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Obstructive Sleep Apnea Management

You'll be able to guide a patient from OSA diagnosis through CPAP initiation, adherence troubleshooting, and appropriate escalation to alternative or surgical therapy.

What this track covers

This track covers the full management pathway for obstructive sleep apnea, including CPAP device and mask selection, titration and adherence strategies, oral appliance therapy, lifestyle interventions, and criteria for surgical referral. It also addresses managing OSA alongside common comorbidities like hypertension, diabetes, and heart failure.

What you will practice

  • Selecting a CPAP pressure mode and mask type based on patient anatomy and symptoms
  • Troubleshooting common CPAP complaints such as mask leak, dryness, and claustrophobia
  • Identifying candidates for mandibular advancement devices versus CPAP
  • Recognizing when positional therapy or weight management alone is insufficient
  • Determining when to refer for surgical evaluation, including hypoglossal nerve stimulation

Simulator scenario

A returning patient with poor CPAP adherence and worsening daytime fatigue who needs a revised treatment plan.

Board question topics

  • CPAP pressure titration principles
  • Oral appliance patient selection criteria
  • Surgical options for refractory OSA
  • OSA management with cardiovascular comorbidities

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