Which of the following physical exam findings are associated with obstructive sleep apnea? 1. Large tonsils 2. Microcephaly 3. Macroglossia 4. Deviated nasal septum
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only
ANS: D
Although tonsillar hypertrophy is common in children with sleep apnea, it is seldom found in adults. Large palatine tonsils may increase the risk of airway closure during sleep.
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