Domain 4

ASV and Advanced PAP

Recognize central-breathing indications, limitations and contraindications.

50questionsExam mode

Question 1 of 50

A patient develops persistent central apneas after obstructive events are controlled with PAP. Which pattern is being considered?

A.Treatment-emergent central sleep apneaB.Upper-airway resistance onlyC.Simple snoringD.Periodic limb movement disorder

Question 2 of 50

A sleep laboratory competency review presents this case: A patient develops persistent central apneas after obstructive events are controlled with PAP. Which pattern is being considered?

A.Simple snoringB.Treatment-emergent central sleep apneaC.Upper-airway resistance onlyD.Periodic limb movement disorder

Question 3 of 50

A second technologist independently reviews the following scenario: A patient develops persistent central apneas after obstructive events are controlled with PAP. Which pattern is being considered?

A.Treatment-emergent central sleep apneaB.Periodic limb movement disorderC.Simple snoringD.Upper-airway resistance only

Question 4 of 50

During a quality-assurance conference, the team considers this question: A patient develops persistent central apneas after obstructive events are controlled with PAP. Which pattern is being considered?

A.Upper-airway resistance onlyB.Periodic limb movement disorderC.Treatment-emergent central sleep apneaD.Simple snoring

Question 5 of 50

A board-style practice form presents the following case: A patient develops persistent central apneas after obstructive events are controlled with PAP. Which pattern is being considered?

A.Simple snoringB.Upper-airway resistance onlyC.Treatment-emergent central sleep apneaD.Periodic limb movement disorder

Question 6 of 50

Which patient requires special caution because ASV may be contraindicated?

A.A patient with symptomatic systolic heart failure, reduced ejection fraction and predominant central apneaB.A patient with uncomplicated positional snoringC.A patient with mild delayed sleep phaseD.A patient with isolated bruxism

Question 7 of 50

A sleep laboratory competency review presents this case: Which patient requires special caution because ASV may be contraindicated?

A.A patient with uncomplicated positional snoringB.A patient with isolated bruxismC.A patient with mild delayed sleep phaseD.A patient with symptomatic systolic heart failure, reduced ejection fraction and predominant central apnea

Question 8 of 50

A second technologist independently reviews the following scenario: Which patient requires special caution because ASV may be contraindicated?

A.A patient with isolated bruxismB.A patient with uncomplicated positional snoringC.A patient with symptomatic systolic heart failure, reduced ejection fraction and predominant central apneaD.A patient with mild delayed sleep phase

Question 9 of 50

During a quality-assurance conference, the team considers this question: Which patient requires special caution because ASV may be contraindicated?

A.A patient with mild delayed sleep phaseB.A patient with symptomatic systolic heart failure, reduced ejection fraction and predominant central apneaC.A patient with uncomplicated positional snoringD.A patient with isolated bruxism

Question 10 of 50

A board-style practice form presents the following case: Which patient requires special caution because ASV may be contraindicated?

A.A patient with symptomatic systolic heart failure, reduced ejection fraction and predominant central apneaB.A patient with isolated bruxismC.A patient with mild delayed sleep phaseD.A patient with uncomplicated positional snoring

Question 11 of 50

What is the key therapeutic feature of ASV?

A.A single constant inspiratory pressureB.Permanent elimination of EPAPC.Fixed oxygen concentration onlyD.Breath-by-breath adjustment of pressure support to stabilize ventilation

Question 12 of 50

A sleep laboratory competency review presents this case: What is the key therapeutic feature of ASV?

A.A single constant inspiratory pressureB.Fixed oxygen concentration onlyC.Breath-by-breath adjustment of pressure support to stabilize ventilationD.Permanent elimination of EPAP

Question 13 of 50

A second technologist independently reviews the following scenario: What is the key therapeutic feature of ASV?

A.Breath-by-breath adjustment of pressure support to stabilize ventilationB.Permanent elimination of EPAPC.A single constant inspiratory pressureD.Fixed oxygen concentration only

Question 14 of 50

During a quality-assurance conference, the team considers this question: What is the key therapeutic feature of ASV?

A.A single constant inspiratory pressureB.Permanent elimination of EPAPC.Fixed oxygen concentration onlyD.Breath-by-breath adjustment of pressure support to stabilize ventilation

Question 15 of 50

A board-style practice form presents the following case: What is the key therapeutic feature of ASV?

A.Permanent elimination of EPAPB.Breath-by-breath adjustment of pressure support to stabilize ventilationC.A single constant inspiratory pressureD.Fixed oxygen concentration only

Question 16 of 50

A patient has uncomplicated obstructive apnea that is fully controlled on CPAP. What is the best reason not to switch routinely to ASV?

A.ASV cannot deliver EPAPB.There is no central-breathing indication for the more complex modeC.ASV never uses a maskD.ASV is only an oxygen device

Question 17 of 50

A sleep laboratory competency review presents this case: A patient has uncomplicated obstructive apnea that is fully controlled on CPAP. What is the best reason not to switch routinely to ASV?

A.ASV cannot deliver EPAPB.There is no central-breathing indication for the more complex modeC.ASV never uses a maskD.ASV is only an oxygen device

Question 18 of 50

A second technologist independently reviews the following scenario: A patient has uncomplicated obstructive apnea that is fully controlled on CPAP. What is the best reason not to switch routinely to ASV?

A.ASV is only an oxygen deviceB.ASV cannot deliver EPAPC.ASV never uses a maskD.There is no central-breathing indication for the more complex mode

Question 19 of 50

During a quality-assurance conference, the team considers this question: A patient has uncomplicated obstructive apnea that is fully controlled on CPAP. What is the best reason not to switch routinely to ASV?

A.ASV is only an oxygen deviceB.There is no central-breathing indication for the more complex modeC.ASV never uses a maskD.ASV cannot deliver EPAP

Question 20 of 50

A board-style practice form presents the following case: A patient has uncomplicated obstructive apnea that is fully controlled on CPAP. What is the best reason not to switch routinely to ASV?

A.There is no central-breathing indication for the more complex modeB.ASV never uses a maskC.ASV cannot deliver EPAPD.ASV is only an oxygen device

Question 21 of 50

Which heart-failure finding is a major contraindication concern for ASV in patients with predominant central sleep apnea?

A.Simple snoringB.Reduced left ventricular ejection fraction at or below the relevant thresholdC.Normal echocardiogramD.Isolated controlled hypertension

Question 22 of 50

A sleep laboratory competency review presents this case: Which heart-failure finding is a major contraindication concern for ASV in patients with predominant central sleep apnea?

A.Simple snoringB.Normal echocardiogramC.Isolated controlled hypertensionD.Reduced left ventricular ejection fraction at or below the relevant threshold

Question 23 of 50

A second technologist independently reviews the following scenario: Which heart-failure finding is a major contraindication concern for ASV in patients with predominant central sleep apnea?

A.Normal echocardiogramB.Isolated controlled hypertensionC.Reduced left ventricular ejection fraction at or below the relevant thresholdD.Simple snoring

Question 24 of 50

During a quality-assurance conference, the team considers this question: Which heart-failure finding is a major contraindication concern for ASV in patients with predominant central sleep apnea?

A.Reduced left ventricular ejection fraction at or below the relevant thresholdB.Normal echocardiogramC.Simple snoringD.Isolated controlled hypertension

Question 25 of 50

A board-style practice form presents the following case: Which heart-failure finding is a major contraindication concern for ASV in patients with predominant central sleep apnea?

A.Reduced left ventricular ejection fraction at or below the relevant thresholdB.Normal echocardiogramC.Isolated controlled hypertensionD.Simple snoring

Question 26 of 50

Which ASV setting primarily maintains upper-airway patency?

A.Variable pressure support onlyB.Humidifier temperatureC.Backup rate onlyD.EPAP

Question 27 of 50

A sleep laboratory competency review presents this case: Which ASV setting primarily maintains upper-airway patency?

A.Backup rate onlyB.EPAPC.Humidifier temperatureD.Variable pressure support only

Question 28 of 50

A second technologist independently reviews the following scenario: Which ASV setting primarily maintains upper-airway patency?

A.Backup rate onlyB.Humidifier temperatureC.EPAPD.Variable pressure support only

Question 29 of 50

During a quality-assurance conference, the team considers this question: Which ASV setting primarily maintains upper-airway patency?

A.Backup rate onlyB.Variable pressure support onlyC.Humidifier temperatureD.EPAP

Question 30 of 50

A board-style practice form presents the following case: Which ASV setting primarily maintains upper-airway patency?

A.Backup rate onlyB.Variable pressure support onlyC.EPAPD.Humidifier temperature

Question 31 of 50

How does ASV pressure support typically respond to ventilation?

A.It measures EEG arousalsB.It varies breath by breath to stabilize ventilationC.It remains identical on every breathD.It eliminates the need for EPAP

Question 32 of 50

A sleep laboratory competency review presents this case: How does ASV pressure support typically respond to ventilation?

A.It varies breath by breath to stabilize ventilationB.It remains identical on every breathC.It eliminates the need for EPAPD.It measures EEG arousals

Question 33 of 50

A second technologist independently reviews the following scenario: How does ASV pressure support typically respond to ventilation?

A.It varies breath by breath to stabilize ventilationB.It eliminates the need for EPAPC.It measures EEG arousalsD.It remains identical on every breath

Question 34 of 50

During a quality-assurance conference, the team considers this question: How does ASV pressure support typically respond to ventilation?

A.It eliminates the need for EPAPB.It varies breath by breath to stabilize ventilationC.It remains identical on every breathD.It measures EEG arousals

Question 35 of 50

A board-style practice form presents the following case: How does ASV pressure support typically respond to ventilation?

A.It remains identical on every breathB.It measures EEG arousalsC.It varies breath by breath to stabilize ventilationD.It eliminates the need for EPAP

Question 36 of 50

Why is ASV generally not the first choice for chronic hypoventilation from neuromuscular weakness?

A.The primary problem is inadequate ventilation requiring an appropriate ventilatory modeB.CO2 monitoring is unnecessaryC.Neuromuscular disease causes only obstructionD.ASV cannot deliver any pressure

Question 37 of 50

A sleep laboratory competency review presents this case: Why is ASV generally not the first choice for chronic hypoventilation from neuromuscular weakness?

A.Neuromuscular disease causes only obstructionB.ASV cannot deliver any pressureC.The primary problem is inadequate ventilation requiring an appropriate ventilatory modeD.CO2 monitoring is unnecessary

Question 38 of 50

A second technologist independently reviews the following scenario: Why is ASV generally not the first choice for chronic hypoventilation from neuromuscular weakness?

A.Neuromuscular disease causes only obstructionB.CO2 monitoring is unnecessaryC.The primary problem is inadequate ventilation requiring an appropriate ventilatory modeD.ASV cannot deliver any pressure

Question 39 of 50

During a quality-assurance conference, the team considers this question: Why is ASV generally not the first choice for chronic hypoventilation from neuromuscular weakness?

A.CO2 monitoring is unnecessaryB.ASV cannot deliver any pressureC.Neuromuscular disease causes only obstructionD.The primary problem is inadequate ventilation requiring an appropriate ventilatory mode

Question 40 of 50

A board-style practice form presents the following case: Why is ASV generally not the first choice for chronic hypoventilation from neuromuscular weakness?

A.ASV cannot deliver any pressureB.The primary problem is inadequate ventilation requiring an appropriate ventilatory modeC.Neuromuscular disease causes only obstructionD.CO2 monitoring is unnecessary

Question 41 of 50

What role can an automatic backup rate play in ASV?

A.Score REM sleepB.Measure oxygen saturationC.Treat mask leakD.Provide support during central pauses

Question 42 of 50

A sleep laboratory competency review presents this case: What role can an automatic backup rate play in ASV?

A.Score REM sleepB.Measure oxygen saturationC.Treat mask leakD.Provide support during central pauses

Question 43 of 50

A second technologist independently reviews the following scenario: What role can an automatic backup rate play in ASV?

A.Measure oxygen saturationB.Provide support during central pausesC.Treat mask leakD.Score REM sleep

Question 44 of 50

During a quality-assurance conference, the team considers this question: What role can an automatic backup rate play in ASV?

A.Provide support during central pausesB.Treat mask leakC.Score REM sleepD.Measure oxygen saturation

Question 45 of 50

A board-style practice form presents the following case: What role can an automatic backup rate play in ASV?

A.Measure oxygen saturationB.Treat mask leakC.Score REM sleepD.Provide support during central pauses

Question 46 of 50

A patient has persistent obstructive apnea while using ASV. Which parameter should be reviewed first?

A.EEG filter settingsB.EPAP adequacy and leakC.Variable pressure support maximum onlyD.Leg EMG placement

Question 47 of 50

A sleep laboratory competency review presents this case: A patient has persistent obstructive apnea while using ASV. Which parameter should be reviewed first?

A.EPAP adequacy and leakB.EEG filter settingsC.Leg EMG placementD.Variable pressure support maximum only

Question 48 of 50

A second technologist independently reviews the following scenario: A patient has persistent obstructive apnea while using ASV. Which parameter should be reviewed first?

A.EEG filter settingsB.Leg EMG placementC.Variable pressure support maximum onlyD.EPAP adequacy and leak

Question 49 of 50

During a quality-assurance conference, the team considers this question: A patient has persistent obstructive apnea while using ASV. Which parameter should be reviewed first?

A.Variable pressure support maximum onlyB.Leg EMG placementC.EPAP adequacy and leakD.EEG filter settings

Question 50 of 50

A board-style practice form presents the following case: A patient has persistent obstructive apnea while using ASV. Which parameter should be reviewed first?

A.Variable pressure support maximum onlyB.EEG filter settingsC.EPAP adequacy and leakD.Leg EMG placement

Reference framework

These are independently written educational questions aligned to the public BRPT blueprint and professional technical references. Always use the current official scoring manual, laboratory policy and clinician orders in practice.