A 25-Year-Old Man Comes to the Office for Evaluation of Facial

question 566

Multiple Choice

A 25-year-old man comes to the office for evaluation of facial acne.  He has no significant past medical history and does not use tobacco or alcohol.  The patient works as a personal trainer.  His family history is significant for diabetes mellitus in his mother and leukemia in his father.  His blood pressure is 134/82 mm Hg and pulse is 58/min.  On physical examination, there is mild facial acne.  The patient's lungs are clear to auscultation.  The liver span is 8 cm, and the spleen is not palpable.  His testes are soft, and testicular volume is decreased.  Laboratory results are as follows: Which of the following is the most likely explanation for this patient's abnormal laboratory findings?

• A)High oxygen affinity hemoglobin
• B)Intensive exercise schedule
• C)Myeloproliferative disorder
• D)Renal artery stenosis
• E)Steroid drug abuse
• F)Volume depletion due to excessive sweating

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Definitions:

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Relevant Activities

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