A 67-year-old man with obesity and loud snoring is referred for assessment of daytime sleepiness and witnessed apnoeas. His Epworth Sleepiness Scale s...

Question

A 67-year-old man with obesity and loud snoring is referred for assessment of daytime sleepiness and witnessed apnoeas. His Epworth Sleepiness Scale score is 15. Physical examination shows a large neck circumference and crowded oropharynx. What is the most appropriate next investigation?

Accepted Answer

Overnight full polysomnography

Answer

Arterial blood gas at rest

Answer

Spirometry with bronchodilator testing

Answer

Chest CT scan

Answer

No further investigation; advise weight loss only

ca-mccqe1 MCQ (SBA): Obstructive sleep apnoea

A 67-year-old man with obesity and loud snoring is referred for assessment of daytime sleepiness and witnessed apnoeas. His Epworth Sleepiness Scale score is 15. Physical examination shows a large neck circumference and crowded oropharynx. What is the most appropriate next investigation?