Obesity (bmi 40 Kg/m²) in Medicine / Internal Medicine — 55yo Man | Respiratory / Pulmonology | SMLE Q#10753
SMLE Question #10753
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 55-year-old man with obesity (BMI 40 kg/m²) and long-standing hypertension reports 2 years of unrefreshing sleep and excessive daytime sleepiness. His wife describes loud snoring with witnessed pauses in breathing and episodes of gasping during sleep. He has morning headaches and difficulty staying awake while reading or watching television. Examination shows a large neck circumference and crowded oropharynx; lungs are clear and there is no peripheral edema. Which diagnostic test best confirms the underlying disorder?
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