Answer:
c. The abnormality is in the thyroid gland itself.
Explanation:
Primary hypothyroidism arises from a pathology in the thyroid gland itself and occurs when the thyroid gland is not able to perform one of its many physiology. Secondary hypothyroidism starts at the level of the pituitary gland and results from under secretion of TSH. TSH is needed to trigger the release of the T3 and T4 stored in the thyroid gland. Tertiary hypothyroidism is caused by a decrease level of the TRH from the hypothalamus. This reduced level, in turn, reduces TSH and thyroid hormone levels in the blood, hence in the body and the patient suffer the symptoms.
The most appropriate step to manage the patient's symptoms as mentioned in question is Quadriceps strengthening exercises.
<h2>
What is quadriceps?</h2>
The Quadriceps femoris is one of the largest and most powerful muscle of the human body. The quadriceps femoris is both a hip flexor and a knee extensor. It is made up of four individual muscles; the rectus femoris, and three vastus muscles. They are one of the strongest muscles in the body and make up the majority of the thigh.
Anterior knee discomfort in young women is frequently caused by patellofemoral pain syndrome. Usually, chronic usage or misalignment is at blame for such discomfort. A patellofemoral compression test can simulate the discomfort. Exercises for stretching and strengthening of quadriceps are part of the initial therapy, along with activity modification and non-steroidal anti-inflammatory medications.
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Answer:
Might be true...
Peer pressure—their friends encourage them to try cigarettes and to keep smoking. They see smoking as a way of rebelling and showing independence. They think that everyone else is smoking and that they should, too. The tobacco industry has used clever marketing tactics to specifically target teenagers.
Credit:
Why Kids Start Smoking | American Lung Association
Hope it helps!
