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BOF: 69

A 56 year old male presents with a history of feeling tired and sleepy all the time. He has problems at work due to this and has been reprimanded on several occasions. He is known to have mild hypertension and is on a thiazide diuretic. He smokes 10 cigarettes a day and consumes 12 units of alcohol per week.

On examination he is obese and his blood pressure is 140/90. Apart from this there are no abnormalities detectable.

Investigations

 Blood gases pH 7.34 PaCO2 7.3 kPa, Pa O2 8.4 kPa, bicarbonate 36 mmol/L

In this patient which one of the following test would you arrange to elucidate the diagnosis?

a)      Home oximetry

b)      Pulmonary function tests

c)      CT scan of his chest

d)     Bronchoscopy

e)      TSH levels

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