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Sleep is a naturally recurring state characterized by:
- reduced or absent [blank_start]consciousness[blank_end]
- relatively suspended [blank_start]sensory[blank_end] activity, and
- inactivity of nearly all [blank_start]voluntary[blank_end] muscle
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consciousness
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memories
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sensory
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neuronal
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voluntary
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skeletal
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Why do we sleep? (select all that apply):
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Vital for learning, cognition and memory (memory consolidation
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Restoration
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Reorganization of neuronal activity
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Neurogenesis
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Instrumental to normal development
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All animals produce [blank_start]circadian[blank_end] rhythms, internal mechanisms that operate on an approxiamtely [blank_start]24[blank_end] hour cycle of wakefulness and sleep.
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Circadian rhythms also regulate (select all that apply):
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T or F. The purpose of the circadian rhythms is to keep our internal workings in phase with the outside world.
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A [blank_start]free[blank_end] [blank_start]running[blank_end] rhythm is a rhythm that occurs when no stimuli resets the rhythm.
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A [blank_start]zeitgeber[blank_end] is a term used to describe any stimulus that resets the circadian rhythms. Examples include [blank_start]light[blank_end], which is the primary one, as well as exercise, noise, meals and temperatue.
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T or F. Rhythms of waking and sleep do not change as a function of age.
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See question in the image
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alert
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attentive
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resting quietly
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sleeping soundly
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As we drift in and out of sleep at the start of a typical night’s sleep, we enter a sleep period known as:
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REM sleep.
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NREM sleep
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Slow wave sleep.
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Delta sleep.
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Compared with stages 1 and 2 of the NREM sleep period, in stages 3 and 4:
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Sleep is lighter and it is easier to wake the sleeper
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Theta waves are more common
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Muscle tone, heart rate, body temperative, and blood pressure all increase
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Delta waves are more common
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There is four stage of Non-REM sleep. This stage is also thought of as "[blank_start]deep[blank_end] sleep".
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Components of REM sleep include: (select all that apply)
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A mix of alpha and theta brain waves is most commonly observed during ________sleep.
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REM
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REM Stage 1
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NREM Stage 2
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NREM Stage 3
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During the night, we typically have how many cycles of NREM (1-4) and REM sleep?
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Which of the following is NOT true of REM sleep?
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During the night, REM sleep lengthens in duration
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During the night REM sleep occurs after an NREM sleep cycle
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Muscle tone increases during REM sleep
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REM follows the lightest stages of sleep
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The length of time to the 1st REM episode (REM latency) is [blank_start]90[blank_end] minutes. (put answer in numeric form).
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REM latency is usually reduced in patients with:
[blank_start]Exhaustion[blank_end]
[blank_start]Depression[blank_end]
[blank_start]Narcolepsy[blank_end]
[blank_start]Sleep apnea[blank_end]
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Exhaustion
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Migraines
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Depression
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Anxiety
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Narcolepsy
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Cataplexy
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Sleep apnea
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Insomnia
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Studies indicate that most adults need _____ hours of sleep each night
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Match the Stage to the Wave Type:
Stage 1: [blank_start]low voltage[blank_end] [blank_start]mixed frequency[blank_end]
Stage 2: [blank_start]sleep spindles[blank_end] [blank_start]K complexes[blank_end]
Stage 3: [blank_start]mostly slow waves[blank_end]
Stage 4: [blank_start]slow waves[blank_end]
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low voltage
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mixed frequency
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sleep spindles
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K complexes
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mostly slow waves
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slow waves
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Label the Stages of Sleep from the Drag & Drop Selections (note that some answers may be used twice-for Stage II, Use Stage II answer 1st, Stage 2 answer 2nd and Stage Two answer 3rd, for Stage III-use this form first):
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Wakefulness
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NREM Stage 1
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NREM Stage II
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NREM Stage III
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NREM Stage IV
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NREM Stage 3
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NREM Stage 2
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REM
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NREM Stage Two
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Match the characteristic to the type of sleep (NREM or REM):
EEG more similar to waking brain [blank_start]REM[blank_end]
Lack of prominent eye movement or muscle paralysis [blank_start]NREM[blank_end]
Working through past [blank_start]NREM[blank_end]
Intense brain activity [blank_start]REM[blank_end]
Vivid dreams [blank_start]REM[blank_end]
Dreams-thoughts [blank_start]NREM[blank_end]
Emotional processing [blank_start]REM[blank_end]
Learning [blank_start]NREM[blank_end]
Creativity [blank_start]REM[blank_end]
Consciousness may be totally obliterated [blank_start]NREM[blank_end]
Dreams-hallucinatory [blank_start]REM[blank_end]
The brain is active [blank_start]NREM[blank_end]
Transitional and slow wave sleep; neurological rest [blank_start]NREM[blank_end]
Potential future scenarios [blank_start]REM[blank_end]
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REM
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NREM
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NREM
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REM
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NREM
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REM
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REM
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NREM
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REM
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NREM
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NREM
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REM
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REM
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NREM
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NREM
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REM
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REM
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NREM
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NREM
-
REM
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REM
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NREM
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NREM
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REM
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NREM
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REM
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REM
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NREM
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[blank_start]NREM[blank_end] sleep is a restorative function, with slow-rolling eye movements, decreased muscle tone, movement, HR, RR, BP, metabolism and temperature
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A sleep researcher is recording details of Elka's sleep patterns in a sleep laboratory. Elka's EEG recording shows that she is currently experiencing low-frequency, high-amplitude DELTA waves. Her EOG shows no sign of activity. The researcher can hear Elka talking, but cannot make out what she is saying. Elka is most likely experiencing:
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REM Sleep
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Muscle paralysis
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NREM Stage 2 sleep
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NREM Stage 4 sleep
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During which stage of sleep will you experience “hypnic jerks” – often associated with the feeling of falling.
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Stage 1
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Stage 2
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Stage 3
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Stage 4
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Match the NREM stages of sleep to their characteristic (some have two answers, and some answers are used twice):
Stage 1 [blank_start]Drowsiness[blank_end]
Stage 2 [blank_start]Light sleep[blank_end] [blank_start]Sleep spindles occur[blank_end]
Stage 3 [blank_start]Delta waves[blank_end], [blank_start]slow wave,[blank_end] [blank_start]moderate-deep sleep[blank_end]
Stage 4 Delta waves, slow wave, [blank_start]hardest to awaken from[blank_end]
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Drowsiness
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Light sleep
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Sleep spindles occur
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Delta waves
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slow wave,
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moderate-deep sleep
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hardest to awaken from
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[blank_start]Paradoxical[blank_end] sleep is defined as an active hallucinating brain in a paralyzed body. An active brain, inactive body. This occurs during [blank_start]REM[blank_end] sleep.
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During REM sleep you will have:
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Low frequency, high amplitute EEG
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High frequency, low aplitute EEG
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What causes the paralysis of large muscles during REM sleep?
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Decreased GABA in pontine reticular formation inhibits lower motor neurons
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Increased GABA in pontine reticular formation inhibits lower motor neurons
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Decreased Glutamate in pontine reticular formation inhibits lower motor neurons
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Increased Glutamate in pontine reticular formation inhibits lower motor neurons
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T or F. You will have 4-5 episodes of REM sleep per night and they increase in length
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During dreaming, which occurs in REM sleep, there is [blank_start]increased[blank_end] limbic system activity and [blank_start]decreased[blank_end] activity in the PFC>
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increased
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decreased
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decreased
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increased
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Fetal and infant sleep have a _____ proportion of REM sleep.
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REM sleep is ________ during adult life.
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REM sleep ______ with old age and the use of antidepressants.
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Stage 4 sleep has__________waves.
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syncjhronized
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desynchronized
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REM sleep has ____________waves.
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Synchronized
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Desynchronized
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Label the EEG Waves
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As we get older, the time to fall asleep:
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As we get older, our total sleep time:
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The areas of the brain activated in REM sleep are (see slide 38 in PPT)
1) Anterior Cingulate Cortex
2) [blank_start]Subcallosal cortex[blank_end]
3) Basal forebrain
4) Septal area
5) [blank_start]Hypothalamus[blank_end]
6) [blank_start]Amygdala[blank_end]
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Subcallosal cortex
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Hypothalamus
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Amygdala
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T or F. 5HT, ACh, NE, DA and Histamine are active during arousal and quiet during NREM.
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T or F. During REM, ACh neurons resume activity and monoamines slow down even further.
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The Wake Promoting Neurotransmitter include (match NT to correct area of the brain):
[blank_start]ACh[blank_end] - Nuclei in the pons
[blank_start]NE[blank_end] - Locus coeruleus
[blank_start]5HT[blank_end] - Raphe nuclei
[blank_start]DA -[blank_end] Periaqueductal gray matter
[blank_start]HIstamine[blank_end] - TMN of the hypothalamus
[blank_start]Orexin[blank_end] - Posterior hypothalamus
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ACh
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NE
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5HT
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DA -
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HIstamine
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Orexin
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[blank_start]GABA[blank_end] is the sleep-promoting neurotransmitter-in the VLPO (i.e. the sleep center) it inhibits TMN or wake promoter.
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Too tired to turn this into a fancy matching question...so here it is for memorizing pleasure.
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The suprachiasmatic nucleus (SCN) signals the [blank_start]pineal[blank_end] gland that synthesizes [blank_start]melatonin[blank_end]. The release increases as the environmental light decreases.
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The SCN is synchronized by signals from the retina. Retina signals are activated by inputs from the [blank_start]sun[blank_end].
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Melatonin is an [blank_start]indolamine[blank_end] and a circadian rhythm regulated hormone.
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T or F. There is substantial evidence showing that melatonin turns off the activity of the SCN suggesting that this is the function that allows individuals to go to sleep.
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Put the melatonin fluctuation levels over a 24 hour period in the correct sequential order:
[blank_start]1:[blank_end] The pineal gland begins producing melatonin in the evening.
[blank_start]2[blank_end]: Melatonin levels peak in the middle of the night
3: Melatonin levels decline to low daytime amounts
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Which of the following statements is true of sleep deprivation?
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Sleep deprivation has no physiological effects
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Sleep deprivation affects one's abilities to perform cognitive tasks
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Sleep deprivation is a non-issue in older adults since they sleep less
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The effects of sleep deprivation disappear only after the individual has slept for the same amount of time they were sleep deprived.
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Narcolepsy is an irresistible attack of refreshing sleep that occurs daily over at least 3 months, and one must have at least one of the following (selecting all that apply):
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Narcolepsy -Major Symptoms (match the term to the correct definition):
[blank_start]Cataplexy[blank_end]: Sudden loss of postural tone brought on by emotion, particularly laughter
[blank_start]Excessive sleepiness[blank_end]: No relieved by adequate amounts of sleep; persistent throughout the day
[blank_start]Sleep paralysis[blank_end]: Occurs at the onset of sleep or upon awakening
[blank_start]Hypnagogic/hypnopompic[blank_end]: Dream imagery occurring at the onset or end of sleep.
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Cataplexy
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Excessive sleepiness
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Sleep paralysis
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Hypnagogic/hypnopompic
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The onset of narcolepsy is usually before _____ years of age.
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Type [blank_start]I[blank_end] Narcolepsy is caused by hypocretin (orexin) deficiency and almost always accompanied by cataplexy.
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The following are true in the neuroscience of narcolepsy (select all that apply):
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Frequent REM sleep attacks during the day
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SKIPS NREM
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VLPO, the sleep switch in the brain induces sleep by putting brakes on GABA on arousal nuclei
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Decreased orexin, wake-promoting neurons, in the hypothalamus.
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Which medication will patients with obstructive sleep apnea/hypopnea have a poor response to?
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Venlafaxine
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Cymbalta
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Viibyrd
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Zoloft
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T or F. Patients with a sleepwalking disorder (NREM) have amenisia for the episode.
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T or F. Snoozing with booze in your system makes you miss a key part of the sleep cycle known as REM.