Obstructive Sleep Apnea: Just Who Is at Risk?


During his annual physical examination, a 54-year-old man has no major complaints, reports restful sleep, and is not tired during the day. Is he at risk for obstructive sleep apnea?

You are performing an annual visit evaluation for a 54-year-old sales manager. He has a history of hypertension and hyperlipidemia, both managed. He has no major complaints. He reports restful sleep and no daytime sleepiness. On examination, his BMI is 37 and his blood pressure is 126/82 mm Hg. 

You should consider him to be at high risk for obstructive sleep apnea (OSA) if which of the following also is present:

A. Hypothyroidism
B. Caucasian race
C. Smoking
D. Loud snoring
E. No additional conditions necessary; his risk of OSA is already elevated
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