A 61-year-old obese man presented with daytime somnolence, poor concentration, nocturia, and progressive shortness of breath. Examination reveals an obese patient with bilateral lo... A 61-year-old obese man presented with daytime somnolence, poor concentration, nocturia, and progressive shortness of breath. Examination reveals an obese patient with bilateral lower limb edema and normal vesicular breath sounds on lung auscultation. Which of the following is the most appropriate investigation to establish the diagnosis? A. Chest X-ray B. Sleep study C. Echocardiography D. High-resolution CT lung

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Understand the Problem

The question describes a medical scenario involving a 61-year-old obese man with specific symptoms and signs. It asks which investigation would be the most appropriate to establish a diagnosis among several options.

Answer

Sleep study

The most appropriate investigation is a sleep study.

Answer for screen readers

The most appropriate investigation is a sleep study.

More Information

The symptoms suggest obstructive sleep apnea (OSA), characterized by obesity, daytime somnolence, poor concentration, and nocturia. A sleep study can confirm the diagnosis of OSA.

Tips

A common mistake is to assume heart or lung issues solely based on shortness of breath. Consider all symptoms presented.

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