FREE BRPT PAP Titration Protocols Questions and Answers

Question 1

During a CPAP titration, after observing two obstructive apneas, three hypopneas, and five RERAs within a 15-minute period, what is the technologist's most appropriate action?

Accepted Answer

Increase the CPAP pressure by at least 1 cm H2O.

Answer

Decrease the CPAP pressure by 1 cm H2O.

Answer

Switch the patient to BiLevel PAP.

Answer

Continue at the current pressure for another 30 minutes.

Question 2

What is the primary indication to switch a patient from CPAP to BiLevel PAP during a titration study?

Accepted Answer

Obstructive respiratory events persist at a CPAP pressure of 15 cm H2O or greater.

Answer

The patient has central apneas at a low CPAP pressure.

Answer

The patient reports dry mouth.

Answer

The AHI is less than 5 events per hour on CPAP.

Question 3

When titrating BiLevel PAP, the EPAP is primarily increased to treat which events?

Accepted Answer

Obstructive apneas

Answer

Central apneas

Answer

Hypopneas and snoring

Answer

Periodic limb movements

Question 4

After resolving obstructive apneas with EPAP, a patient on BiLevel PAP continues to have hypopneas. What is the correct action?

Accepted Answer

Increase the IPAP.

Answer

Decrease the EPAP.

Answer

Switch back to CPAP.

Answer

Decrease both IPAP and EPAP.

Question 5

Adaptive Servo-Ventilation (ASV) is the recommended treatment for which of the following conditions?

Accepted Answer

Complex sleep apnea and Cheyne-Stokes Respiration.

Answer

Mild obstructive sleep apnea.

Answer

Primary snoring without apneas.

Answer

Insomnia.

Question 6

According to AASM guidelines, what is the minimum time a technologist should wait at a specific CPAP pressure before making an increase, assuming scorable events are occurring?

Accepted Answer

5 minutes

Answer

1 minute

Answer

15 minutes

Answer

30 minutes