An adult male patient who works full time complains of being tired all day even after getting 8 hours of sleep each night. Which condition is most likely the cause of this patient's complaint?
A) Sleep apnea
B) Alcohol abuse
C) Nocturnal myoclonus
D) Age-related changes to sleep
A
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Sleep apnea is the most likely cause. It is two times greater in men than in women, and fatigue in spite of seemingly sufficient quantity of sleep is more characteristic of sleep apnea than of the other cited problems. There is no information to suggest the patient is using alcohol. The patient is not explaining symptoms of nocturnal myoclonus. It is unknown what the patient's age is to assume that the complaint is due to age-related changes.
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