Audio Qbank – Q281 – A 40M with coarsening facial features

 

A 40-year-old man presents to the physician because of a two-year history of coarsening facial features and an increased foot and hand size. Blood pressure is 140/90. Serum studies show increased insulin-like growth factor-I. Compared with a healthy individual, which of the following combinations of findings is most likely to be seen in this patient?