Pathology · single question

How do you definitively assess whether a patient has obstructive sleep apnea (OSA)?

  1. Pulse oximetry alone overnight
  2. Polysomnography (an attended overnight sleep study)
  3. A panoramic radiograph
  4. A lateral cephalometric radiograph
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Correct answer: B. Polysomnography (an attended overnight sleep study)

Polysomnography is the gold-standard diagnostic test for OSA. It records airflow, respiratory effort, oxygen saturation, EEG, and EMG to calculate the apnea-hypopnea index (AHI), which grades severity. Home sleep apnea tests (a limited form of this) are an accepted alternative for uncomplicated suspected OSA, but in-lab polysomnography remains the reference standard.

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