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Obstructive sleep apnea — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Obstructive sleep apneaUSMLE Step 3

A 52-year-old man has loud snoring, witnessed apneas, morning headaches, and daytime sleepiness. BMI is 36 kg/m2 and neck circumference is increased. Blood pressure is 146/88 mm Hg. Which of the following is the most appropriate next step in management?

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Reveal the answer and explanation

Correct answer: C — Order sleep testing and treat with positive airway pressure if confirmed

Symptoms and risk factors suggest obstructive sleep apnea; diagnosis requires sleep testing and treatment reduces symptoms and risk.

Reference: American Academy of Sleep Medicine guidance