Skip to Main Content

Chapter 41. Sleep Disorders

Student Questions

If a patient typically falls asleep without problem but wakes up multiple times throughout the night. Which of the following sleep disorders could they possibly have?

A. Insomnia

B. Obstructive sleep apnea

C. Restless legs syndrome

D. All of the above

Answer: D

Option A: Correct, but others correct as well.

Option B: Correct, but others correct as well.

Option C: Correct, but others correct as well.

Option D: Correct—all options are correct.

Which of the following therapies for restless legs syndrome is associated with impulse control disorders as a possible side effect?

A. Temazepam

B. Oxycodone

C. Rotigotine

D. Gabapentin enacarbil

Answer: C

Option A: Incorrect. Benzodiazepines are not associated with impulse control disorders.

Option B: Incorrect. Oxycodone is not associated with impulse control disorders.

Option C: Correct. Dopamine agonists are associated with impulse control disorders.

Option D: Incorrect. Gabapentin is not associated with impulse control disorders.

Regarding therapies for the treatment of insomnia, all of the following are correct except:

A. Sedating antidepressants are commonly used to treat insomnia despite few good studies that document efficacy for insomnia.

B. Nonbenzodiazepines (zolpidem, zaleplon, eszopiclone) are generally associated with less rebound insomnia than traditional benzodiazepines.

C. Based on efficacy studies, BZDRAs and ramelteon are the drugs of choice for the treatment of insomnia.

D. Suvorexant is an orexin receptor antagonist used for insomnia that is novel because it is not a controlled substance.

Answer: D

Option A: Incorrect. As stated, there are very few studies documenting efficacy of sedating antidepressants for insomnia.

Option B: Incorrect. As stated, nonbenzodiazepines are associated with less rebound insomnia than traditional benzodiazepines.

Option C: Incorrect. These medications are indeed the drugs of choice for treatment of insomnia.

Option D: Correct. Suvorexant is not a controlled substance (therefore the statement is incorrect).

Which of the following is a consequence of unidentified and untreated sleep disorders?

...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.