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Kryger's Sleep Medicine Review E-Book

Kryger's Sleep Medicine Review E-Book

Meir H. Kryger | Russell Rosenberg | G. Vernon Pegram | Lawrence Martin

(2011)

Additional Information

Book Details

Abstract

Kryger’s Sleep Medicine Review offers foolproof tips and guidance on the newly re-formatted Board exam so you can effectively prepare and get the best results. Dr. Meir Kryger—along with Drs. Russell Rosenberg, G. Vernon Pegram, and Lawrence Martin—present the distinct, practical teaching style of one of the founding fathers of sleep medicine to familiarize you with current standards, the new scoring rules, what to expect on the day of the exam, and more. Review questions, weighted to correspond with the content of the test, help you assess your readiness for the exam. With answers keyed to both Principles and Practices of Sleep Medicine and the Atlas of Clinical Sleep Medicine and video clips, polysmonograms, images, and additional review questions online at www.expertconsult.com, you’ll have all the help you need to excel on the exam.

  • Access the fully searchable text online at www.expertconsult.com, along with video clips, polysomnograms, images, and additional review questions.
  • Effectively prepare for the exam using a format organized to mirror its content with a mix of review questions weighted to correspond with the test.
  • Monitor your progress with an online testing module that tells you which questions you answer correctly and incorrectly so that you can retest accordingly.
  • Explore explanations further with answers keyed to the relevant sections of Dr. Kryger’s Principles and Practices of Sleep Medicine as well as the Atlas of Clinical Sleep Medicine.
  • Keep up with the changes in the newly re-formatted exam through an assessment of the most current standards, coverage of techniques for applying the new scoring rules, tips for passing the exam, and coverage of what to expect on the day of the exam.

Table of Contents

Section Title Page Action Price
Kryger's Sleep Medicine Review i
Copyright page iv
Preface v
Acknowledgments vii
Using This Book to Review Sleep Medicine ix
How the Book Is Organized ix
For Those Wishing to Use the Book as a Self-Assessment and Learning Tool ix
Preparation for the Sleep Medicine Board Examination x
Content Areas of the Exam xii
Sleep Medicine Certification Examination Blueprint (from the Abim Website) xii
Tips to Help You Pass the Sleep Medicine Board Examination xv
Get Going xvii
Continuing Medical Education xxi
CME for Physicians xxi
Continuing Education Credit for Other Groups xxiii
Table of contents xxv
Chapter 1: Normal Sleep and Its Variants 1
Sleep–Wake Mechanisms and Neurophysiology 1
Summary 5
Reference 7
Circadian Mechanisms and Neurophysiology 7
Summary 12
References 13
Sleep at Different Ages and Stages of Human Life 13
Summary 16
Must Read 16
Sleep by Age Range 17
Sleep in Women 17
References 18
Sleep Deprivation 19
Summary 22
Reference 23
Chapter 2: Physiology 24
Organ System Physiology in Sleep: Respiratory 24
Summary 29
Must Read 29
Control of Breathing 29
Upper Airway Control 29
Arousal Responses 30
References 30
Organ System Physiology in Sleep: Others 30
Summary 34
Must Read 34
Physiologic Regulation 34
Metabolic Rate 34
Thermoregulation 34
Cardiovascular 35
Gastrointestinal 35
Respiratory Physiology 35
Cytokines 35
References 35
Chapter 3: Sleep Evaluation 36
Sleep History and Examination 36
Summary 49
Must Read 49
Cardinal Manifestations on History 50
References 54
Polysomnography: Methods, Rules, and Event Scoring 55
Summary 68
Must Read 68
What to Study 68
References 73
Polysomnography: Sleep Staging 74
Summary 89
Must Read 89
Sleep Staging 89
References 91
Hypersomnia, Multiple Sleep Latency Test, Maintenance of Wakefulness Test 92
Summary 95
Must Read 95
Multiple Sleep Latency Test (MSLT) 95
Reference 97
Home Evaluation Techniques: Actigraphy, Sleep Diary, Portable Sleep Study 98
Summary 103
Must Read 103
Actigraphy 103
References 105
Chapter 4: Pharmacology 106
Summary 115
Must Read 115
Pharmacology of Sleep–Wake 115
Effects of Drugs on Sleep 115
References 116
Chapter 5: Circadian Rhythm Disorders 117
Summary 124
Must Read 124
Epidemiology 124
Pathophysiology 124
Diagnostic Methods and Requirements 125
Treatment 125
References 126
Chapter 6: Insomnia 127
Summary 141
Must Read 141
Insomnia 141
References 144
Chapter 7: Hypersomnia 145
Narcolepsy 145
Summary 149
Must Read 149
Forms of Narcolepsy 149
Epidemiology 149
Core Features 149
Pathophysiology and Genetics 150
Diagnosis (ICSD2, p 84) 150
Treatment 150
References 151
Other Hypersomnias: Psychiatric, Recurrent, Idiopathic, Insufficient Sleep, Posttraumatic 151
Summary 159
Must Read 159
Other Disorders Causing Hypersomnia 159
References 161
Chapter 8: Parasomnias 162
Non–Rapid Eye Movement Parasomnias 162
Summary 165
Must Read 165
NREM Parasomnias 165
References 167
Rapid Eye Movement Parasomnias 167
Summary 171
Must Read 171
REM Sleep Behavior Disorder 171
Other REM Parasomnias 171
References 172
Other Parasomnias 172
Summary 173
Must Read 173
Sleep Enuresis in Children 174
Sleep Enuresis in Adults 174
Other Parasomnias Not Specifically Mentioned in the Blueprint (See Box 8.1–1) 174
Reference 175
Chapter 9: Movement Disorders 176
Limb Movement Disorders 176
Summary 182
Must Read 182
Restless Legs Syndrome 182
Periodic Limb Movements in Sleep 184
Periodic Limb Movement Disorder 184
References 185
Other Movement Disorders 185
Summary 189
Must Read 189
Sleep-Related Rhythmic Movement Disorder 189
Bruxism 189
Abnormal Movements or Bursts Seen on PSG (Not Disorders) 191
References 191
Chapter 10: Sleep-Related Breathing Disorders 192
Obstructive Sleep Apnea 192
Summary 201
Must Read 201
Epidemiology 202
Pathophysiology 202
Risk Factors 202
Comorbidities 202
Gender Issues 202
Diagnostic Methods 203
Treatment 204
References 204
Central Sleep Apnea 205
Summary 214
References 215
Sleep-Related Hypoventilation and Hypoxemic Syndromes 215
Summary 218
References 219
Treatment 220
Summary 226
References 227
Chapter 11: Sleep in Other Disorders 228
Neurologic Disorders 228
Summary 230
Must Read 230
Narcolepsy and Idiopathic Hypersomnia 230
Rem Sleep Behavior Disorder 230
Restless Legs Syndrome and Periodic Limb Movements in Sleep 230
Parkinsonism (PPSM5, ch 87) 231
Atypical Parkinsonism (Parkinson Plus Syndromes) 231
Stroke (PPSM5, ch 88) 231
References 237
Psychiatric Disorders 237
Summary 240
Must Read 240
Anxiety Disorders (PPSM5, ch 129) 240
References 243
Other Disorders 243
Summary 245
Must Read 245
Hyperthyroidism (Atlas, ch 14.1) 245
Hypothyroidism (Atlas, ch 14-1) 246
Diabetes Mellitus (Atlas, ch 14-4) 246
Heart Failure (Atlas, ch 13) 246
Acromegaly (Atlas, ch 14-2) 246
Kidney Failure (Atlas, ch 14-5) 247
Gastrointestinal Disorders (Atlas, ch 14-3) 247
Fibromyalgia and Chronic Fatigue Syndrome (Atlas, ch 15-4) 247
References 247
Chapter 12: Considerations Unique to Childhood 248
Summary 251
Must Read 251
Safe Sleep 252
Behavioral Insomnia of Childhood 252
Infant Apnea 252
Additional Topics 253
References 255
Must Read Lists by Section 256
Section 1: Normal Sleep and Its Variants 256
Section 2: Physiology 256
Section 3: Sleep Evaluation 256
Section 4: Pharmacology 256
Section 5: Circadian Rhythm Disorders 256
Section 6: Insomnia 257
Section 7: Hypersomnia 257
Section 8: Parasomnias 257
Section 9: Movement Disorders 257
Section 10: Sleep-Related Breathing Disorders 257
Section 11: Sleep in Other Disorders 258
Section 12: Considerations Unique to Childhood 258
Topics Index 259