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A 35-Year-Old Man Comes to the Office Due to Persistent

question 181

Multiple Choice

A 35-year-old man comes to the office due to persistent fatigue and insomnia for the past 3 weeks. The patient was fired from his job as an insurance salesman a month ago due to poor sales and has since felt increasingly tired. He has no difficulty falling asleep but, "for no reason," awakens at 4 AM most nights. The patient's wife has told him he snores occasionally, although he has not awakened short of breath. He says, "I liked going to the gym with my friends, but now I just don't want to anymore. I'm at home a lot now, but I don't have the energy to play with my kids." The patient feels pressured to look for new job opportunities but is so unfocused that he has not been able to complete any applications. Medical history is significant for hypertension treated with enalapril. Weight is 81 kg (178.6 lb) and height is 180.3 cm (5 ft 11 in) . Vital signs are within normal limits. Physical examination and laboratory studies show no abnormalities. The patient moves slowly and appears withdrawn. Polysomnography is recommended to assess for sleep abnormalities. This patient is most likely to have which of the following findings?

Definitions:

Punitive Nature

An aspect of legal judgments or actions intended to punish the wrongdoer, rather than simply to compensate for harm done.

UCC

Uniform Commercial Code, a standardized set of business and commercial laws that facilitate the fair conduct of transactions and dealings across state lines.

Statute of Limitations

A law that sets the maximum time the parties involved have to initiate legal proceedings from the date of an alleged offense.

Personal Injury

Personal injury involves harm caused to an individual's body, mind, or emotional well-being, due to someone else's negligence or intentional acts.