Question
A 50-year-old man presents with headaches that typically occur in the morning. He has not been able to concentrate at work and feels sleepy and tired during his office hours. He also asks if there is a solution to his snoring issue as his wife refuses to sleep with him. He has no past medical history. He drinks alcohol occasionally and has a ten-pack-year smoking history. His body mass index (BMI) is 32 kg/m2. What is the most appropriate next step in the management of this patient?
| A. | Start the patient on sumatriptan |
| B. |
Do a PHQ-9 screen for depression |
| C. |
MRI of brain |
| D. |
Polysomnography |
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