KROK 1 2012 – Question 64 · KROK (Medicine) · Pathophysiology
A 44 year old woman complains of general weakness, heart pain, significant increase of body weight. Objectively: moon face, hirsutism, AP is 165/100 mm Hg, height - 164 cm, weight - 103 kg; the fat is mostly accumulated on her neck, thoracic girdle, belly. What is the main pathogenetic mechanism of obesity?
- A. Increased insulin production
- B. Reduced glucagon production
- C. Increased mineralocorticoid production
- D. Increased production of glucocorticoids
- E. Reduced production of thyroid hormones
Hint
Look at the whole picture, not only the weight: which hormone excess accounts for the combination of moon face, hypertension, hirsutism and trunk fat?
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