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Patient Management Exercise: Disorders of Sleep
Ian A. Cook, M.D.
FOCUS 2014;12:56-59. doi:10.1176/appi.focus.12.1.56
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Author Information and CME Disclosure

Ian A. Cook, M.D., Professor of Psychiatry and Biobehavioral Sciences and of Bioengineering, David Geffen School of Medicine and Semel Institute for Neuroscience and Human Behavior at UCLA (icook@ucla.edu).

Over his professional career, Dr. Cook’s projects have been supported by grants from Aspect Medical Systems/Covidien, Cyberonics, Eli Lilly and Company, High Q Foundation, John E. Fetzer Foundation, John A. Hartford Foundation, MedAvante, Merck, NARSAD, NIH, NeoSync, Neuronetics, Novartis, Pfizer, Sepracor/Sunovion, Seaside Therapeutics, and the West Coast College of Biological Psychiatry, as Principal Investigator or Co-Investigator. At times he has served as an advisor or consultant to Allergan, Ascend Media, Bristol-Myers Squibb, Cyberonics, Eli Lilly and Company, Forest Laboratories, Janssen, Neuronetics, NeuroSigma, Pfizer, Scale Venture Partners, and the U.S. Departments of Defense and of Justice, as well as on the ITVA Study Section of the NIH and a Data Safety Committee for the VA. He has spoken on behalf of Bristol-Myers Squibb, CME LLC, Eli Lilly and Company, Medical Education Speakers Network, Pfizer, Neuronetics, NeuroSigma, and Wyeth. Dr. Cook’s active biomedical device patents are assigned to the University of California. He has been granted stock options in NeuroSigma, the licensee of some of his inventions. From 1994–2008 he served on the Steering Committee on Practice Guidelines of the APA, and its Executive Committee from 2002–2008.


This exercise is designed to test your comprehension of material presented in this issue of FOCUS as well as your ability to evaluate, diagnose, and manage clinical problems. Answer the questions below, to the best of your ability, on the information provided, making your decisions as you would with a real-life patient.

Questions are presented at “consideration points” that follow a section that gives information about the case. One or more choices may be correct for each question; make your choices on the basis of your clinical knowledge and the history provided. Read all of the options for each question before making any selections. You are given points on a graded scale for the best possible answer(s), and points are deducted for answers that would result in a poor outcome or delay your arriving at the right answer. Answers that have little or no impact receive zero points. At the end of the exercise, add up your points to obtain a total score.

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U.S. Food and Drug Administration:  Sleep disorder (sedative-hypnotic) drug information2014. http://www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders/ucm101557.htm
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