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:

Homosexual Woman

A woman who is sexually and/or romantically attracted to other women, also referred to as a lesbian.

Lesbian

A term used to describe a woman who is emotionally and sexually attracted to other women.

Bisexual

Refers to a sexual orientation where an individual is attracted to both male and female genders.

Gay

A term referring to individuals who are romantically or sexually attracted to people of the same sex.