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51-year-old man comes to the office because of a one-year hist
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51-year-old man comes to the office because of a one-year history of excessive sleepiness during the day and decreased energy level. He also reports disrupted sleep, feeling unrefreshed upon awakening, and occasional morning headaches. His partner has told him that he snores loudly almost nightly. The patient's medical history is remarkable for poorly-controlled hypertension, type 2 diabetes mellitus, and obesity. Medications are lisinopril-hydrochlorothiazide, amlodipine, and metformin. He is 178 cm (5 feet 8 inches) tall and weighs 108 kg (238 lbs.); BMI is 34 kg/m2. Neck circumference is 46 cm (18.1 inches). Waist circumference is 107 cm (42.1 inches). Vital signs are pulse 86/min, and blood pressure 146/94 mm Hg. Physical examination shows a crowded oropharynx (Class IV Mallampati Score) and an abdominal panniculus adiposus. Laboratory test shows a HbA1c of 6.9%. Which of the following factors in this patient's history most increased his risk for the development of his current symptoms? A) Sex B) Obesity C) Resistant hypertension D) Type 2 diabetes mellitus

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51-year-old man comes to the office because of a one-year history of excessive sleepiness during the day and decreased energy level. He also reports disrupted sleep, feeling unrefreshed upon awakening, and occasional morning headaches. His partner has told him that he snores loudly almost nightly. The patient's medical history is remarkable for poorly-controlled hypertension, type 2 diabetes mellitus, and obesity. Medications are lisinopril-hydrochlorothiazide, amlodipine, and metformin. He is 178 cm (5 feet 8 inches) tall and weighs 108 kg (238 lbs.); BMI is 34 kg/m2. Neck circumference is 46 cm (18.1 inches). Waist circumference is 107 cm (42.1 inches). Vital signs are pulse 86/min, and blood pressure 146/94 mm Hg. Physical examination shows a crowded oropharynx (Class IV Mallampati Score) and an abdominal panniculus adiposus. Laboratory test shows a HbA1c of 6.9%. Which of the following factors in this patient's history most increased his risk for the development of his current symptoms? A) Sex B) Obesity C) Resistant hypertension D) Type 2 diabetes mellitus
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Question Text
51-year-old man comes to the office because of a one-year history of excessive sleepiness during the day and decreased energy level. He also reports disrupted sleep, feeling unrefreshed upon awakening, and occasional morning headaches. His partner has told him that he snores loudly almost nightly. The patient's medical history is remarkable for poorly-controlled hypertension, type 2 diabetes mellitus, and obesity. Medications are lisinopril-hydrochlorothiazide, amlodipine, and metformin. He is 178 cm (5 feet 8 inches) tall and weighs 108 kg (238 lbs.); BMI is 34 kg/m2. Neck circumference is 46 cm (18.1 inches). Waist circumference is 107 cm (42.1 inches). Vital signs are pulse 86/min, and blood pressure 146/94 mm Hg. Physical examination shows a crowded oropharynx (Class IV Mallampati Score) and an abdominal panniculus adiposus. Laboratory test shows a HbA1c of 6.9%. Which of the following factors in this patient's history most increased his risk for the development of his current symptoms? A) Sex B) Obesity C) Resistant hypertension D) Type 2 diabetes mellitus
TopicAll topics
SubjectBiology
ClassClass 11