Weight Gain and Weight Loss (Assessment & Diagnosis) — 46yo Woman | Endocrinology | MCCQE1 Q#13327
MCCQE1 Question #13327
Dimension of Care
Chronic Care
Activity
Assessment & Diagnosis
Objective
Weight Gain and Weight Loss
Section
Medicine / Family Medicine
Subject
Endocrinology
Last updated: February 2026
A 46-year-old woman presents for help with long-standing weight gain. Her weight is 104 kg and height 1.64 m (BMI 38.7 kg/m²). She reports knee pain limiting activity, daytime sleepiness, and low mood. Past history includes hypertension and dyslipidemia, treated with amlodipine and rosuvastatin. She occasionally drinks alcohol and does not smoke. On examination, her waist circumference is 112 cm, and there is acanthosis nigricans at the neck. Screening shows glycated haemoglobin (HbA1c) 6.2%. Which validated tool is most appropriate to assess the severity and health impact of her obesity to guide management beyond BMI alone?
Full answer analysis and choices are available inside the practice session.
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