A 32-year-old man comes to the office due to excessive sleepiness for the past several months

A 32-year-old man comes to the office due to excessive sleepiness for the past several months. He says, “I am very worried that I will
lose my job I feel like napping all the time and once fell asleep while talking with a customer. The other day, I nearly had an accident
when I fell asleep while driving” The patient is also concerned that he occasionally hears voices while falling asleep and finds himself
“temporarily frozen” and unable to move on awakening He has a history of hypertension controlled with hydrochlorothiazide His
family history is noncontributory The patient does not smoke cigarettes or drink alcohol but does smoke marijuana a few times a
month. Physical examination is remarkable for obesity and no other abnormalities. Which of the following is the most appropriate
treatment for this pati ent?

  • QA Clonazepam
  • 0 B. Continuous positive airway pressure
  • 0 C. Melatonin
  • 0 D. Modafinil
  • 0 E. Pramipexole
  • 0 F Quetiapine

0 voters

Key D
Modafinil nonamphetamine stimulus