A 44-Year-Old Woman Comes to the Office Due to Excessive

question 1072

Multiple Choice

A 44-year-old woman comes to the office due to excessive thirst and urination.  She has to get up several times during the night to urinate.  Two months ago, she was diagnosed with type 2 diabetes mellitus, which she manages with diet and exercise.  Blood pressure is 134/78 mm Hg and pulse is 88/min.  BMI is 32 kg/m².  The remainder of the physical examination is normal.  Laboratory results are as follows: Which of the following is the most likely cause for this patient's excessive thirst and urination?

• A)Diabetes insipidus
• B)Excess antidiuretic hormone production
• C)Hyperglycemia
• D)Hypothyroidism
• E)Impaired thirst perception

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