A 48-year-old male presents complains of feeling tired
most of the time. He feels sleepy during the day and says he does not feel
refreshed when he wakes up in the morning. His wife says he snores a lot. He
says because of the daytime sleepiness he almost crashed his car on two
occasions. He also complains of having to get up at night to pass urine. He
has decreased libido and becomes irritable. On examination he is grossly
Which of the following is associated
with the condition the patient has?