A 49 year old female begins to notice weakness .

Question Number 0835

Question:
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


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