Question at position 1 A patient is complaining of mental and physical sluggishness and low blood pressure, this is a sign of:hypothyroidismhyperparathyroidisminfectionhypoparathyroidismhyperthyroidism

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Question at position 1 A patient is complaining of mental and physical sluggishness and low blood pressure, this is a sign of:hypothyroidismhyperparathyroidisminfectionhypoparathyroidismhyperthyroidism

BlackTom AI · Accepted Answer

Consider the presenting signs: mental and physical sluggishness with low blood pressure. 
Option 1: hypothyroidism. This fits well, since underactive thyroid commonly causes fatigue, lethargy, and bradycardia which can contribute to lower blood pressure and a sluggish overall state. It aligns with the scenario described. 
Option 2: hyperparathyroidism. While it can affect calcium balance and cause various symptoms, the hallmark issues are hypercalcemia-related bones, groans, stones, and psychiatric overtones, not a primary picture of general sluggishness with hypotension. This makes it less consistent with the vignette. 
Option 3: infection. Infections often produce fatigue, malaise, and sometimes low blood pressure in severe sepsis, but the question points to a steady pattern of mental and physical slowness rather than an acute infectious process or sepsis. Without signs of fever or focal infection, this is a weaker fit. 
Option 4: hypoparathyroidism. This causes hypocalcemia, which can lead to neuromuscular irritability (tingling, cramps, tetany) and sometimes fatigue, but the classic matrix is not primarily hypotension with sluggishness. The presentation here is not the typical hypocalcemia-dominated picture. 
Option 5: hyperthyroidism. In contrast to the stem, hyperthyroidism usually causes acceleration: restlessness, weight loss, warm skin, and often hypertension or tachycardia, not the described low blood pressure and general slowness. This makes it unlikely given the symptoms. 
In summary, the combination of fatigue–like sluggishness and low blood pressure most coherently points toward hypothyroidism, while the other conditions have either contrasting cardiovascular signs or different symptom clusters that do not match the vignette as closely.

Question at position 1 A patient is complaining of mental and physical sluggishness and low blood pressure, this is a sign of:hypothyroidismhyperparathyroidisminfectionhypoparathyroidismhyperthyroidism

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Question at position 1 A patient is complaining of mental and physical sluggishness and low blood pressure, this is a sign of:hypothyroidismhyperparathyroidisminfectionhypoparathyroidismhyperthyroidism

View Explanation

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The doctor suspects a diagnosis of hyperthyroidism. Which symptoms are consistent with this possible diagnosis.

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