q th - ebnalfady

[ArchivalUser]

A 49 year old female begins to notice weakness . She also notices that she no longer eats her lunch outside, because as she cannot tolerate the heat. She complains of loose stools and weight loss. Her doctor immediately notices that she has a nervous demeanor and a slight tremor. On physical examination her heart rate is 105 and her blood pressure is 120/80. She has a brisk return of her Achilles tendon reflex. Her skin is warm and moist . She has exophthalmos. her thyroid is palpable. Thyroid tests are done, but the results are pending. What is the most likely diagnosis?
a) myxedema
b) cretinism
c) Graves disease
d) Jod-Basedow phenomenon
e) Riedel's thyroiditis

[ArchivalUser]

c)

[ArchivalUser]

GOOD LEK
The correct answer is C
Explanation
Graves disease would present with symptoms of hyperthyroidism. Symptoms of hyperthyroidism would include weight loss, loose stools, and heat intolerance. Signs would include tachycardia, a brisk return on the Achilles reflex, exophthalmos and a palpable thyroid.Myxedema (choice a) would present with symptoms of weakness, fatigue, cold intolerance, constipation, weight gain.Cretinism (choice b) is congenital hypothyroid. This is not the case here, as she developed the hyperthyroidism later in her life.Jod-Basedow phenomenon (choice d) is hyperthyroidism cause by iodine ingestion.Riedel's thyroiditis (choice e) would present with an enlargement hard thyroid.

[ArchivalUser]

thanks for the question