Which of the following are true about obstructive sleep apnea (OSA)?
1. It is overdiagnosed in the United States.
2. It has an equivalent prevalence to asthma in the general population.
3. It has an equivalent prevalence to diabetes in the general population.
4. The spectrum of the disease includes sleep disruption related to increased airway resistance.
a. 1 and 2 only
b. 2 and 3 only
c. 1, 2, and 4 only
d. 2, 3, and 4 only
ANS: D
Obstructive sleep apnea syndrome is a common clinical problem that continues to be underdiag-nosed. The prevalence is equivalent to that of asthma and diabetes in the general population. The spectrum of the disease ranges from sleep disruption related to increased airway resistance to profound daytime sleepiness in conjunction with severe oxyhemoglobin desaturation, pulmonary hypertension, and right heart failure.
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