Pediatric Sleep Certificate Exam Blueprint

Domain 1: Pediatric Sleep Disorders (40%)

Task A: Insomnias (sleep onset and maintenance difficulties)

• Sleep and Colic
• Bedtime problems and night awaking
  • Limit setting sleep disorder
  • Sleep onset association disorder
  • Nighttime fears
  • Primary Insomnia

Task B: Hypersomnia

• Idiopathic hypersomnia
• Kleine-Levin syndrome
• Post-Traumatic and post-neurosurgical hypersomnia
• Medication related hypersomnia

Task C: Sleep and breathing disorders

• Apnea of prematurity
• Apparent Life Threatening Events (ALTE)
• Obstructive sleep apnea syndrome
  • Cognitive and behavioral consequences of obstructive sleep apnea
  • Cardiovascular consequences of obstructive sleep apnea
  • Metabolic consequences of obstructive disordered breathing
• Congenital central hypoventilation syndrome
• Rapid-onset obesity with hypothalamic dysfunction, hypoventilation and autonomic dysregulation (ROHHAD)

Task D: Parasomnias

• Disorders of arousal
• Sleep and related enuresis

Task E: Sleep in medical disorders in special populations

• Epilepsy
• Psychiatric disorders
• Separation anxiety
• Prader Willi Syndrome
• Pierre-Robin Syndrome
• Micrognathia
• Treacher-Collins Syndrome
• Down Syndrome
• Attention deficit, hyperactivity and sleep disorders
• Sleep and its disturbances in Autism Spectrum disorder
• Sickle cell disease
• Cystic Fibrosis
• Type II Arnold Chiari Malformation
• Duchenne muscular dystrophy
• Laryngomalacia
• Metabolic syndrome and obesity
• Rett syndrome
• Achondroplasia

Task F: Circadian Rhythm Disorders

• Delayed sleep phase syndrome

Domain 2: Pediatric Preparation and Study Performance (30%)

Task A: Patient Info and Clinical Assessment

• Clinician’s orders and testing indications
• History and Physical
• Medications
• Questionnaires

Task B: Family Education and the Pediatric Patient

• Sleep hygiene
• Importance of therapy
• Sleep disorders

Task C: Technical Preparation

• Equipment and supplies
• Montages
• Site preparation and application

Task D: Pediatric Practice Guidelines and Procedures

Domain 3: Pediatric Scoring (20%)

Task A: Infant Sleep Staging

• Stages of sleep
• Waveform recognition
• Artifact recognition

Task B: Children Sleep Staging

• Stages of sleep
• Waveform recognition
• Artifact recognition

Task C: Children Respiratory Rules

• Hypopnea
• Obstructive apnea
• Central apnea
• Periodic Breathing
• Mixed apnea
• TcCO2/ETCO2 values
  • Abnormal
  • Normal
  • artifact

Task D: Report Generation

• AHI/Calculations (What is normal/abnormal for pediatric sleep)
• Histogram/hypnogram
  • Sum Channel
  • CO2 monitoring
• Tech observations/summary of the night

Domain 4: Pediatric Treatment Options and Guidelines (10%)

Task A: Pediatric Treatment Options and Guidelines

• CPAP, BiPAP, ASV, O2

Task B: Mask fitting and proper interface fit

• Troubleshooting (ie., leak, seal, pressure release, humidification)
• Mask options

Task C: Indications and contraindications