Obstructive Sleep Apnoea (OSA)

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Questions and Answers

What is the primary cause of obstructive sleep apnoea?

  • Constriction of the trachea
  • Overproduction of saliva during sleep
  • Inflammation of the sinuses
  • Collapse of the pharyngeal airway (correct)

Patients are typically aware of apnoea episodes during sleep.

False (B)

Name three established risk factors for obstructive sleep apnoea.

Middle age, male gender, obesity

Severe cases of obstructive sleep apnoea can lead to __________ and heart failure.

<p>hypertension</p> Signup and view all the answers

Which of the following is a common presenting feature of obstructive sleep apnoea?

<p>Morning headache (A)</p> Signup and view all the answers

The Epworth Sleepiness Scale is used to assess the severity of snoring.

<p>False (B)</p> Signup and view all the answers

What type of sleep study involves an overnight stay in a sleep centre with polysomnography?

<p>Complex sleep study</p> Signup and view all the answers

__________ machines provide constant pressure to maintain airway patency in the management of obstructive sleep apnoea.

<p>CPAP</p> Signup and view all the answers

What is the most common surgical procedure for obstructive sleep apnoea?

<p>Uvulopalatopharyngoplasty (UPPP) (D)</p> Signup and view all the answers

Surgery is the first-line treatment for obstructive sleep apnoea.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT typically monitored during respiratory polygraphy?

<p>Brain Activity (EEG) (B)</p> Signup and view all the answers

A simple sleep study involves an overnight stay in a sleep centre.

<p>False (B)</p> Signup and view all the answers

Daytime __________ should raise suspicion for obstructive sleep apnoea, especially in professions requiring full alertness.

<p>sleepiness</p> Signup and view all the answers

Other than CPAP, name one potential method of managing Obstructive Sleep Apnoea.

<p>Surgery/Weight Loss/Smoking Cessation/ Reduced Alcohol Consumption</p> Signup and view all the answers

A patient with suspected obstructive sleep apnea reports only snoring, with no other symptoms. Which action is most appropriate?

<p>Recommend lifestyle changes and monitor for other symptoms. (D)</p> Signup and view all the answers

Obstructive sleep apnoea primarily affects elderly individuals.

<p>False (B)</p> Signup and view all the answers

Which cardiovascular condition is least likely to be exacerbated by severe, untreated obstructive sleep apnoea?

<p>Hypotension (B)</p> Signup and view all the answers

In respiratory polygraphy, a __________ sensor is used to measure airflow rate.

<p>nasal</p> Signup and view all the answers

List two potential complications of uvulopalatopharyngoplasty (UPPP) surgery for obstructive sleep apnea.

<p>Bleeding, infection, difficulty swallowing, changes in voice</p> Signup and view all the answers

Which aspect of sleep is LEAST directly assessed by polysomnography in the diagnosis of obstructive sleep apnoea?

<p>Gastric Motility (A)</p> Signup and view all the answers

Weight loss is unlikely to be an effective intervention to improve Obstructive Sleep Apnoea.

<p>False (B)</p> Signup and view all the answers

What is the primary aim of Continuous Positive Airway Pressure (CPAP) therapy in managing obstructive sleep apnoea?

<p>To maintain airway patency during sleep (B)</p> Signup and view all the answers

Why are patients with jobs requiring constant alertness prioritised for sleep apnoea assessment and treatment?

<p>To minimise risk of accidents/To ensure public safety</p> Signup and view all the answers

During sleep studies, __________ rate is monitored to assess the frequency of breaths per minute.

<p>respiratory</p> Signup and view all the answers

Reduced oxygen saturation during sleep is the only indicator of obstructive sleep apnoea.

<p>False (B)</p> Signup and view all the answers

Which diagnostic method provides the MOST comprehensive assessment of sleep architecture and associated physiological parameters?

<p>Polysomnography (C)</p> Signup and view all the answers

Name one potential impact of untreated obstructive sleep apnea on cognitive function.

<p>Concentration Problems/Memory Impairment</p> Signup and view all the answers

An increase in __________ circumference is a risk factor for developing obstructive sleep apnoea.

<p>neck</p> Signup and view all the answers

Alcohol consumption before bed can improve sleep quality for individuals with obstructive sleep apnoea.

<p>False (B)</p> Signup and view all the answers

Match each sleep study type with its description:

<p>Simple Sleep Study = Overnight monitoring of oxygen saturation at home. Respiratory Polygraphy = Monitors respiratory rate, flow rate, saturations and heart rate at home. Complex Sleep Study = Overnight stay in a sleep center with polysomnography, monitoring brain, muscle, and heart activity.</p> Signup and view all the answers

Patients with OSA who are awaiting assessment for CPAP may need __________ work duties.

<p>amended</p> Signup and view all the answers

What is the significance of monitoring brain activity (EEG) during a complex sleep study?

<p>To determine sleep stages and arousals (C)</p> Signup and view all the answers

Individuals who experience daytime sleepiness due to obstructive sleep apnoea are at no increased risk of accidents.

<p>False (B)</p> Signup and view all the answers

A patient is diagnosed with mild obstructive sleep apnoea but is intolerant to CPAP therapy. What is the next most appropriate intervention?

<p>Explore alternative therapies and lifestyle modifications (D)</p> Signup and view all the answers

All patients who snore have obstructive sleep apnoea.

<p>False (B)</p> Signup and view all the answers

During respiratory polygraphy, oxygen __________ levels are monitored to assess for hypoxemia.

<p>saturation</p> Signup and view all the answers

Aside from the Epworth Sleepiness Scale, name one other tool or questionnaire used to assess sleep-related symptoms.

<p>Pittsburgh Sleep Quality Index (PSQI)</p> Signup and view all the answers

Which of the following statements best explains why obstructive sleep apnea can lead to hypertension?

<p>OSA results in intermittent hypoxia, activating the sympathetic nervous system and increasing blood pressure. (B)</p> Signup and view all the answers

Young, otherwise healthy individuals are immune to developing obstructive sleep apnoea.

<p>False (B)</p> Signup and view all the answers

An alternative treatment option for Obstructive Sleep Apnoea, particularly in patients with mild to moderate OSA, may include the use of an __________.

<p>oral appliance</p> Signup and view all the answers

Aside from lifestyle modifications and CPAP therapy, what is one surgical intervention that can be considered for treating obstructive sleep apnea when other treatments have failed?

<p>Maxillomandibular Advancement (MMA)</p> Signup and view all the answers

Flashcards

Obstructive Sleep Apnoea

Collapse of the pharyngeal airway during sleep, causing episodes of stopped breathing.

Apnoeas

Episodes where the person stops breathing for a few minutes during sleep.

OSA Risk Factors

Middle age, male, obesity, alcohol, and smoking.

OSA Presentation

Apnoea, snoring, morning headache, unrefreshed sleep, daytime sleepiness, concentration problems.

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OSA Cardiovascular Complications

High blood pressure and heart failure.

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Epworth Sleepiness Scale

Assess symptoms of sleepiness associated with OSA.

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Simple Sleep Study

Wearing an oxygen saturation monitor overnight at home.

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Respiratory Polygraphy

Home monitoring of respiratory rate, flow, saturations and heart rate.

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Complex Sleep Study

Overnight stay in a sleep centre with polysomnography, EEG, EMG and ECG.

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OSA Management - Reversible Factors

Reduced alcohol, smoking cessation and weight loss.

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CPAP

Constant pressure to maintain airway patency during sleep.

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OSA Surgery

Surgical reconstruction of the soft palate and jaw.

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uvulopalatopharyngoplasty (UPPP)

Surgical procedure for OSA involving reconstruction of the soft palate and pharynx.

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Study Notes

Obstructive Sleep Apnoea (OSA)

  • OSA results from the collapse of the pharyngeal airway.
  • Apnoeas are episodes where breathing stops for a few minutes.
  • Patients are often unaware of apnoea episodes, which are usually reported by partners.

Risk Factors

  • Middle age is a risk factor
  • Being male is a risk factor.
  • Obesity is a risk factor
  • Alcohol consumption is a risk factor
  • Smoking is a risk factor

Presentation

  • Episodes of apnoea during sleep are a key presenting feature.
  • Snoring is a common symptom.
  • Morning headaches can occur.
  • Waking up feeling unrefreshed is a typical complaint.
  • Daytime sleepiness is a notable symptom.
  • Concentration problems may arise.
  • Reduced oxygen saturation during sleep is observed.
  • Severe cases can lead to hypertension and heart failure.
  • OSA increases the risk of myocardial infarction and stroke.
  • Daytime sleepiness should raise suspicion for OSA, especially in professions requiring high alertness.

Epworth Sleepiness Scale

  • The Epworth Sleepiness Scale assesses sleepiness symptoms related to OSA.

Sleep Studies

  • Sleep studies are performed to confirm OSA diagnosis.
  • These studies are conducted by ENT or sleep specialist services.

Types of Sleep Studies

  • A simple sleep study involves overnight oxygen saturation monitoring at home.
  • Respiratory polygraphy uses a device to monitor respiratory rate, flow rate, oxygen saturation, and heart rate, usually at home.
  • Complex sleep studies involve an overnight stay in a sleep center with polysomnography.
  • Polysomnography may include EEG, EMG, and ECG monitoring.

Management

  • Addressing reversible risk factors is crucial.
  • Reducing alcohol consumption is recommended.
  • Smoking cessation is advised.
  • Weight loss is beneficial.
  • CPAP machines deliver constant pressure to maintain airway patency.
  • Surgery is an option involving reconstruction of the soft palate and jaw.
  • The most common surgical procedure is uvulopalatopharyngoplasty (UPPP).

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