Psychological sleep disorders Quiz: Ace Your Exams

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A 6-year-old girl is brought into the pediatrician’s office for evaluation of abnormal nighttime behavior. Over the past several months, the patient has woken up screaming shortly after going to sleep. These episodes occur 3-4 times per month. During these episodes, the patient is short of breath, crying, and sweating. On several occasions, the patient’s parent felt her pulse and noted it was “racing.” After a few minutes, the patient goes back to sleep on her own. She does not have a recollection of these events the next morning. The family recently moved from their home in the city to a suburban neighborhood. The patient has been meeting all developmental milestones. Temperature is 37.0°C (98.6°F), pulse is 86/min, respirations are 18/min, and blood pressure is 102/74 mm Hg. Physical examination is noncontributory. Which of the following statements is most likely true regarding this patient’s symptoms?  

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