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Generalized anxiety disorder nonpharmacologic treatment — USMLE Step 3 MCQ

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HardPsychiatryGeneralized anxiety disorder nonpharmacologic treatmentUSMLE Step 3

A 58-year-old man with HFrEF and chronic prescribed opioid use has loud snoring, witnessed apneas, and daytime sleepiness. What is the best diagnostic test?

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Correct answer: E — Use attended polysomnography to characterize obstructive and central respiratory events

The best answer is “Use attended polysomnography to characterize obstructive and central respiratory events”. Significant cardiorespiratory disease and chronic opioid use increase central and complex sleep-disordered breathing, so attended polysomnography is preferred over home testing and can characterize obstructive and central events. Polysomnography rather than home testing is recommended with significant cardiorespiratory disease or chronic opioid use.

Reference: AASM Diagnostic Testing for Adult OSA: https://pmc.ncbi.nlm.nih.gov/articles/PMC5337595/