A 58-year-old obese man with loud snoring and witnessed apnoeas undergoes overnight polysomnography, which shows moderate obstructive sleep apnoea (ap...

Question

A 58-year-old obese man with loud snoring and witnessed apnoeas undergoes overnight polysomnography, which shows moderate obstructive sleep apnoea (apnoea-hypopnoea index 25 events/hour) with significant daytime sleepiness. What is the most appropriate first-line treatment?

Accepted Answer

Continuous positive airway pressure (CPAP) at night

Answer

Mandibular advancement splint alone

Answer

Weight loss advice only

Answer

Oral benzodiazepine before bed

Answer

Uvulopalatopharyngoplasty surgery as first-line

au-amc MCQ (SBA): Obstructive sleep apnoea

A 58-year-old obese man with loud snoring and witnessed apnoeas undergoes overnight polysomnography, which shows moderate obstructive sleep apnoea (apnoea-hypopnoea index 25 events/hour) with significant daytime sleepiness. What is the most appropriate first-line treatment?