A 48-Year-Old Man Comes to the Physician Because of Difficulty

question 189

Multiple Choice

A 48-year-old man comes to the physician because of difficulty concentrating at work and generalized fatigue for the past 5 months. During this period, he has often fallen asleep while watching his favorite TV show. His wife reports that he snores loudly and sometimes stops breathing for a few seconds while asleep. He has hypertension treated with metoprolol. He has smoked one pack of cigarettes daily for 30 years. He is 168 cm (5 ft 5 in) tall and weighs 87 kg (192 lb) ; BMI is 31 kg/m2. His temperature is 37.1°C (98.8°F) , pulse is 88/min, respirations are 14/min, and blood pressure is 135/85 mm Hg. Physical examination shows no abnormalities. Arterial blood gas analysis is normal.  What is this patient's most likely diagnosis?

• A)Central sleep apnea
• B)Narcolepsy
• C)Obesity hypoventilation syndrome
• D)Obstructive sleep apnea
• E)Primary insomnia
• F)Restless leg syndrome

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Definitions:

Hunting Stand

A structure used by hunters to elevate themselves above the ground to improve visibility and shooting range on their prey.

Diversification

Practice of reducing risk by allocating resources to a variety of activities whose outcomes are not closely related.

Risk-Free Asset

An investment that is expected to return its original value without any loss and with a certain rate of interest.

Positively Correlated

A relationship between two variables where both variables move in the same direction, meaning that as one variable increases, the other also increases, and vice versa.