A 36-Year-Old Woman, Gravida 0 Para 0, Comes to the Office

question 597

Multiple Choice

A 36-year-old woman, gravida 0 para 0, comes to the office with frequent headaches and amenorrhea for the last 2 months.  The patient has also had weight loss, intermittent palpitations, and vague visual disturbances.  Her medical history is unremarkable, and she takes no medications.  The patient experienced menarche at age 12 and has had normal menstrual cycles all her life.  She does not smoke cigarettes or drink alcohol.  Blood pressure is 130/60 mm Hg, and pulse is 103/min and regular.  Weight is 69 kg (152 lb) ; a year ago it was 76 kg (168 lb) .  Examination shows a symmetrically enlarged, nontender thyroid gland.  Auscultation of the chest shows tachycardia with regular heart rhythm.  A fine hand tremor is noted.  The remainder of the physical examination is unremarkable.  Laboratory results are as follows: Which of the following is the most likely diagnosis for this patient?

• A)Generalized resistance to thyroid hormone
• B)Graves disease
• C)Hashimoto thyroiditis
• D)Normal pregnancy
• E)Surreptitious thyroid hormone intake
• F)TSH-secreting pituitary adenoma

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Definitions:

Liquidated Damages

A predetermined sum of money agreed upon by the parties in a contract to be paid as compensation if one party breaches the contract.

Frustration of Purpose

A legal defense used in contract law where unforeseen events render the contract's purpose void and impracticable, absolving the parties from their obligations.

Coronation

The ceremony of crowning a sovereign or a sovereign's consort.

Equitable Remedies

Remedies granted by courts in cases where monetary damages are insufficient, often involving actions like injunctions or specific performance.