Medical Emergencies · single question

Which finding would you NOT expect in a patient with obstructive sleep apnea?

  1. Systemic hypertension
  2. Elevated BMI / large neck circumference
  3. Hypotension
  4. Daytime somnolence
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Correct answer: C. Hypotension

  • A. Expected — OSA is an independent risk factor for systemic and pulmonary hypertension.
  • B. Expected — obesity and neck circumference >17 in (men) are major OSA risk factors.
  • C. Correct. OSA is associated with HYPERtension, not hypotension. Repeated apneic episodes drive sympathetic surges and nocturnal blood-pressure elevation; OSA is a recognized cause of resistant hypertension.
  • D. Expected — fragmented sleep produces excessive daytime sleepiness (a core Epworth/STOP-BANG item).

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