A 50 -year-old man presented with worsening of snoring as complained by his wife. He noted increased fatigue, daytime sleepiness, and some trouble con

Month and Year of Recall
Others (Older Recalls)
Subject
Surgery
System
Ear, Nose & Throat (ENT)

zahra.sham

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Jan 16, 2021
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Module 10: Eye Ear Nose and Throat (Assessment)

A 50 -year-old man presented with worsening of snoring as complained by his wife. He noted increased fatigue, daytime sleepiness, and some trouble concentrating at work. Physical examination showed a short, thick neck. He is obese BMI 40. His blood pressure 140/100 mmHg. There is nasal congestion with moderately swollen, pale turbinate. Tonsils are enlarged, a low soft palate with elongated uvula.

What is the most effective first line of treatment?


A. Oral Appliance Therapy
B. Bilevel Positive Airway Pressure
C. Uvulopalatopharyngoplasty
D. Oral Modafinil 200-400 mg/d.
E. Continuous positive airway pressure