A 54-year-old man presents with progressive exertional dyspnoea and loud snoring. His partner reports witnessed apnoeic episodes and gasping during sl...

Question

A 54-year-old man presents with progressive exertional dyspnoea and loud snoring. His partner reports witnessed apnoeic episodes and gasping during sleep. He is obese with BMI 34 kg/m², neck circumference 45 cm and blood pressure 150/92 mm Hg. What is the most appropriate next step in management?

Accepted Answer

Order an overnight polysomnography or home sleep apnoea test

Answer

Empirically prescribe nocturnal oxygen without further testing

Answer

Start sedative-hypnotic medication to improve sleep quality

Answer

Reassure him and reassess in one year

Answer

Schedule elective tracheostomy as definitive therapy

ca-mccqe1 MCQ (SBA): Obstructive sleep apnoea

A 54-year-old man presents with progressive exertional dyspnoea and loud snoring. His partner reports witnessed apnoeic episodes and gasping during sleep. He is obese with BMI 34 kg/m², neck circumference 45 cm and blood pressure 150/92 mm Hg. What is the most appropriate next step in management?