Approach to sleep disorders Quiz: Ace Your Exams
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A 70-year-old man present to the primary care clinic for evaluation of poor sleep. He has difficulty falling asleep, awakens early, and has frequent, recurrent, unpleasant dreams. His partner notes he calls out and screams in the night, sometimes kicking or punching, and when it is happening, he is unable to be aroused. He does not snore. He has a past medical history significant for hypertension that is well-controlled with lisinopril. He takes no other medication. He does not consume alcohol or caffeine. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 12/min, and blood pressure is 130/80 mmHg. On exam, there is no airway obstruction. Cardiac and pulmonary examinations are normal. Which of the following additional findings is most likely to be associated with his underlying condition?
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