ABA Sleep Medicine case studies
ABA Sleep Medicine · Put your knowledge to work in context.
The Sleep Medicine Exam is one of the subspecialty examinations offered by the American Board of Anesthesiology (ABA), listed alongside subspecialty exams in adult cardiac anesthesiology, critical care medicine, health care administration, leadership and management, hospice and palliative medicine, neurocritical care, pain medicine, and pediatric anesthesiology. It is intended for physicians who are already certified anesthesiologists and who wish to extend their credentialing into sleep medicine, a multidisciplinary field that draws on neurology, pulmonary medicine, psychiatry, pediatrics, and otolaryngology as well as anesthesiology. The ABA Sleep Medicine case studies are 5 cases and about 2,127 words.
1Positive Airway Pressure Intolerance in a Commercial Driver with Severe OSA
A 54-year-old long-haul truck driver (BMI 38 kg/m², neck circumference 45 cm) is referred after an in-laboratory polysomnogram. AHI is 42 events/h with nadir SpO2 of 71% and 28% of total sleep time below 88% saturation.
550 words, about 3 min2Hypnotic Dependence and Rebound Insomnia After Abrupt Discontinuation
A 61-year-old woman with a 12-year history of nightly zolpidem 10 mg presents requesting a refill. She has been escalating to 15 mg on stressful nights and reports early-morning awakenings and daytime fatigue.
460 words, about 2 min3Suspected REM Sleep Behavior Disorder in an Older Adult
A 68-year-old man is brought by his wife because of 2 years of "acting out dreams." He kicks, punches, and shouts during sleep, occasionally injuring himself or his wife, and he recalls vivid dreams of being chased. Episodes occur in the second half of the night.
394 words, about 2 min4Central Sleep Apnea with Cheyne-Stokes Respiration in Heart Failure
A 70-year-old man with HFrEF (LVEF 30%), NYHA class III symptoms, and atrial fibrillation is admitted with decompensated heart failure. He reports orthopnea and paroxysmal nocturnal dyspnea.
365 words, about 2 min5Restless Legs Versus Periodic Limb Movements and Iron Status
A 45-year-old woman reports an urge to move her legs in the evening that is worse at rest and relieved by walking. Symptoms began during her second pregnancy and worsened over the past year.
358 words, about 2 min