P25024 OSA Pre-Assessment - Medical Learning Institute Inc

Pre-Assessment

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Which of the following best represents your profession?

Physician
NP
PA
Other (please specify):

If other please specify:

If other please specify:

1. What percentage of your patients do you ask about sleep?

2. What percentage of your patients do you suspect have OSA?

5%
20%
>30%

3. Sleep disorders such as OSA are associated with altered circadian system with a higher risk of obesity via:

A. Increased ghrelin
B. Increased leptin
C. Decreased hedonic signaling
D. Increased physical activity

Please select the extent to which you feel confident in your answer:

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4. You are conducting annual wellness visits in your primary care clinic. Based on current evidence-based guideline recommendations for screening and identifying patients at risk for OSA, which of the following patients demonstrates the strongest clinical indication for OSA screening:

A. A 28-year-old man with chronic insomnia, a BMI of 25 kg/m², and a family history of T2D, who reports waking up feeling unrefreshed
B. A 35-year-old woman with a BMI of 34 kg/m² and a history of occasional morning headaches, but no reports of snoring or daytime fatigue
C. A 45-year-old man with a BMI of 31 kg/m² whose bed partner reports snoring, but he denies daytime sleepiness or sleep disruption
D. A 70-year-old woman with a BMI of 26 kg/m², a history of hypertension managed with medication, and frequent nocturia disrupting sleep

Please select the extent to which you feel confident in your answer:

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5. Based on the STOP-BANG screening tool, which of the following patients would be considered highest risk for obstructive sleep apnea (OSA) and most appropriate for further diagnostic evaluation?

A. A 45-year-old woman with BMI 33 kg/m², frequent morning headaches, and a neck circumference of 6 in
B. A 52-year-old man with a BMI of 36 kg/m², loud snoring, observed apneas, and no daytime sleepiness
C. A 60-year-old woman with hypertension, reports of occasional snoring, BMI of 31 kg/m², and no daytime sleepiness
D. A 65-year-old man with BMI 29 kg/m², controlled hypertension, and reports of feeling tired during the day

Please select the extent to which you feel confident in your answer:

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select extent of

6. Which of the following best reflects a guideline-directed obesity management strategy as part of the treatment plan for a patient with obstructive sleep apnea (OSA) and a BMI of 30 kg/m²?

A. Begin PAP and refer to a dentist for oral appliance
B. Combine PAP with a structured weight loss plan
C. Recommend lifestyle changes before initiating PAP management strategies
D. Recommend lifestyle changes and reassess in 6 months for upper airway surgery

Please select the extent to which you feel confident in your answer:

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7. Your patient is a 53-year-old male with a BMI of 42 kg/m2 and hypertension, previously diagnosed with severe OSA. Despite respiratory therapist support, he is unable to tolerate CPAP. Which of the following steps is likely to provide your patient with an optimal outcome?

A. BIPAP + lifestyle modification
B. Hypoglossal nerve stimulation + lifestyle modification
C. Mandibular advancement device + lifestyle modification
D. Anti-obesity medication + lifestyle modification

Please select the extent to which you feel confident in your answer:

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8. A 50-year-old patient with newly diagnosed OSA and a BMI of 32 kg/m2 is overwhelmed by his diagnosis and treatment options. Using an empathetic and SMART goal–based approach, which of the following responses by the HCP best demonstrates appropriate goal-setting?

A. It is critical for your OSA that you lose weight. Try to cut out sugar and improve your gut health.
B. Let’s aim to lose 5-10 pounds in the next month. Are you open to discussing CPAP and medications?
C. You should lose weight by exercising more and eating less.
D. Your condition is serious, and it’s important to use daily CPAP and quickly lose weight.

Please select the extent to which you feel confident in your answer:

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9. When managing your patient with OSA and obesity who is intolerant of PAP therapy, which of the following is the most appropriate modification to treatment?

A. Discontinue PAP and recommend lifestyle change with exercise and diet
B. Increase PAP pressure and reattempt titration
C. Initiate weight-loss pharmacotherapy and initiate weight-loss pharmacotherapy and recommend lifestyle change with exercise and diet
D. Refer the patient for bariatric or oral surgery evaluation

Please select the extent to which you feel confident in your answer:

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