A 58-year-old long-distance lorry driver presents with loud snoring, witnessed apnoeas and excessive daytime sleepiness. BMI is 36 kg/m² and neck circ...

Question

A 58-year-old long-distance lorry driver presents with loud snoring, witnessed apnoeas and excessive daytime sleepiness. BMI is 36 kg/m² and neck circumference 45 cm. What is the most appropriate initial investigation?

Accepted Answer

Overnight polysomnography or home sleep study

Answer

Routine chest radiograph

Answer

Brain MRI

Answer

Daytime arterial blood gases only

Answer

Echocardiogram

ca-mccqe1 MCQ (SBA): Obstructive sleep apnoea

A 58-year-old long-distance lorry driver presents with loud snoring, witnessed apnoeas and excessive daytime sleepiness. BMI is 36 kg/m² and neck circumference 45 cm. What is the most appropriate initial investigation?