1. Sleep Quiz

2. Sleep Quiz A quiz to test knowledge of facts regarding sleep that are:
Important
Interesting
Or indeed, Both.

3. Question one
Q1: What is the current record for the longest period without sleep?
5 days
B. 11 days
C. 15 days
D. 21 days

4. Randy Gardner record for the longest period of time a human being has Under gone non stimulated sleeplessness.
In 1964—as a 17-year-old high school student in San Diego, California—Gardner stayed awake for 264 hours (eleven days). Randy Gardner holds the scientifically documented record for the longest period of time a human being has intentionally gone without sleep not using stimulants of any kind. In 1964—as a 17-year-old high school student in San Diego, California—Gardner stayed awake for 264 hours (eleven days), suffered delusions and hallucinations including thinking he had won the rose bowl. Many people have claimed to have gone longer without sleep but these have not been independantly monitored. There is no longer a place in the guinness book of records due to health concerns.

5. Question 2 Which of these medications does NOT cause insomnia
B-Blockers
SSRIs
C. Long acting B2 agonists
D. Statins

6. ALL of these Medication can be responsible for insomnia

7. Question 3
The wife of the 1992 British Snoring champion is deaf in one ear. How loud was his snore?
A) 52 Decibels
B) 92 Decibels
C) 112 Decibels

8. Melvin Switzer had a 92 decibel snore – louder
than a pneumatic drill

9. Question 4
All of these medications can be used to treat insomnia on a short term Basis. Which is best?
Zopiclone
Zaleplon
Zolpidem
Short acted Benzodiazepine

10. Question 5
WHY?

11. ZOPICLONE Nice :It is recommended that, because of the lack of compelling evidence to distinguish between zaleplon, zolpidem, zopiclone or the shorter acting benzodiazepine hypnotics, the drug with the lowest purchase cost (taking into account daily required dose and product price per dose) should be prescribed.
Zopiclone 5p per dose
Zopidiem 6p
Temazepam 12p
Zaleplon 37p

12. Question 6
What does these 3 disasters have in common

16. They were all thought to be caused by sleep
Answer
They were all thought to be caused by sleep
deprivation.

17. Question 7
Cows can sleep and dream while standing up
True
False

18. Apparently, although cows can sleep standing up, they can only dream lying down.

19. Question 8
Hypnotics are often linked with a “hangover” effect. Using Z drugs...
A) Increases this effect by 10%
B) Reduces this effect by 10%
C) Makes No difference

20. Study evidence has shown that zopiclone or zolpidem double the risk of road traffic accidents, similar to the increased risk seen with nitrazepam
although there is a common perception that Z-drugs are less likely to have a 'hangover' effect the next day and may reduce the risk of accidents and falls, the clinical evidence to differentiate Z-drugs from benzodiazepines is weak.

21. Question 9
Which of these is not a recommended Therapy found on the Internet for insomnia?
A) Paradoxical intention
B) Sleep restriction
C) Light restriction
D) Progressive muscle relaxation

22. Progressive muscle relaxation
alternate tensing and relaxing of muscles, facilitates relaxation, inhibits anxiety- associated arousal that can block sleep
(advise patient deliberately to remain awake, reducing performance anxiety that can interfere with ability to initiate sleep)
(maintain a sleep log, determine mean total sleep time for baseline period, where sleep efficiency is less than 80%, decrease time in bed by 15 minutes and repeat adjustment every 5-7days)

23. Question 10
Which of these commonly held beliefs around sleep walking are untrue
Sleep walkers have no memory of events
Waking a sleep walker can be harmful
Patients do not come to harm whilst sleep walking
Sedative have a place in treatment.

24. Sleep Walking Sleep walking occurs in deep sleep
Sleep walker retain no recollection of episodes.
Waking results in confusion and distress.
Risk of accidental injury is high and it's prevention is an important part of the management of this condition.
if Patient has a regular pattern it may be prevented by waking the walker 15 minutes before the expected episode
Sedatives may be used as a last resort

25. Question 11 The following regarding Night terrors is untrue:
They affect mainly children
These are very distressing to the Patient
They occur during arousal from slow wave sleep
They are related to sleep walking

26. Night terrors
Night terrors are a disturbed state of consciousness related to sleepwalking, in which the child wakes in the night, often with a scream, appears extremely frightened, and is difficult to contact.
The child remembers nothing the next morning. Night terrors characteristically occur in the first third of the night and are an arousal disorder.
Parents should resist trying to awaken and comfort a child in a night terror as wakening may increase the child's disturbance.
The most appropriate response is to help the child settle when the acute episode dies down or if child wakens at the end of it.
The cycle of night terrors occurring at regular times can often be broken over the course of a week by waking the child before each episode is due and keeping him or her awake for a few minutes pre-emption
Note that night terrors are quite common in young children and are often outgrown
Initially, over a week or so, a record is kept of the exact time the night terrors occur, which is often around two hours into sleep and fairly constant. Then, for the next few nights the child is gently woken about 15 minutes beforehand, for about five minutes, and allowed to return to sleep. The likelihood of a night terror occurring on these nights is reduced and, with the pattern having been broken, it is claimed that the night-terrors are less likely to return on the following nights when the child sleeps through the night without interruption. However, all that may happen is for the night-terror to re-schedule itself elsewhere in sleep

27. Question 12
What do ducks and dolphins have in common?

28. The both sleep with one half of their brain awake to prevent attack!

29. FIN