8 Months Of Loud in Medicine / Internal Medicine — 52yo Man | Respiratory / Pulmonology | SMLE Q#17877
SMLE Question #17877
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-RESP-OSA-001
Last updated: February 2026
A 52-year-old man presents with 8 months of loud habitual snoring, witnessed apnoeic episodes, non-restorative sleep, and excessive daytime sleepiness causing near-miss motor vehicle incidents. He has obesity (BMI 33 kg/m²) and a short neck with crowded oropharynx on examination. Overnight polysomnography demonstrates recurrent obstructive respiratory events with intermittent oxygen desaturation. What is the most appropriate management?
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