Approach to sleep disorders Quiz: Ace Your Exams
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A 21-year-old man presents to the primary care clinic for evaluation of excessive daytime sleepiness. For years, he has felt drowsy during the day despite sleeping 8-10 hours at night. He currently consumes 200-400 mg of caffeine during the day to stay awake. As he is falling asleep, he occasionally sees flashes of light. Sometimes during the day, especially if he is surprised, he feels as if his legs might give out. He has no past medical history and takes no medication. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 16/min, and blood pressure is 120/80 mmHg. On exam, he is alert, and the remainder of his neurological examination is normal. Oropharyngeal and cardiopulmonary examinations are within normal limits. Which of the following tests should be ordered to confirm the likely diagnosis?
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