A 40-year-old obese bank accountant presents with complaints of excessive daytime sleepiness and fatigue. His spouse reports that he has loud snoring and early morning tiredness. Which of the following statements is/are correct? 1. The patient is most likely suffering from obstructive sleep apnea. 2. The diagnosis requires CT/MRI of the neck. 3. Treatment of choice is Zolpidem. Select the correct answer using the code given below:
1 only
The clinical picture (obesity, loud snoring, excessive daytime sleepiness, morning tiredness) is classic for obstructive sleep apnea (statement 1 correct). Diagnosis is confirmed by polysomnography, not CT/MRI of the neck (statement 2 incorrect). The treatment of choice is CPAP therapy and weight loss, not Zolpidem, which is a sedative-hypnotic that can worsen OSA (statement 3 incorrect). Hence only statement 1 is correct.
Important Questions from COPD
- The distance walked in 6 minutes is an indirect measure of which of the following variables of the 'BODE Index' which is used to assess the prognosis in chronic obstructive pulmonary disease?
- The most common cause of chronic type II respiratory failure is:
- Which of the following are categorised under obstructive lung disease ?
1. Bronchial asthma
2. Bronchiectasis
3. Bronchiolitis
4. Pulmonary sarcoidosis
Select the correct answer using the code given below: - Risk factors for development of COPD include which of the following ?
1. Tobacco smoking
2. Recurrent infection
3. Coal dust exposure
4. High socio-economic status
Select the correct answer using the code given below: - A 65-year-old male smoker has been diagnosed with Chronic Obstructive Pulmonary Disease (COPD). On pulmonary function testing, the $FEV_1/FVC < 0.7$ and $FEV_1 = 42\%$ of predicted. The severity of airflow obstruction in this patient as per GOLD criteria is :
