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Exam questionKROK 2Medicine ยท 2013

A 35-year-old female patient has gained 20 kg weight within a year with the normal diet. She complains of chill, sleepiness, shortness of breath. The patient's mother and sister are corpulent. Objectively: height - 160 cm, weight - 92 kg, BMI - 35,9. Obesity is uniform, there are no striae. The face is amimic. The skin is dry. The tongue is thickened. Heart sounds are muffled. HR- 56/min, AP-140/100 mm Hg. The patient has constipations, amenorrhea for 5 months. TSH-28 mkME/l (normal rate - 0,32-5). Crani-ogram shows no pathology. What is the etiology of obesity?

Answer options

  1. Alimentary and constitutive
  2. Hypothyroid
  3. Hypothalamic-pituitary
  4. Hypo-ovarian
  5. Hypercorticoid
Correct answer

Hypothyroid

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