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Multiple Sleep Latency Test and Maintenance of Wakefulness Test
CHARLOTTE FROMER
NOTE: This chapter corresponds to Chapter 40 in Fundamentals of Sleep Technology, 2nd edition.
1. Excessive daytime sleepiness is defined as:
A. Sleepiness occurring in a situation when one would be expected to be awake and alert
B. Mean sleep onset latency during multiple sleep latency test of 14 minutes
C. A score of 6 on the Epworth Sleepiness Scale
D. A complaint of fatigue and lack of interest in things
2. The multiple sleep latency test (MSLT) provides supporting evidence for the diagnosis of:
A. Obstructive sleep apnea
B. REM behavior disorder
C. Narcolepsy
D. Restless legs syndrome
3. The maintenance of wakefulness test (MWT) is indicated:
A. In the diagnosis of narcolepsy
B. To evaluate the efficacy of psychostimulant therapy
C. When a patient taking antidepressant medications complains of sleepiness
D. For children suspected of attention deficit hyperactivity disorder
4. The standard multiple sleep latency test (MSLT) includes:
A. Vertical EOG monitoring
B. At least four nap opportunities
C. Temporal and parietal EEG monitoring
D. Use of a snoring microphone
5. Standard instructions to the patient during a multiple sleep latency test (MSLT) include “please lie quietly, keep your eyes closed, and ______________.”
A. Do not eat anything
B. Try to stay awake as long as possible
C. Call for the technologist if you need to use the bathroom
D. Try to fall asleep
6. The clinical multiple sleep latency test (MSLT) is continued for 15 minutes after the first:
A. Epoch of any stage of sleep
B. Sleep spindle
C. Three epochs of stage N2
D. REM sleep epoch
7. Normal mean sleep latency on the multiple sleep latency test (MSLT) for a 6-year-old patient is:
A. Eight minutes
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