A 54-year-old woman has moderate obstructive sleep apnea confirmed by home sleep apnea testing. She has daytime sleepiness and hypertension. She is

Question

A 54-year-old woman has moderate obstructive sleep apnea confirmed by home sleep apnea testing. She has daytime sleepiness and hypertension. She is willing to use device therapy. Nasal examination is normal and BMI is 33 kg/m2. Which of the following is the most appropriate next step in management?

Accepted Answer

Start continuous positive airway pressure therapy

Answer

Prescribe modafinil as sole therapy

Answer

Recommend oxygen without airway support

Answer

Schedule tracheostomy as first treatment

Answer

Start chronic benzodiazepines

OSA management — USMLE Step 3 MCQ

A 54-year-old woman has moderate obstructive sleep apnea confirmed by home sleep apnea testing. She has daytime sleepiness and hypertension. She is willing to use device therapy. Nasal examination is normal and BMI is 33 kg/m2. Which of the following is the most appropriate next step in management?