QuestionSBA
QuestionChoice
Hyperthyroidism would present with weight loss rather than gain, as well as symptoms like sweating, anxiety, palpitations, sensitivity to heat, and diarrhoea.
10007604
d
Hyperthyroidism
QuestionChoice
This is a typical presentation of hypothyroidism. The patient describes general symptoms of weight gain and lethargy, and is experiencing anhydrosis and hair loss. Hypothyroidism also impacts the gastrointestinal system causing constipation. It can also cause menorrhagia in some patients, although this is not specifically mentioned.
10007601
a
Hypothyroidism
QuestionChoice
A presentation of Addison's disease can present with symptoms such as lethargy and weakness similar to those seen in this patient. However, you would expect Addison’s to cause weight loss, rather than gain and would also expect symptoms such as nausea and vomiting, hyperpigmentation of the skin, and vitiligo. Addison's is also typically associated with hyponatremia and hyperkalaemia.
10007602
b
Addison's Disease
QuestionChoice
Type 1 diabetes mellitus typically causes weight loss rather than gain, as well as symptoms such as polyuria and polydipsia. A first presentation of type 1 diabetes can present as an episode of diabetic ketoacidosis with abdominal pain, vomiting, and reduced consciousness level.
10007603
c
Type 1 Diabetes Mellites
QuestionChoice
Iron deficiency anaemia would present with a different clinical picture.  Symptoms include lethargy, weakness, jaundice, heavy periods, and a change in bowel habits. It is not typically associated with weight gain. Hypothyroidism is therefore a more likely diagnosis.
10007605
e
Iron Deficiency Anaemia
Concept
Chapter
2693
3765
Hypothyroidism
Topic
133
Endocrinology
14067
A 19-year-old female attends the GP surgery with reports of extreme tiredness for the past four months. She is also troubled by hair loss and dry skin, and has noticed that her clothes are becoming too tight for her. On further questioning, you also find out she is more constipated than usual, despite no change to her diet.

Which of the following is the most likely diagnosis?
a