A 38-Year-Old Woman Presents | Weight Gain and Weight Loss (A&D) — 38yo Woman | Endocrinology | MCCQE1 Q#13438
MCCQE1 Question #13438
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 38-year-old woman presents for a routine visit concerned about gradual weight gain over 4 years, daytime fatigue, and knee pain with stairs. She has a history of gestational diabetes and hypertension treated with hydrochlorothiazide. She does not smoke and drinks alcohol occasionally. Her BMI is 36 kg/m², and waist circumference is 104 cm. Blood pressure is 146/92 mmHg. There is no proximal muscle weakness, easy bruising, or skin fragility. Which additional clinical finding would most strongly suggest an endocrine cause of her obesity rather than primary obesity?
Full answer analysis and choices are available inside the practice session.
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