A 27-year-old woman comes to the office for a pre-employment

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A 27-year-old woman comes to the office for a pre-employment phystCal examma\I011 The paUent has no medfl:al conditions but is

concerned about weight gain, irregular menses, abdominal bloating, and constIpatIon She exercises for an hour on most days but

mentions that her energy has been lower than she would like. She takes no medications The patient dnnks 1 or 2 glasses of wine

several times a week when socializing with friends. She weighs 65 kg (143 3 lb) and Is 162 5 cm (5 ft 4 in) tall Temperature is 37 C

(98 6 F), blood pressure IS 1oono mm Hg, pulse is 86/min, and respIralJOOs are 10/mm BMI is 24 6 kg/􀃁 Physfl:al examination

shows dry skin, enlarged parotld glands, abrasions on her nght hand, and mild, gerieralized abdominal tenderness to palpation_ The

remainder of the examinatlOO Is unremarkable. Which of the following abnormalities is mosl hkety in this patient?

  • O A Elevated TSH level
  • Q B HyperchloremIa
  • Q C HypercortIsolemIa
  • Q D HypokalemIa
  • Q E Low hemoglobin and hematocrit
  • QF Metabohc acIdosIs

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