Review Question - QID 109995

A 17-year-old man presents to his primary care physician concerned about excessive sleepiness that has persisted his entire life. He has been having difficulty with his job as a waiter because he often falls asleep suddenly during the day. He also experiences a sensation of dreaming as he goes to sleep even though he still feels awake. He sleeps about 10 hours per day and naps regularly and still feels tired throughout the day. The patient has even reported driving into a tree once as he fell asleep while driving. Physical exam demonstrates an obese young man who appears tired. His oropharynx demonstrates high palatal ridges and good dental hygiene. Which of the following is the most appropriate next step in management?