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A 22-year-old college student has had frequent episodes of "sleepiness"...

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asked Feb 25, 2014 in Psychiatry by Rajesh Bahara

A 22-year-old college student has had frequent episodes of "sleepiness" over the last 3 months. She frequently falls asleep throughout the day but says that she feels better after each episode. During your conversation with her, she tilts hear head and sleeps quietly in the chair for 3 minutes. She has no other complaints. Physical examination is unremarkable. Her BMI is 24. T4 is 8 ug/dL and TSH is 4 ug/dL. Hct is 36%. Which of the following is most likely to be true regarding her condition:

a. This patient's condition is associated with low frequency, high amlitude waves

b. This patient's condition is associated with an increased risk of developing right heart failure

c. This patient's condition is the most common cause of excessive daytime sleepiness

d. This patient's condition can be treated with CPAP

e. This patient's condition is associated with low levels of hypocretin (orexin)

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Best answer
e. This patient's condition is associated with low levels of hypocretin (orexin)
answered Feb 25, 2014 by Rajesh Bahara
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