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 |
Show Answer
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Correct Answer � D Explanation |
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Ans. D
Obstructive sleep apnea (OSA) happens when there is a respiratory effort against a closed airway.
It is usually associated with obesity, loud snoring, daytime sleepiness, and morning headaches. It is caused by excessive parapharyngeal tissue in adults.
Sleep apnea is diagnosed by polysomnography.
Treatment includes continuous positive airway pressure and weight loss if the patient is obese. The surgical approach includes uvulopalatopharyngoplasty. Adenotonsillectomy is curative in many patients.