A 36-year-old woman presents with daytime somnolence, loud snoring and witnessed apnoeic episodes reported by her partner. BMI is 33 kg/m2, blood pres...

Question

A 36-year-old woman presents with daytime somnolence, loud snoring and witnessed apnoeic episodes reported by her partner. BMI is 33 kg/m2, blood pressure 142/86 mm Hg. Polysomnography confirms moderate obstructive sleep apnoea (OSA). Which is the most appropriate first-line therapy?

Accepted Answer

Continuous positive airway pressure (CPAP) therapy with weight loss advice

Answer

Oral acetazolamide at bedtime

Answer

Tracheostomy

Answer

Long-term supplemental nocturnal oxygen without CPAP

Answer

No treatment is required in moderate OSA if the patient is young

ca-mccqe1 MCQ (SBA): Obstructive sleep apnoea

A 36-year-old woman presents with daytime somnolence, loud snoring and witnessed apnoeic episodes reported by her partner. BMI is 33 kg/m2, blood pressure 142/86 mm Hg. Polysomnography confirms moderate obstructive sleep apnoea (OSA). Which is the most appropriate first-line therapy?