Product 6a Anthony Artino tnt101097@bellsouth.net Below are ten short-answer items designed to assess student knowledge of Sleep Physiology. The four performance objectives being assessed are also included. Information: Identify the characteristics of non-rapid eye movement (NREM) and rapid eye movement (REM) sleep. 1. The state of sleep characterized by a slowing of brain activity, and the one that is conventionally subdivided into four stages, is known as __________ sleep. 2. The state of sleep characterized by an increase in brain activity, muscle relaxation, and bursts of rapid eye movement is known as __________ sleep. 3. NREM sleep consists of four stages (1, 2, 3, and 4). Typically, only a very slight stimulus is required to cause arousal from stages ___ and ___. 4. Two of the four stages of NREM sleep are categorized as deep sleep and require a much larger stimulus to produce an arousal. The two stages are ___ and ___. 5. This state of sleep has an arousal threshold that is variable. The state is __________ sleep. 6. Following stage 4 sleep, the brain enters __________ sleep. Information: Identify the sleep requirements for the average adult. 7. For optimal performance and alertness, studies have demonstrated that the average adult human requires ___ hours of sleep. Information: Identify the amount of sleep deprivation associated with a decrease in human performance and alertness. 8. Current scientific data suggest that significant decreases in performance and alertness can occur if an individual sleeps ___ hours less than his body physiologically requires. Information: Identify the characteristics of recovery sleep following sleep deprivation. 9. Laboratory studies have shown that following sleep deprivation, recovery sleep tends to be __________ rather than longer. 10. The only remedy for sleep deprivation is __________. Answers: 1. NREM; 2. REM; 3. 1 and 2; 4. 3 and 4; 5. REM; 6. REM; 7. 8 (8.25 and 8.5 are also acceptable answers); 8. 2; 9. deeper; 10. sleep (recovery sleep is also an acceptable answer). Product 6b Anthony Artino tnt101097@bellsouth.net Below are two essay items designed to assess student knowledge of Sleep Physiology. The two performance objectives being assessed are also included. Information: State the characteristics of non-rapid eye movement (NREM) and rapid eye movement (REM) sleep. Describe the characteristics of non-rapid eye movement (NREM) and rapid eye movement (REM) sleep. Be sure to discuss/identify: 1) brain activity during each state of sleep; 2) the stages of NREM sleep and their classification; and 3) the state where dreams occur. Scoring Plan: 2 points 1. States that NREM is characterized by a slowing of brain activity and that REM is characterized by an increase in brain activity. 3 points 2. Identifies the four stages of NREM sleep as stages 1, 2, 3, and 4 and identifies stages 1 and 2 as light sleep and 3 and 4 as deep sleep. 1 point 3. States that the mental activity of REM sleep is associated with dreaming. Information: State the characteristics of the sleep architecture of the normal adult human. Describe the sleep architecture of the normal adult human. Be sure to discuss: 1) entry into a normal sleep cycle; 2) the cyclic nature of REM and NREM sleep states; 3) time spent in each state; 4) the stages of NREM sleep, progression through those stages, and depth of sleep within those stages; and 5) arousal thresholds for each sleep state/stage. Scoring Plan: 1 point 1. States that humans enter sleep through NREM. 2 points 2. States that NREM and REM sleep alternate cyclically through the night with an average period of about 90 minutes. 1 point 3. States that during a typical sleep period, the average adult spends about 75% of the time in NREM sleep and 25% of the time in REM sleep. 3 points 4. Identifies the four stages of NREM sleep as stages 1, 2, 3, and 4; identifies progression from 1 to 2 to 3 to 4; and identifies stages 1 and 2 as light sleep and 3 and 4 as deep sleep. 3 points 5. Identifies arousal thresholds as: 1) low threshold for light sleep (stage 1 and 2); 2) high threshold for deep sleep (stage 3 and 4); and 3) variable threshold for REM sleep. Product 7a Anthony Artino tnt101097@bellsouth.net Below are five multiple-choice items designed to assess student knowledge of Altitude Physiology. Correct answers are underlined. Concept: Identify examples and non-examples of subjective and objective hypoxia symptoms. 1. All of the following are examples of subjective hypoxia symptoms that one might experience at 25,000 feet without supplemental oxygen, EXCEPT: A. B. C. D. Air hunger Chest pain Loss of visual acuity Muscle fatigue 2. Which of the following is an objective symptom of hypoxia that you would expect to see in a person that has been off supplemental oxygen for three minutes at 25,000 feet? A. B. C. D. Cyanosis Headache Nausea Tingling 3. A student complains of dizziness, hot flashes, and muscle fatigue after two minutes without supplemental oxygen at 25,000 feet. This student is most likely suffering from which of the following ailments? A. B. C. D. Barotrauma Decompression sickness Hyperventilation Hypoxia Rule: Given two of three cardiovascular variables, use the cardiac output equation to calculate the third variable. 4. What is the cardiac output of an individual with a heart rate of 72 beats per minute and a stroke volume of 80 milliliters per beat? A. B. C. D. 4760 ml/minute 5760 ml/minute 6760 ml/minute 7770 ml/minute 5. Given a heart rate of 90 beats per minute, what stroke volume is required to get a cardiac output of 7700 milliliters per minute? A. B. C. D. 70.6 ml/beat 85.6 ml/beat 87.0 ml/beat 90.2 ml/beat Product 7b Anthony Artino tnt101097@bellsouth.net Below are ten true-false items designed to assess student knowledge of Altitude Physiology. Correct answers are underlined. Concept: Identify examples and non-examples of subjective and objective hypoxia symptoms. 1. T or F Headache is a subjective symptom of hypoxia. 2. T or F Tingling in the fingertips is an objective symptom of hypoxia. 3. T or F A dry, unproductive cough is a subjective symptom of hypoxia. 4. T or F All of the following are examples of subjective symptoms of hypoxia: dizziness, air hunger, loss of color vision, and muscle fatigue. Rule: Given two of three cardiovascular variables, use the cardiac output equation to calculate the third variable. 5. T or F A person with a stroke volume of 90 milliliters per beat and a heart rate of 60 beats per minute has a cardiac output of 5400 milliliters per minute. Concept: Identify examples and non-examples of the four types of hypoxia. 6. T or F A person who has recently donated blood is said to be suffering from histotoxic hypoxia. 7. T or F Smokers suffer from anemic hypoxia. 8. T or F The type of hypoxia that occurs when a person goes above 10,000 feet without supplemental oxygen is call stagnant hypoxia. 9. T or F Stagnant hypoxia occurs when an aviator experiences increased gravitational forces (Gs) while flying. 10. T or F Alcohol consumption is an example of histotoxic hypoxia.