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Exam questionKROK 2Medicine · 2020

A 45-year-old woman comes to her physician with complaints of excessive fatigue and weakness. She says that these symptoms have been present for the past month. On further questioning, she admits having lost 3 kilograms in the last 2 weeks. On physical examination, she is a tiredappearing thin woman. Hyperpigmentation is present over many areas of her body, most prominently over the face, neck and back of hands (areas exposed to light). Increased production of which of the following hormones is the most likely cause of hyperpigmentation in this patient?

Answer options

  1. β-Lipotropin
  2. Growth hormone (GH)
  3. Gonadotropins
  4. Melanocyte-stimulating hormone (MSH)
  5. Thyroid-stimulating hormone (TSH)
Correct answer

Melanocyte-stimulating hormone (MSH)

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