INSOMNIA

Question 1

Stress-induced insomnia DDx:

3

Answer 1

1. Caffeine-induced insomnia.
2. Insomnia with circadian rhythm sleep disorder.
3. Insomnia related to major depressive disorder.

Question 2

Stress-induced insomnia workup:

5

Answer 2

1. Polysomnography.
2. Mental status exam.
3. Urine tox.
4. CBC.
5. TSH.

Question 3

OSA DDx:

3

Answer 3

1. Daytime fatigue in primary hypersomnia.
2. Insomnia with circadian rhythm sleep disorder.
3. Insomnia related to major depressive disorder.

Question 4

OSA workup:

4

Answer 4

1. CBC.
2. TSH.
3. Polysomnography.
4. ECG.

Question 5

Insomnia related to major depressive disorder DDx:

2

Answer 5

1. Primary hypersomnia.

2. Insomnia with circadian rhythm sleep disorder.

Question 6

Insomnia related to major depressive disorder workup:

4

Answer 6

1. Mental status exam.
2. TSH.
3. CBC.
4. Polysomnography.