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Sleep Disorder Recognition and Workup

Work through the sleep disorder track to systematically recognize and work up insomnia, sleep apnea, parasomnias, and circadian rhythm disorders in clinical practice.

What this track covers

This track covers the core diagnostic reasoning for common sleep complaints: structured history taking, validated screening tools, and the clinical features that distinguish insomnia, sleep-disordered breathing, parasomnias and movement disorders, and circadian rhythm disruptions. The focus is on recognizing patterns and knowing when a sleep study or specialist referral is warranted.

What you will practice

  • Take a structured sleep history using sleep diaries and bed partner reports
  • Apply STOP-BANG, Epworth Sleepiness Scale, and ISI to screen for disorders
  • Differentiate acute from chronic insomnia and primary from secondary causes
  • Recognize clinical features of OSA versus CSA and decide when to refer for a sleep study
  • Distinguish REM behavior disorder, sleepwalking, and restless legs from circadian rhythm disorders

Simulator scenario

A patient presents with excessive daytime sleepiness and a bed partner report of loud snoring, requiring the clinician to screen, risk-stratify, and decide on sleep study referral.

Board question topics

  • Insomnia classification and comorbid conditions
  • OSA vs CSA risk stratification
  • Parasomnias and periodic limb movements
  • Circadian rhythm disorder patterns

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