A 63-year-old retired postal worker is referred with four months of "insomnia". He falls asleep within ten min…

Question

A 63-year-old retired postal worker is referred with four months of "insomnia". He falls asleep within ten minutes but wakes at about 4 am and cannot get back to sleep. He has lost 5 kg without dieting and has stopped going to lawn bowls, which he had played every week for twenty years. He is not sleepy during the day. He drinks one cup of tea at breakfast, no alcohol, and takes no medicines. Which one of the following questions is most likely to establish the cause of his sleep disturbance?

Accepted Answer

Ask about enjoyment of things he once liked

Answer

Ask about an urge to move his legs

Answer

Ask about caffeine and alcohol after midday

Answer

Ask about pauses in his breathing at night

Answer

Ask about the times he goes to bed at weekends

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