A 72-Year-Old Man Comes to the Office Due to Poor

A 72-year-old man comes to the office due to poor sleep.  He is concerned that he is sleeping less since he retired a year ago.  He says, "I used to sleep a solid 8 hours, but now I wake up several times a night.  And I'm up for the day between 5:00 and 6:00 AM, which is a full hour before I want to get up.  I'm probably only getting about 6 or 7 hours of sleep total."  The patient typically falls asleep while watching television at 10:00 PM.  He sometimes awakens to use the bathroom in the middle of the night but typically falls back asleep within 15 minutes.  The patient likes to do crosswords and play golf in the mornings but occasionally takes 30-minute naps in the afternoon.  The patient's wife says that he snores softly, but she has not witnessed any breathing pauses.  Medical problems include hypertension and a history of depression.  The patient does not use alcohol or illicit drugs.  Which of the following is the most likely cause of this patient's symptoms?

A) Adjustment disorder
B) Age-related sleep changes
C) Insomnia disorder
D) Major depressive disorder
E) Obstructive sleep apnea
F) REM sleep behavior disorder

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free