Question 11 (part 2) · LEK · Somatic diseases and psychiatry
A 50-year-old woman who has been treated for depression with sertraline for almost two years complains of weakness, cold intolerance, constipation and weight gain, all of which have been present for about 6 months. Physical examination revealed dry, rough skin, bradycardia, hypothermia and hand and foot oedema. Which of the following tests will the most useful in establishing the diagnosis:
- A. liver function tests.
- B. a serum electrolytes test.
- C. measurement of oestrogen levels in the serum.
- D. measurement of sertraline levels in the serum.
- E. measurement of thyrotropic hormone levels in the serum.
Hint
Fatigue, cold intolerance, constipation, weight gain, dry skin and bradycardia form a classic endocrine pattern — which hormone screens for it?
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Psychiatry
- A 35-year-old male suffering from bipolar disorder with a previous mixed episode presents for a follow-up. In the past two years the patient…
- A 19-year-old female student is brought to a clinic by her flatmate, who has been worried about her unusual behaviour for 6 months. In the last…
- A 37-year-old male presents to the doctor after a nervous breakdown. The patient reports that after a recent bankruptcy, loss of house and business…
- A 28-year-old male presents to the doctor with severe anxiety, fear and general muscle pain, all of which have been bothering him for three days. He…
- A 48-year-old male presents to the doctor for a yearly check-up. The patient has been smoking a package a day for 20 years and claims he wants to…
- A 55-year-old female presents to the doctor as she has been feeling a compulsion to repeat various activities and has become tired of wasting time…