Medical Emergencies · single question

What is the gold standard diagnostic study for sleep apnea?

  1. Overnight polysomnography (PSG)
  2. Epworth Sleepiness Scale questionnaire
  3. Home sleep apnea testing (HSAT)
  4. Daytime pulse oximetry
Show answer and explanation

Correct answer: A. Overnight polysomnography (PSG)

Overnight polysomnography (in-lab sleep study) is the gold standard — simultaneously records EEG, eye movements, muscle activity, heart rhythm, breathing, and oxygen levels.
  • A. ✅ CORRECT – Overnight in-lab polysomnography is the gold standard for sleep apnea diagnosis.
  • B. ❌ Epworth is a symptom screening questionnaire; not diagnostic.
  • C. ❌ Home sleep testing is simpler but lacks full polysomnography capability.
  • D. ❌ Daytime pulse oximetry cannot diagnose sleep apnea.

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