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Obstructive sleep apnea — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareObstructive sleep apneaUSMLE Step 3

A 55-year-old man has loud snoring, witnessed apneas, morning headaches, and daytime sleepiness. BMI is 34 kg/m2 and blood pressure is 148/86 mm Hg. Oropharynx is crowded. He has no heart failure symptoms. Which of the following is the most appropriate next step in management?

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Correct answer: A — Order polysomnography or home sleep apnea testing

Symptoms and risk factors suggest obstructive sleep apnea; diagnostic sleep testing should be performed before treatment selection.

Reference: American Academy of Sleep Medicine OSA diagnostic guideline