Certified Polysomnographic Technician (CPSGT) Practice Exam 2025 - Free CPSGT Practice Questions and Study Guide.

A split-night study is primarily performed when a patient is suspected of having obstructive sleep apnea (OSA). This type of study allows for simultaneous assessment of sleep patterns and the potential presence of airway obstructions. During a split-night study, the first part of the night focuses on monitoring the patient's sleep without therapeutic intervention, identifying disruptions such as apneas and hypopneas. If significant obstructive events are documented, the second part of the night includes a titration phase wherein Continuous Positive Airway Pressure (CPAP) is applied to determine the appropriate pressure required to alleviate the patient's apnea events.

The other scenarios, such as chronic insomnia or transitioning off CPAP therapy, do not typically warrant a split-night study. Chronic insomnia usually requires different diagnostic approaches focused more on sleep architecture and behavior rather than the immediate need for airway pressure adjustments. Transitioning off CPAP therapy is typically managed through follow-up polysomnography, but not necessarily a split-night study designed primarily for OSA diagnosis. Signs of narcolepsy would necessitate specific diagnostic protocols distinct from those for obstructive sleep apnea, often involving multiple sleep latency testing rather than a split-night arrangement.