FAA Commercial Pilot Airplane (CAX)Human Factors and ADMHard

A pilot has flown three consecutive early-morning flights after averaging only 4-5 hours of sleep per night for the past week. Although not currently drowsy, the pilot has noticeably slower reaction times and impaired judgment during a checklist review. This condition is best described as:

  1. ACircadian rhythm desynchronization from time zone change
  2. BChronic fatigue from cumulative sleep debt
  3. CHypoxic hypoxia
  4. DAcute fatigue
Show answer & explanation

Correct answer: B. Chronic fatigue from cumulative sleep debt

Chronic fatigue results from long-term, cumulative sleep debt over multiple days, unlike acute fatigue which results from a single instance of inadequate rest and resolves after normal sleep. The week-long pattern of insufficient sleep points to chronic fatigue.

Why the other options are wrong

  • A. No time zone travel is mentioned, so circadian desynchronization does not apply here.
  • C. Hypoxic hypoxia relates to oxygen deprivation at altitude, unrelated to sleep loss.
  • D. Acute fatigue results from a single occasion of sleep loss or exertion, resolved by one good night's rest, not a week-long pattern.

Chronic Fatigue

Fatigue resulting from cumulative sleep debt over an extended period, not resolved by a single night of rest.

  • Builds up over days or weeks of inadequate sleep
  • More serious and harder to recover from than acute fatigue
  • Impairs judgment, reaction time, and decision-making even without overt sleepiness

Memory trick: One bad night = acute; many bad nights = chronic debt piles up

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