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

Standard AASM titration guidelines recommend increasing CPAP pressure when a specific pattern of respiratory events is observed. The presence of 2 obstructive apneas, 3 hypopneas, 5 RERAs, or 3 minutes of loud snoring within a defined period are all triggers to increase the pressure.

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

While CPAP is effective for many, some patients continue to have obstructive events (apneas, hypopneas) even at high pressures (e.g., ≥15 cm H2O). In these cases, or if the patient cannot tolerate the high pressure, switching to BiLevel PAP is indicated to improve efficacy and comfort.

Question 3

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

Accepted Answer

Obstructive apneas

Answer

In BiLevel therapy, EPAP (Expiratory Positive Airway Pressure) functions similarly to CPAP by splinting the upper airway open. Therefore, EPAP is the primary setting adjusted to eliminate obstructive apneas.

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

Once EPAP has resolved obstructive apneas, the IPAP (Inspiratory Positive Airway Pressure) should be increased to treat remaining events like hypopneas, RERAs, and snoring. The difference between IPAP and EPAP is the pressure support, which helps augment ventilation.

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

ASV is an advanced PAP therapy specifically designed to treat complex and central sleep apnea syndromes. It is particularly effective for managing Cheyne-Stokes Respiration, treatment-emergent central sleep apnea, and central sleep apnea related to opioid use.

BRPT - Board of Registered Polysomnographic Technologists Practice Test

BRPT - Board of Registered Polysomnographic Technologists Practice Test

FREE BRPT PAP Titration Protocols Questions and Answers