Approach to sleep disorders Quiz: Ace Your Exams
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A 56-year-old-woman presents to the cardiology clinic for follow-up of hypertension. Lately, her blood pressure has been within goal range, but she reports feeling excessively sleepy during the day despite sleeping 7-8 hours nightly. Her partner notes that she snores loudly throughout the night. She has a past medical history of hypertension and hyperlipidemia and takes lisinopril and simvastatin. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 14/min, and blood pressure is 128/82 mmHg. Body mass index (BMI) is 30 kg/m2. On exam, she is alert. She has a deviated nasal septum, mild retrognathia, and enlarged tonsillar tissue. Cardiac examination reveals normal heart sounds with a regular rate and rhythm. Which of the following diagnostic tests will most likely confirm the diagnosis?
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