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Obstructive sleep apnea — ABIM Board MCQ

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ModeratePulmonary/Critical CareObstructive sleep apneaABIM Board

A 54-year-old man has resistant hypertension, obesity, loud snoring, and daytime sleepiness. Polysomnography shows apnea-hypopnea index 42 events per hour. He has no heart failure. Which of the following would you recommend?

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Correct answer: E — Continuous positive airway pressure with weight-loss counseling

Moderate to severe obstructive sleep apnea with symptoms and hypertension is treated with CPAP and lifestyle measures. Oxygen alone does not treat upper-airway collapse and sedatives may worsen obstruction.

Reference: AASM Obstructive Sleep Apnea Guideline