancement oral appliance

Question 15 of 50

A board-style practice form presents the following case: Which alternative treatment is commonly considered for selected patients with obstructive sleep apnea who cannot tolerate PAP?

A.Mandibular advancement oral applianceB.Daytime oxygen aloneC.Antibiotic therapyD.Loop diuretic for all patients

Question 16 of 50

A patient has respiratory events almost exclusively while supine. Which non-PAP strategy may be relevant?

A.REM deprivationB.Positional therapyC.Fluid restrictionD.Routine sedative use

Question 17 of 50

A sleep laboratory competency review presents this case: A patient has respiratory events almost exclusively while supine. Which non-PAP strategy may be relevant?

A.Routine sedative useB.Fluid restrictionC.Positional therapyD.REM deprivation

Question 18 of 50

A second technologist independently reviews the following scenario: A patient has respiratory events almost exclusively while supine. Which non-PAP strategy may be relevant?

A.Positional therapyB.Fluid restrictionC.Routine sedative useD.REM deprivation

Question 19 of 50

During a quality-assurance conference, the team considers this question: A patient has respiratory events almost exclusively while supine. Which non-PAP strategy may be relevant?

A.Positional therapyB.REM deprivationC.Routine sedative useD.Fluid restriction

Question 20 of 50

A board-style practice form presents the following case: A patient has respiratory events almost exclusively while supine. Which non-PAP strategy may be relevant?

A.Routine sedative useB.Positional therapyC.REM deprivationD.Fluid restriction

Question 21 of 50

Why should oxygen not be used as the sole treatment for obstructive apneas?

A.It always eliminates snoringB.It measures respiratory effortC.It increases EEG amplitudeD.It may improve saturation without correcting upper-airway collapse

Question 22 of 50

A sleep laboratory competency review presents this case: Why should oxygen not be used as the sole treatment for obstructive apneas?

A.It always eliminates snoringB.It may improve saturation without correcting upper-airway collapseC.It increases EEG amplitudeD.It measures respiratory effort

Question 23 of 50

A second technologist independently reviews the following scenario: Why should oxygen not be used as the sole treatment for obstructive apneas?

A.It increases EEG amplitudeB.It always eliminates snoringC.It may improve saturation without correcting upper-airway collapseD.It measures respiratory effort

Question 24 of 50

During a quality-assurance conference, the team considers this question: Why should oxygen not be used as the sole treatment for obstructive apneas?

A.It measures respiratory effortB.It may improve saturation without correcting upper-airway collapseC.It always eliminates snoringD.It increases EEG amplitude

Question 25 of 50

A board-style practice form presents the following case: Why should oxygen not be used as the sole treatment for obstructive apneas?

A.It may improve saturation without correcting upper-airway collapseB.It always eliminates snoringC.It increases EEG amplitudeD.It measures respiratory effort

Question 26 of 50

Which variable should be monitored closely when adding oxygen to a patient at risk for hypoventilation?

A.Leg EMG onlyB.Sleep-spindle densityC.EOG polarityD.Carbon dioxide

Question 27 of 50

A sleep laboratory competency review presents this case: Which variable should be monitored closely when adding oxygen to a patient at risk for hypoventilation?

A.Carbon dioxideB.Leg EMG onlyC.EOG polarityD.Sleep-spindle density

Question 28 of 50

A second technologist independently reviews the following scenario: Which variable should be monitored closely when adding oxygen to a patient at risk for hypoventilation?

A.Sleep-spindle densityB.Leg EMG onlyC.Carbon dioxideD.EOG polarity

Question 29 of 50

During a quality-assurance conference, the team considers this question: Which variable should be monitored closely when adding oxygen to a patient at risk for hypoventilation?

A.Leg EMG onlyB.EOG polarityC.Carbon dioxideD.Sleep-spindle density

Question 30 of 50

A board-style practice form presents the following case: Which variable should be monitored closely when adding oxygen to a patient at risk for hypoventilation?

A.Leg EMG onlyB.Carbon dioxideC.EOG polarityD.Sleep-spindle density

Question 31 of 50

After an oral appliance is fitted for OSA, what follow-up is commonly needed?

A.Immediate ASVB.No further assessmentC.Removal of all respiratory sensorsD.Objective sleep testing to assess treatment effectiveness

Question 32 of 50

A sleep laboratory competency review presents this case: After an oral appliance is fitted for OSA, what follow-up is commonly needed?

A.Removal of all respiratory sensorsB.Immediate ASVC.No further assessmentD.Objective sleep testing to assess treatment effectiveness

Question 33 of 50

A second technologist independently reviews the following scenario: After an oral appliance is fitted for OSA, what follow-up is commonly needed?

A.Immediate ASVB.Objective sleep testing to assess treatment effectivenessC.Removal of all respiratory sensorsD.No further assessment

Question 34 of 50

During a quality-assurance conference, the team considers this question: After an oral appliance is fitted for OSA, what follow-up is commonly needed?

A.Objective sleep testing to assess treatment effectivenessB.No further assessmentC.Removal of all respiratory sensorsD.Immediate ASV

Question 35 of 50

A board-style practice form presents the following case: After an oral appliance is fitted for OSA, what follow-up is commonly needed?

A.Objective sleep testing to assess treatment effectivenessB.Immediate ASVC.No further assessmentD.Removal of all respiratory sensors

Question 36 of 50

Which patient is most likely to benefit from positional therapy as an adjunct?

A.A patient with isolated central apneaB.A patient with events in every position equallyC.A patient with no sleep-disordered breathingD.A patient whose events occur predominantly while supine

Question 37 of 50

A sleep laboratory competency review presents this case: Which patient is most likely to benefit from positional therapy as an adjunct?

A.A patient with isolated central apneaB.A patient with no sleep-disordered breathingC.A patient whose events occur predominantly while supineD.A patient with events in every position equally

Question 38 of 50

A second technologist independently reviews the following scenario: Which patient is most likely to benefit from positional therapy as an adjunct?

A.A patient with isolated central apneaB.A patient with no sleep-disordered breathingC.A patient with events in every position equallyD.A patient whose events occur predominantly while supine

Question 39 of 50

During a quality-assurance conference, the team considers this question: Which patient is most likely to benefit from positional therapy as an adjunct?

A.A patient with no sleep-disordered breathingB.A patient with events in every position equallyC.A patient with isolated central apneaD.A patient whose events occur predominantly while supine

Question 40 of 50

A board-style practice form presents the following case: Which patient is most likely to benefit from positional therapy as an adjunct?

A.A patient with no sleep-disordered breathingB.A patient with isolated central apneaC.A patient whose events occur predominantly while supineD.A patient with events in every position equally

Question 41 of 50

Hypoglossal nerve stimulation is best described as which type of treatment?

A.A treatment for every central apneaB.A universal first-line therapy for all snoringC.A selected alternative for appropriately evaluated patients with OSAD.A replacement for diagnostic testing

Question 42 of 50

A sleep laboratory competency review presents this case: Hypoglossal nerve stimulation is best described as which type of treatment?

A.A universal first-line therapy for all snoringB.A treatment for every central apneaC.A selected alternative for appropriately evaluated patients with OSAD.A replacement for diagnostic testing

Question 43 of 50

A second technologist independently reviews the following scenario: Hypoglossal nerve stimulation is best described as which type of treatment?

A.A replacement for diagnostic testingB.A selected alternative for appropriately evaluated patients with OSAC.A treatment for every central apneaD.A universal first-line therapy for all snoring

Question 44 of 50

During a quality-assurance conference, the team considers this question: Hypoglossal nerve stimulation is best described as which type of treatment?

A.A replacement for diagnostic testingB.A universal first-line therapy for all snoringC.A selected alternative for appropriately evaluated patients with OSAD.A treatment for every central apnea

Question 45 of 50

A board-style practice form presents the following case: Hypoglossal nerve stimulation is best described as which type of treatment?

A.A selected alternative for appropriately evaluated patients with OSAB.A replacement for diagnostic testingC.A universal first-line therapy for all snoringD.A treatment for every central apnea

Question 46 of 50

How should weight management be presented to a patient with obesity and OSA?

A.As unrelated to OSAB.As an important adjunct while effective OSA therapy continues as prescribedC.As a substitute for all follow-upD.As proof PAP can stop immediately

Question 47 of 50

A sleep laboratory competency review presents this case: How should weight management be presented to a patient with obesity and OSA?

A.As unrelated to OSAB.As a substitute for all follow-upC.As an important adjunct while effective OSA therapy continues as prescribedD.As proof PAP can stop immediately

Question 48 of 50

A second technologist independently reviews the following scenario: How should weight management be presented to a patient with obesity and OSA?

A.As an important adjunct while effective OSA therapy continues as prescribedB.As a substitute for all follow-upC.As proof PAP can stop immediatelyD.As unrelated to OSA

Question 49 of 50

During a quality-assurance conference, the team considers this question: How should weight management be presented to a patient with obesity and OSA?

A.As unrelated to OSAB.As an important adjunct while effective OSA therapy continues as prescribedC.As proof PAP can stop immediatelyD.As a substitute for all follow-up

Question 50 of 50

A board-style practice form presents the following case: How should weight management be presented to a patient with obesity and OSA?

A.As unrelated to OSAB.As an important adjunct while effective OSA therapy continues as prescribedC.As proof PAP can stop immediatelyD.As a substitute for all follow-up

Reference framework

These are independently written educational questions aligned to the public BRPT blueprint and professional technical references. Always use the current official scoring manual, laboratory policy and clinician orders in practice.