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Obstructive sleep apnea — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareObstructive sleep apneaUSMLE Step 3

A 49-year-old man with obesity has loud snoring, witnessed apneas, and daytime sleepiness. Blood pressure is 148/88 mm Hg. Home sleep apnea testing confirms moderate obstructive sleep apnea. He drives for work. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Start continuous positive airway pressure therapy

Moderate symptomatic obstructive sleep apnea is treated with CPAP along with weight management and risk-factor modification.

Reference: Current US clinical practice standards and USMLE Step 3 content outline, https://www.usmle.org/exam-resources/step-3-materials