Question of the Week # 332

Posted on March 4, 2012 by Archer USMLE Reviews

332) A 22 year old ballet dancer is evaluated in your office during a routine annual physical examination. She does not have any complaints except for excessive fear of gaining weight. She reports that her mother thinks she has lost a lot of weight in the past two years however, she personally believes she is excessively fat and seeks help to lose more weight. Her menstrual cycles are irregular occurring, once every three to four months. On examination, she is very thin and has a dry, scaly skin. Her Body Mass Index is 15.0. She is afebrile, heart rate is 54/min and blood pressure 86/54 mm Hg. Complete blood count shows mild anemia. Urine pregnancy test is negative. Which of the following findings are consistent with her diagnosis?

A) Metabolic Acidosis

B) Parotid swelling

C) Hyperkalemia

D) Low serum cortisol

E) Increased Pulmonary vital capacity

Filed under: Uncategorized, USMLE Test Prep | Tagged: Archer Gynecology, ARCHER NEPHROLOGY, archer sports medicine, usmle step 3 gynecology, usmle step 3 nephrology, usmle step 3 sports medicine |

15 Responses

belete, on March 4, 2012 at 8:05 pm said:

Patient has anorexia and don`t have enough calories to burn, so she has to restore fat burning whic will lead to metabolic acidosis. Answer A

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Roy, on March 4, 2012 at 9:05 pm said:

B

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Michael, on March 4, 2012 at 9:37 pm said:

b

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Alan, on March 5, 2012 at 1:14 am said:

D

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shru, on March 5, 2012 at 1:28 am said:

B) Parotid swelling

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Piers, on March 5, 2012 at 2:58 am said:

Why parotid swelling? Please elaborate.

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anjumshaik, on March 5, 2012 at 7:51 am said:

b

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zoe, on March 6, 2012 at 12:32 am said:

b

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ali kazmi, on March 10, 2012 at 7:17 am said:

B…parotid swelling

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Francisca Frimpong, on March 11, 2012 at 2:07 am said:

Question

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muztech, on March 12, 2012 at 3:47 am said:

d, she have anoexia nervosa ,

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Many, on March 13, 2012 at 4:23 pm said:

B parotid gland swelling

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Dr.S.Madhu sudhan Rao, on March 13, 2012 at 11:16 pm said:

she may advised to go for thyroid profile which may be one of the cause of metabolic changes.

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manuelchiky, on March 22, 2012 at 12:14 am said:

B….

Cortisol is elevate in anorexia nervosa and declines during recovery. metabolic acidosis and hyperkalemia is not seing in anorexia. Fluid and electrolyte imbalances include hypokalemia, hyponatremia, hypochloremia, metabolic alkalosis, elevated blood urea nitrogen (BUN), decreased glomerular filtration rate (GFR), and ketonuria.
Gastrointestinal effects include constipation, bloating, early satiety, parotid gland hypertrophy, delayed gastric emptying, Mallory-Weiss tears, esophageal or gastric perforation, fatty liver infiltration, gallstones, and pancreatitis

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musicfriend, on August 21, 2018 at 2:16 pm said:

B
Hypokalaemia is the most common electrolyte abnormality
Metabolic alkalosis occurs in patients who vomit or abuse diuretics and acidosis in those misusing laxatives.
Hyponatraemia
Urea and creatinine are generally low
elevation of aminotransferases
Amenorrhoea is due to hypogonadotrophic hypogonadism.
Reduced concentrations of free T4 and free T3
Cortisol is elevated but the response to adrenocorticotrophic hormone is normal.
Hypoglycaemia
Hypercholesterolaemia

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