Sleep medicine: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Sleep medicine

Sample item

Which nocturnal history is most suggestive of obstructive sleep apnea?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Loud snoring with witnessed breathing pauses

Obstructive sleep apnea involves recurrent upper-airway collapse during sleep, commonly causing loud snoring, witnessed apneas, gasping, unrefreshing sleep, and daytime sleepiness with cardiovascular consequences if untreated.

Option by option

  • A. Brief vertigo after looking upward

    Looking-up vertigo suggests a positional vestibular complaint.

  • B. Loud snoring with witnessed breathing pauses (correct)

    Correct: witnessed apneas with loud snoring strongly suggest obstructive sleep apnea.

  • C. Nasal itch only after pollen exposure

    Pollen-related nasal itch suggests allergic rhinitis.

  • D. Ear pain relieved by chewing

    Chewing-related ear pain may be referred from the temporomandibular joint.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Loud snoring with witnessed breathing pauses. Obstructive sleep apnea involves recurrent upper-airway collapse during sleep, commonly causing loud snoring, witnessed apneas, gasping, unrefreshing sleep, and daytime sleepiness with cardiovascular consequences if untreated.

Why is "Brief vertigo after looking upward" not the answer?

Looking-up vertigo suggests a positional vestibular complaint.

Why is "Nasal itch only after pollen exposure" not the answer?

Pollen-related nasal itch suggests allergic rhinitis.

Why is "Ear pain relieved by chewing" not the answer?

Chewing-related ear pain may be referred from the temporomandibular joint.

What concept does this question test?

It tests Sleep medicine in ENT. The correct option holds because: Correct: witnessed apneas with loud snoring strongly suggest obstructive sleep apnea.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Sleep medicine?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.