Insomnia from STUDYGUIDE Flashcards

(28 cards)

1
Q

What is the primary function of sleep?

A

Repair/restore mental and physical function

Sleep is necessary for memory consolidation and energy restoration.

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2
Q

What are the consequences of sleep deprivation?

A
  • Skin lesions
  • Compromised immunity
  • Motor weakness
  • Loss of executive function
  • Disruption in homeostasis
  • Death
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3
Q

What are the two main drivers of sleep?

A
  • Sleep-Drive
  • Circadian Rhythm
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4
Q

What is sleep-wake homeostasis?

A

The body’s internal drive to balance the need for sleep with the amount of time awake.

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5
Q

What chemical builds up in the brain while awake, signaling the need for sleep?

A

Adenosine

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6
Q

What happens to adenosine levels during sleep?

A

Adenosine is cleared away, resetting the sleep-drive cycle.

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7
Q

What role does caffeine play in sleep?

A

Blocks adenosine receptors

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8
Q

What regulates the circadian rhythm?

A

Suprachiasmatic nucleus (SCN) in the hypothalamus

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9
Q

What is a zeitgeber?

A

External cues that help synchronize our internal circadian rhythm.

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10
Q

What is the strongest zeitgeber?

A

Light

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11
Q

What is the primary characteristic of brain waves when awake?

A

Desynchronized - low voltage & high frequency

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12
Q

What occurs during Rapid Eye Movement (REM) sleep?

A
  • Dreams occur
  • Muscle atonia
  • Irregular breathing & heart rate
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13
Q

What percentage of total sleep is REM sleep?

A

20-25%

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14
Q

How many cycles of sleep do most people go through each night?

A

4-6 cycles

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15
Q

What are the three stages of Non-Rapid Eye Movement (NREM) sleep?

A
  • N1
  • N2
  • N3
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16
Q

What is the duration of NREM stage N1?

17
Q

What is a key feature of NREM stage N2?

A

True sleep state with sleep spindles and K-complexes

18
Q

What is the deepest phase of sleep?

A

NREM stage N3

19
Q

What can occur during NREM stage N3?

A
  • Sleepwalking
  • Night terrors
  • Enuresis
20
Q

What characterizes acute insomnia?

A

Sleep disturbances occurring at least 3 nights per week, lasting less than 3 months

21
Q

What is obstructive sleep apnea?

A

A disorder characterized by excessive daytime sleepiness and snoring

22
Q

What is the primary treatment for obstructive sleep apnea?

A

Continuous positive airway pressure (CPAP)

23
Q

What are benzodiazepines used for?

A

Short-term treatment of insomnia

24
Q

What is a common side effect of nonbenzodiazepines?

A

Daytime drowsiness

25
What is the mechanism of action for dual orexin receptor antagonists?
Inhibits wakefulness by targeting OX1/OX2 neuropeptides
26
What is the effect of melatonin agonists?
Activation of melatonin receptors for chronic insomnia
27
What neurotransmitters promote wakefulness?
* Hypocretins (orexins) * Histamine * Acetylcholine * Norepinephrine * Epinephrine * Serotonin * Glutamate
28
What neurotransmitters promote sleepiness?
* Prostaglandin D2 * Adenosine * Melatonin * GABA * Growth factors