The patient was afebrile with stable vital signs. BP was 130/70 mm Hg, heart rate was 95/min, height was 185 cm, and weight was 123 kg with a calculated BMI of 35 kg/m2. His general physical examination revealed intellectual disability, developmental delay, dysarthria, hypotonia, and gate disturbance. Cardiac and pulmonary examinations were within normal limits apart from periods of tachypnea precipitated by the physical examination attempts. These tachypneic episodes were sustained for a few minutes with a respiratory rate of ≥ 60/min. The episodes were not associated with sweating, wheezing, stridor, change in color, or desaturation. Head and neck examination revealed the presence of a high-arched palate, maxillary retrusion, and Mallampati class 4.