A 50-year-old man is diagnosed with moderate obstructive sleep apnea on home sleep apnea testing. He has daytime sleepiness and hypertension. He

Question

A 50-year-old man is diagnosed with moderate obstructive sleep apnea on home sleep apnea testing. He has daytime sleepiness and hypertension. He drinks no alcohol and takes no sedatives. Which of the following is the most appropriate next step in management?

Accepted Answer

Initiate positive airway pressure therapy

Answer

Start methylphenidate as initial therapy

Answer

Reassure and repeat testing in 5 years

Answer

Refer for tracheostomy as first-line therapy

Answer

Prescribe nocturnal oxygen alone

Obstructive sleep apnea — USMLE Step 3 MCQ

A 50-year-old man is diagnosed with moderate obstructive sleep apnea on home sleep apnea testing. He has daytime sleepiness and hypertension. He drinks no alcohol and takes no sedatives. Which of the following is the most appropriate next step in management?