Audio Qbank – Q166 – A 25F reporting general unwellness

 

A 25-year-old woman comes to the physician reporting a feeling of general unwellness since giving birth to her son a week ago. She has fatigue, an inability to breastfeed, and light-headedness. Her delivery was performed by C-section and was complicated by significant loss of blood requiring transfusion. On examination she appears lethargic. Which of the following combinations of hormonal findings is most likely in this patient?

A) ↑ ACTH; Aldosterone; Prolactin; TSH
B) ↑ ACTH; Aldosterone; ↓ Prolactin; TSH
C) ↑ ACTH; Aldosterone; ↓ Prolactin; ↓ TSH
D) ↓ ACTH; Aldosterone; Prolactin; TSH
E)  ↓ ACTH; Aldosterone; ↓ Prolactin; ↓ TSH
F)  ↓ ACTH; Aldosterone; ↓ Prolactin; ↓ TSH

 

Cut-to-the-chase Answer (0:56):
HY USMLE Answer (4:33):