Q177) A 52 Year old obese man is evaluated in your office during a routine annual visit. He denies any fatigue or recent weight changes. He has normal appetite and physically active. He had a colonoscopy 1 year ago that was normal. On physical examination, he is obese with a BMI of 34. Skin examination reveals the findings shown in the image below :
Which of the following is most likely to be seen in this patient?
A) Diabetes Mellitus, Type I
B) Gastric cancer
C) Increased Insulin levels
D) Hyperthyroidism
E) Addison’s disease
e?
ccccccccc ,acanthosis nigrans
this is interesting b/c if not obese——-its can be a sighn of malignancy
since he is obese we can answer the question with high insulin levels
with resistance