Following the identification of low levels of T3 and T4 coupled with the presence of a goiter, a 28-year-old female has been diagnosed with Hashimoto thyroiditis In light of this diagnosis, which of the following assessment results would constitute an unexpected finding?
A) The presence of myxedema in the woman's face and extremities
B) Recent weight gain despite a loss of appetite and chronic fatigue
C) Coarse, dry skin and hair with decreased sweat production
D) Increased white cell count and audible crackles on chest auscultation
Ans:
D
Feedback:
An increased white cell count and the presence of adventitious fluid in the lungs are not classic findings associated with hypothyroidism. Myxedema, weight gain, lethargy, and dry skin and nails are commonly associated with low levels of thyroid hormones.
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