CONSCIOUSNESS, UNCONSCIOUSNESS, SLEEP & EE
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Questions and Answers

Consciousness is best described as:

  • A state where a person is unaware of their surroundings
  • The ability to sense stimuli but not respond to them
  • A state of self-awareness, perception, response to stimuli, and judgment (correct)
  • The absence of perception or awareness

Which of the following is true regarding sleep? (Select one)

  • It is a pathological condition that always requires intervention
  • It is a state of altered consciousness that cycles in a 24-hour rhythm with wakefulness (correct)
  • It is characterized by irreversible loss of consciousness
  • It is defined as the complete absence of sensory perception

What is the primary clinical tool used for assessing the severity of coma?

  • MRI scan
  • Glasgow Coma Scale (correct)
  • EEG
  • Polysomnography

Which of the following is a characteristic of brain death?

<p>Irreversible loss of brain activity, including brainstem reflexes and spontaneous respiration (C)</p> Signup and view all the answers

Which of the following best describes a persistent vegetative state?

<p>Severe brain injury state with some wakefulness indicators but no detectable awareness (B)</p> Signup and view all the answers

In which state might a patient show sleep-wake cycles but no awareness of their surroundings?

<p>Persistent Vegetative State (B)</p> Signup and view all the answers

Which of the following is NOT typically a cause of coma?

<p>Normal circadian rhythm (D)</p> Signup and view all the answers

Which characteristic best differentiates a coma from a vegetative state?

<p>Presence of sleep-wake cycles in a vegetative state (B)</p> Signup and view all the answers

What is the typical duration range for a coma before a patient may progress to a different state, recover, or die?

<p>A few days to a few weeks (2 - 5 weeks) (C)</p> Signup and view all the answers

Which reflex is NOT assessed in cases of suspected brain death?

<p>Knee-jerk reflex (C)</p> Signup and view all the answers

A person who exhibits fixed pupils, no corneal reflex, and no spontaneous breathing is likely to be diagnosed with:

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

Which of the following is an example of a circadian rhythm?

<p>Sleep/wakefulness cycle (B)</p> Signup and view all the answers

Which gene is involved in regulating the circadian clock in humans?

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

An example of an ultradian rhythm is:

<p>REM/NREM sleep cycle (C)</p> Signup and view all the answers

Which of the following rhythms has a cycle longer than 24 hours?

<p>Infradian rhythm (C), Circannual rhythm (D)</p> Signup and view all the answers

The effect of jetlag on the human body is primarily due to disruption in which type of rhythm?

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

Which hormone's secretion follows a circadian pattern, peaking in the early morning?

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

Which gland in the brain secretes melatonin? A. Hypothalamus B. Pineal gland C. Pituitary gland D. Thalamus

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

Melatonin secretion is highest during:

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

Which of the following factors increases melatonin production?

<p>Longer nights in winter (C)</p> Signup and view all the answers

Which of the following best describes the REM stage of sleep?

<p>Autonomic instability with varying heart rate, blood pressure, and temperature (C)</p> Signup and view all the answers

How often does the REM/NREM cycle repeat throughout a typical night?

<p>Every 90 minutes (C)</p> Signup and view all the answers

In which sleep stage do heart rate, blood pressure, and temperature tend to fall?

<p>Stage IV of NREM (C)</p> Signup and view all the answers

Dream recall is most commonly associated with which sleep stage?

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

How many sleep cycles does an average person experience in a typical night's sleep?

<p>5-6 cycles (C)</p> Signup and view all the answers

Which stage of sleep is also known as slow-wave sleep?

<p>NREM Stages III-IV (C)</p> Signup and view all the answers

Which of the following is a characteristic of slow-wave sleep (NREM)?

<p>Stable autonomic functions with decreased heart rate and blood pressure (C)</p> Signup and view all the answers

Which of the following is the correct sequence of sleep stages in a typical 90-minute cycle?

<p>Stage I → Stage II → Stage III → REM (A)</p> Signup and view all the answers

Which sleep stage serves as the transition from wakefulness to sleep?

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

In which stage does the majority of sleep time occur in adults?

<p>Stage II (NREM) (C)</p> Signup and view all the answers

Which of the following stages is known for its restorative, deep sleep and is also called slow-wave sleep?

<p>Stage III (NREM) (C)</p> Signup and view all the answers

When does REM sleep typically occur?

<p>After progressing through all NREM stages (B)</p> Signup and view all the answers

During which stage are eye movements rapid, and dreams are most likely recalled?

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

Which stage of sleep is characterized by slower brain waves and is harder to awaken from? A. REM sleep B. Stage I (NREM) C. Stage II (NREM) D. Stage III (NREM)

<p>Stage III (NREM) (D)</p> Signup and view all the answers

How does the sequence of sleep stages typically change through the night?

<p>NREM stages shorten, and REM stages lengthen (A)</p> Signup and view all the answers

Which device is used to measure brain waves in clinical applications such as sleep studies and epilepsy monitoring?

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

The EEG rhythm associated with alert wakefulness, seen when a person is awake with eyes open, is:

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

When a person is awake but has their eyes closed and is inattentive to the environment, what is the predominant EEG rhythm?

<p>Alpha rhythm (A)</p> Signup and view all the answers

Which stage of sleep is associated with theta waves and is characterized by light sleep where the person can be easily awakened?

<p>Stage 1 (NREM) (B)</p> Signup and view all the answers

In which sleep stage do sleep spindles and K-complexes appear on the EEG?

<p>Stage 2 (NREM) (B)</p> Signup and view all the answers

Delta waves are most prominent in which stages of sleep?

<p>Stage 3 and Stage 4 (C)</p> Signup and view all the answers

Which of the following EEG patterns is characterized by fast, small amplitude waves similar to those seen in wakefulness but occurs during sleep?

<p>REM sleep waves (D)</p> Signup and view all the answers

During REM sleep, what is typically observed on the EMG (Electromyograph)?

<p>Muscle hypotonicity or flaccidity (B)</p> Signup and view all the answers

Which sleep stage is associated with slow-rolling eye movements and theta waves?

<p>Stage 1 (NREM) (A)</p> Signup and view all the answers

Which brain waves are typically associated with the deepest stages of NREM sleep, where the person is very difficult to awaken?

<p>Delta waves (D)</p> Signup and view all the answers

Which brain waves are typically seen when a person is awake but has their eyes closed and is in a relaxed state?

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

As people age, which of the following typically decreases regarding sleep? (Select one)

<p>Duration of sleep (B)</p> Signup and view all the answers

Which of the following is a recognized benefit of sleep? (Select one)

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

Which theory suggests that sleep helps to "erase" unnecessary information from the brain?

<p>&quot;Eraser&quot; theory (C)</p> Signup and view all the answers

Sleep deprivation can lead to all of the following except:

<p>Decreased heart rate (B)</p> Signup and view all the answers

During which sleep phase is growth hormone primarily secreted, especially for healing and repair?

<p>NREM/slow wave sleep, particularly between 10 pm and 2 am (B)</p> Signup and view all the answers

Which of the following is true about REM sleep reduction? (Select one)

<p>REM reduction occurs after consuming alcohol or nicotine (B)</p> Signup and view all the answers

Which part of the brain is primarily responsible for controlling the REM/NREM sleep cycle?

<p>Reticular formation (RAS) (B)</p> Signup and view all the answers

Which part of the brain controls the sleep/wake cycle?

<p>Suprachiasmatic nucleus (SCN) (B)</p> Signup and view all the answers

Which of the following neurotransmitters is involved in the arousal pathways that maintain wakefulness?

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

Which of the following changes occurs during NREM/slow wave sleep in the arousal pathways?

<p>Decreased firing of cholinergic and monoaminergic neurons (B)</p> Signup and view all the answers

Which of the following is true about REM sleep? (Select all that apply)

<p>Cholinergic neurons fire rapidly during REM sleep (C)</p> Signup and view all the answers

Which part of the brain is primarily responsible for controlling the REM/NREM sleep cycle?

<p>Reticular formation (RAS) (B)</p> Signup and view all the answers

Which brain structure is responsible for regulating the sleep/wake cycle?

<p>Suprachiasmatic nucleus (SCN) (B)</p> Signup and view all the answers

Which neurotransmitter is synthesized by cholinergic neurons and is crucial for maintaining wakefulness and alertness?

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

During NREM sleep, the activity of which type of neurons slows down, contributing to the transition into deep sleep?

<p>Both cholinergic and monoaminergic neurons (C)</p> Signup and view all the answers

Which of the following is a characteristic of REM sleep?

<p>Cholinergic neurons fire rapidly and monoaminergic neurons stop firing (C)</p> Signup and view all the answers

Which neurotransmitter, involved in wakefulness, is synthesized by monoaminergic neurons?

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

In which sleep stage does the activity of cholinergic neurons increase, promoting brain activity associated with vivid dreams?

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

What happens to monoaminergic neurons during REM sleep?

<p>They stop firing (B)</p> Signup and view all the answers

In which stage of sleep does the body experience muscle atonia (paralysis) due to the cessation of monoaminergic neuronal activity?

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

What is a primary function of monoaminergic neurons during wakefulness?

<p>Maintaining cortical arousal and attention (C)</p> Signup and view all the answers

What is the primary role of the suprachiasmatic nucleus of the hypothalamus?

<p>Regulates circadian rhythms through light/dark input (A)</p> Signup and view all the answers

What happens if the suprachiasmatic nucleus (SCN) is ablated?

<p>It eliminates the sleep/wake cycle (B)</p> Signup and view all the answers

Which of the following is a common cause of obstructive sleep apnea?

<p>Windpipe collapse during inhalation (B)</p> Signup and view all the answers

Excessive Daytime Sleepiness (EDS) is defined as:

<p>Difficulty maintaining wakefulness and increased likelihood of falling asleep in unsuitable situations (A)</p> Signup and view all the answers

Which condition is associated with cataplexy, an abrupt loss of muscle tone without loss of awareness?

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

Which of the following is a common symptom of narcolepsy?

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

A frequent cause of sleep apnea is associated with which condition?

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

Which sleep disorder is characterized by the brain's failure to properly signal the muscles, leading to difficulty breathing during sleep?

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

In which disorder does the individual experience hypnagogic hallucinations and loss of muscle tone during emotional stress?

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

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