#oldrecallmccqe1
A 45-year-old man is evaluated at the insistence of his wife because of his loud snoring. On questioning, the patient admits to morning headaches, nasal congestion, and falling asleep once while driving. He does not smoke cigarettes. He has no other medical problems and takes no medications. On physical examination, temperature is 36.6°C (97.8°F), blood pressure is 148/90 mm Hg, pulse rate is 80/min, and respiration rate is 12/min. BMI is 34. Oxygen saturation by pulse oximetry is 90% on ambient air. The cardiopulmonary examination is normal. No peripheral edema is present. Which of the following should be done next to evaluate this patient's symptoms?
(A) Brain natriuretic peptide (BNP) measurement
(B) Coronary artery calcium (CAC) score
(C) CT pulmonary angiography
(D) Polysomnography and arterial blood gas measurement
A 45-year-old man is evaluated at the insistence of his wife because of his loud snoring. On questioning, the patient admits to morning headaches, nasal congestion, and falling asleep once while driving. He does not smoke cigarettes. He has no other medical problems and takes no medications. On physical examination, temperature is 36.6°C (97.8°F), blood pressure is 148/90 mm Hg, pulse rate is 80/min, and respiration rate is 12/min. BMI is 34. Oxygen saturation by pulse oximetry is 90% on ambient air. The cardiopulmonary examination is normal. No peripheral edema is present. Which of the following should be done next to evaluate this patient's symptoms?
(A) Brain natriuretic peptide (BNP) measurement
(B) Coronary artery calcium (CAC) score
(C) CT pulmonary angiography
(D) Polysomnography and arterial blood gas measurement
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