Chapter·PsychiatrySleep-Wake Disorders

Hypersomnolence DisordersDownloads

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Sample Questions

1

A 40-year-old man presents with daytime sleepiness and impaired concentration and memory. On examination his BMI is 41 kg/m2, BP is 160/100 mm Hg. His awake ABG analysis is given: PaO2=66 mm Hg, PaCO2=50 mm Hg, HCO3=28 mEq/L. What is the most likely diagnosis?

AObstructive sleep apnea

BNarcolepsy

CObesity hypoventilation syndrome

DCentral sleep apnea

2

A 32-year-old man comes to the physician complaining of excessive sleepiness for the past several months. He reports falling asleep while dealing with customers and had a near accident when he fell asleep while driving. The patient reports that he occasionally hears voices while falling asleep and finds himself "temporarily frozen" and unable to move upon awakening. Which of the following is the most appropriate treatment for this patient?

AMelatonin

BModafinil

CClonazepam

DContinuous positive airway pressure

3

Narcolepsy is associated with?

ALate age of onset

BHypnagogic hallucination

CDecreased NREM sleep

DNormal sleep architecture

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