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A 35-Year-Old Man Comes to the Office with a Year-Long

question 1477

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A 35-year-old man comes to the office with a year-long history of fatigue and weakness.  He has had a significant decrease in appetite and interest in day-to-day activities due to lack of energy.  He also reports cold intolerance, a dull constant headache, constipation, erectile dysfunction, and low libido.  The patient has no fever, neck swelling, skin rash, head injury, or excessive urination.  Temperature is 36.6 C (97.9 F) , blood pressure is 98/72 mm Hg, pulse is 50/min, and respirations are 14/min.  The skin is dry and pale.  Neurologic examination shows delayed deep tendon reflexes.  The testes are small and soft on palpation.  Laboratory results are as follows: A 35-year-old man comes to the office with a year-long history of fatigue and weakness.  He has had a significant decrease in appetite and interest in day-to-day activities due to lack of energy.  He also reports cold intolerance, a dull constant headache, constipation, erectile dysfunction, and low libido.  The patient has no fever, neck swelling, skin rash, head injury, or excessive urination.  Temperature is 36.6 C (97.9 F) , blood pressure is 98/72 mm Hg, pulse is 50/min, and respirations are 14/min.  The skin is dry and pale.  Neurologic examination shows delayed deep tendon reflexes.  The testes are small and soft on palpation.  Laboratory results are as follows:   Further evaluation in this patient would most likely show which of the following?   A) A B) B C) C D) D E) E Further evaluation in this patient would most likely show which of the following?
A 35-year-old man comes to the office with a year-long history of fatigue and weakness.  He has had a significant decrease in appetite and interest in day-to-day activities due to lack of energy.  He also reports cold intolerance, a dull constant headache, constipation, erectile dysfunction, and low libido.  The patient has no fever, neck swelling, skin rash, head injury, or excessive urination.  Temperature is 36.6 C (97.9 F) , blood pressure is 98/72 mm Hg, pulse is 50/min, and respirations are 14/min.  The skin is dry and pale.  Neurologic examination shows delayed deep tendon reflexes.  The testes are small and soft on palpation.  Laboratory results are as follows:   Further evaluation in this patient would most likely show which of the following?   A) A B) B C) C D) D E) E


Definitions:

Pain-Induced Aggression

Anger and aggressive behavior elicited by punishment.

Organisms

Living entities that grow, reproduce, and maintain homeostasis, including plants, animals, fungi, and microorganisms.

Punishment

In behavior psychology, a consequence that reduces the likelihood of a behavior being repeated by applying an undesirable outcome or removing a desirable one after the undesired behavior.

Yelling

The act of shouting or raising one's voice in a loud manner, often to convey a message or express an emotion.

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