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ENT · Sleep medicine: obstructive sleep apnea
Sample itemA patient has loud snoring, witnessed apneas, unrefreshing sleep, and daytime somnolence. What condition is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Obstructive sleep apnea
Obstructive sleep apnea results from recurrent upper-airway collapse during sleep and causes snoring, witnessed pauses, and daytime sleepiness. It is associated with cardiovascular and driving-safety risks.
Option by option
A. Meniere disease
Meniere disease is a vestibular inner-ear disorder.
B. Obstructive sleep apnea (correct)
Correct. The nocturnal obstruction and daytime symptoms are typical.
C. Central facial palsy
Facial palsy does not cause recurrent nocturnal airway obstruction.
D. Narcolepsy with cataplexy
Narcolepsy involves sleep attacks and may include cataplexy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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