Section Self Assessment

1. Sequelae of insomnia

Which of the following conditions is the SINGLE LEAST likely to be a consequence of long term insomnia? Select ONE option only

2. Benefits of effective sleep management

Which of the following is the SINGLE most likely effect of psychological treatment for insomnia? Select ONE option only

3. Long term treatment of insomnia

According to current evidence, which of the following is the SINGLE most effective treatment licensed long term for insomnia in adults? Select ONE option only

4. Effects of hypnotic drugs

A 70-year old man has insomnia for the past 6 weeks. He has had sleeping tablets previously and asks you to prescribe sleep tablets on repeat prescription.

Which is the SINGLE most appropriate advice to give when explaining the benefits versus harms of sleeping tablets compared with placebo? Select ONE option only Select ONE option only

5. Treatment of comorbid insomnia

Which of the following conditions associated with sleep difficulty would you not consider treating with cognitive behavioural therapy for insomnia? Select ONE option only

6. Management of insomnia

A 65-year old woman is distressed and unable to sleep for 3 nights following a recent bereavement. You decide to prescribe a hypnotic.

Which of the following is the SINGLE most appropriate treatment for short term drug treatment of insomnia? Select ONE option only

7. Features of newer hypnotic drugs

According to current evidence which is the SINGLE most likely feature of newer hypnotic (Z) drugs? Select ONE option only

8. Long term hypnotic prescribing

A 48-year old woman attends surgery for review of her repeat prescription of hypnotics.

Which is the SINGLE most likely treatment recommendation/regime that she is likely to be on? Select ONE option only

9. Expectations of patients seeking care for insomnia

Which is the SINGLE most likely behaviour, experience or expectation of a patient seeking treatment for insomnia? Select ONE option only