Correct!
4. 1 or 3

Either treatment of his mild sleep apnea or further investigation with MSLT seems warranted.  Although the symptoms of the majority of patients with mild sleep apnea do not improve with CPAP, there are exceptions (2). Unfortunately, he had difficulty with CPAP and was only intermittently compliant.
Further history revealed that he developed typical cataplexy associated with anger. He was reluctant to reveal this earlier because he realized that this would likely result in him being med boarded out of the Army.

What should be done next? (Click on the correct answer to be directed to the fourth of five pages)

  1. MSLT
  2. Switch CPAP to AutoPap
  3. Empirically begin Xyrem
  4. 1 or 3
  5. All of the above

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