419 - Hypoglossal Nerve Stimulation

a b c d a b c d 1 ■ ■ ■ ■ 11 ■ ■ ■ ■ 2 ■ ■ ■ ■ 12 ■ ■ ■ ■ 3 ■ ■ ■ ■ 13 ■ ■ ■ ■ 4 ■ ■ ■ ■ 14 ■ ■ ■ ■ 5 ■ ■ ■ ■ 15 ■ ■ ■ ■ 6 ■ ■ ■ ■ 16 ■ ■ ■ ■ 7 ■ ■ ■ ■ 17 ■ ■ ■ ■ 8 ■ ■ ■ ■ 18 ■ ■ ■ ■ 9 ■ ■ ■ ■ 19 ■ ■ ■ ■ 10 ■ ■ ■ ■ 20 ■ ■ ■ ■ #419   November 2018 1 CE CREDIT $6 a. 1989 b. 1975 4. Preliminary successful human studies of treatment to improve the upper airway was first reported in: c. 19 d. 1942 5. The pleural pressure sensing lead detects ______effect. a. Generator b. Ventilator c. Electrodes d. Sensors 6. During the implantable pulse generator stage, the IPG pocket is created 2 to 5 cm _____ to the right clavicle and ____ to the delto-pectoral groove. a. Inferior, medial b. Inferior, posterior c. Lateral, medial d. Superior, distal 7. According to this study, the overall rate of serious adverse effects was less than: a. 10% c. 2% b. 5% d. 1% 1. During the stimulation cuff elec- trode stage, the electrode is wrapped around the medial branches of the ______ and protrudes and stiffens the tongue to mitigate airway col- lapse. a. Left hypoglossal nerve b. Right hypoglossal nerve c. Trunk of the hypoglossal nerve d. All of the above 2. Prevalence of obstructive sleep apnea is estimated to be ____ of the adult population worldwide. a. 1-3% b. 1-5% c. 2-5% d. 3-5% 3. Which surgical treatment is the most effective when treating OSA? a. Tongue base reduction b. Septoplasty c. Hyoid suspension d. Maxillomandibular advancement 8. During the pleural pressure sensing lead stage, a horizontal incision is made at the right _____ intercostal space lateral to the nipple line. a. First to second b. Second to third c. Third to fourth d. Fourth to fifth 9. Side effects of HGNS include: a. Tongue stiffness b. Tongue abrasion c. Transient ipsilateral tongue paresis d. All of the above 10. After the HGNS systems are implanted, the IPG is tested to confirm _______ prior to closure. a. Tongue stiffness b. Tongue protrusion c. Muscle tone d. Upper airway collapse HYPOGLOSSAL NERVE STIMULATION FOR TREATMENT OF OBSTRUCTIVE SLEEP APNEA # 419   November 2018 1 CE CREDIT $6 NBSTSA Certification No. AST Member No. ■ My address has changed. The address below is the new address. Name Address City State Zip Telephone ■ Check enclosed  ■ Check Number ■ Visa ■ MasterCard  ■ American Express Credit Card Number Expiration Date Make It Easy - Take CE Exams Online Y ou must have a credit card to pur- chase test online. We accept Visa, MasterCard and American Express. Your credit card will only be charged once you pass the test and then your credits will be automati- cally recorded to your account. Log on to your account on the AST homepage to take advantage of this benefit. Hypoglossal NerveStimulation for Treatment of ObstructiveSleepApnea NOVEMBER 2018 | The Surgical Technologist | 501