A 23-Year-Old Man Comes to the Physician at His Girlfriend's

A 23-year-old man comes to the physician at his girlfriend's insistence.  She says that the patient's frequent snoring keeps her up at night and that in the last 4 months he has twice fallen asleep while they were talking.  In this same period, the patient says that he has regularly fallen asleep in the afternoon while reading or watching television but typically feels refreshed after a brief nap.  When asked whether he experiences any other symptoms, the patient hesitantly reveals that he sometimes hears a voice call his name prior to falling asleep.  He also reports uncharacteristic episodes of clumsiness in which he has suddenly dropped objects or fallen to his knees.  Examination shows no abnormalities.  Which of the following is the most likely diagnosis in this patient?

A) Brief psychotic disorder
B) Delayed sleep-wake phase disorder
C) Idiopathic hypersomnia
D) Insufficient sleep
E) Narcolepsy
F) Obstructive sleep apnea
G) REM sleep behavior disorder

Correct Answer:

Verified

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

Access For Free