Sleep apnoea and neuromuscular respiratory failure

Question 1

Sleep apnoea presentation

Answer 1

daytime sleepiness, poor daytime concentration, heavy snoring, recurrent episodes of upper airway obstruction leading to apnoea during sleep, unrefreshing sleep

Question 2

Conditions associated with sleep apnoea

Answer 2

Congestive heart failure, high blood pressure, type 2 diabetes and Parkinson’s disease, Polycystic ovary syndrome, hormonal disorders, prior stroke and chronic lung diseases such as asthma

Question 3

Management options

Answer 3

diagnosed by Hepworth questionnaire, overnight sleep study and history and exam.

Question 4

Management options

Answer 4

diagnosed by Hepworth questionnaire, overnight sleep study and history and exam. continuous positive airways pressure and mandibular repositioning splint. treat endocrine disorders. advise driving

Question 5

Other conditions causing excessive daytime sleepiness.

Answer 5

narcolepsy which is more rare, familial