Sleep Medicine Board Exam Prep
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Note: There was no ABIM 2022 Sleep Medicine Certification exam.
The ABIM 2022 Sleep Medicine Pass Rate for the Maintenance of Certification exam is 83%.
Compare to exam takers who prepared with The Pass Machine:
In 2022, The Pass Machine Sleep Medicine Board Review clients achieved a 100% pass rate on the MOC exam!
Only 1 in 9 Failed the CERT
In 2021, 41 out of a total of 344 first-time takers didn’t pass the Sleep Medicine Cert exam. Excellent
Exam Prep Works
American Board of Internal Medicine recognizes “Exam Prep” as the primary step toward certification. Their Study of Studying infographic reminds us of the acute benefits of using board exam prep as a review and assessment tool.
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What do I do if I fail the Sleep Medicine board exam?
The first thing you should do is just take it easy, sleep on it. Give yourself a few days, a week or two to come to terms with what has happened. Your next exam is six months to a year away. Dr. Jack has more advice in this video, What Do You Do If You Fail Your Medical Board Exam?
Sleep Medicine Certification Exam Scoring
Overall performance is reported on a standardized score scale ranging from 200 to 800, with a mean of 500. To pass the Sleep Medicine board examination, your standardized score must equal or exceed the standardized passing score. Your performance on the entire exam determines your pass-fail decision.
The passing standard for the Sleep Medicine exam is set by ABIM committee using standard-setting techniques that follow best practices in assessment. Because the passing standard is based on a specified level of mastery of Infectious Disease content, no predetermined percentage of examinees will pass or fail the exam.
Sleep Medicine Exam Format
The Sleep Medicine Certification Exam (CERT) is composed of up to 240 single-best-answer multiple-choice questions. Most questions describe patient scenarios and ask about the tasks performed by physicians in the course of practice. (Note that around 40 of these are new questions that do not count in your score.)
Example of a single-best-answer multiple-choice question format:
A group of researchers is studying the correlation between poor sleep, neurocognitive functioning, and reaction time. It is observed that histamine is one of the hormones that maintain a wakefulness state. Which of the following neuronal systems is associated with this neurotransmitter?
◯ A. Locus ceruleus
◯ B. Supraoptic nucleus
◯ C. Tuberomammillary nucleus
◯ D. Brainstem tegmentum
◯ E. Basal forebrain
C. Tuberomammillary nucleus
Tuberomammillary nucleus is the correct option. Histamine is an important neurotransmitter in maintaining wakefulness. The discharge rate of this nucleus increases during arousal and is absent during REM sleep. Antihistamines block the release of histamine, producing drowsiness and a decrease in REM sleep. Lesions in this area result in a decrease in arousal without a decrease in waking amount.
Locus ceruleus is an incorrect option because this nucleus is located in the pons and forms an important component of the reticular activating system. It is the principal site of norepinephrine generation, which plays an important role in the arousal and sleep-wake cycle. It is almost completely inactive in REM sleep.
Supraoptic nucleus is incorrect because supraoptic and paraventricular nuclei produce oxytocin and antidiuretic hormones from the posterior pituitary gland.
Brainstem tegmentum is an incorrect option because it plays a role in behavior and the initiation and maintenance of wakefulness. This area regulates non-rapid eye movement (NREM) and rapid eye movement (REM) sleep.
Basal forebrain is an incorrect option because it is the principal site of the generation of acetylcholine. Stimulation of this part of the brain causes an increase in acetylcholine, which induces wakefulness and REM sleep, whereas inhibition of acetylcholine release by adenosine causes slow-wave sleep.
Sudhansu Chokroverty. Sleep Disorders Medicine Basic Science, Technical Considerations and Clinical Aspects. Springer.4th Edition. 2017: 105-107.