Problem: Highlight Strikeout A 15-year-old girl presents with her mother for her yearly physical examination. The mother reports that the patient has been generally healthy, but since school started this year, she has had an "attitude change." Her grades are not as high as the previous year, and she has gotten in trouble for falling asleep in school. When interviewed alone, the patient denies drug use, symptoms of depression, or psychological stress. She complains of chronic fatigue despite sleeping at least 9 hours a night and trouble concentrating. What physical exam findings and laboratory results would support a diagnosis of primary hypothyroidism? A. Increased weight, elevated heart rate, low TSH, and high free T4 B. Increased weight, low heart rate, low TSH, and low free T4 C. Decreased weight, high heart rate, low TSH, and high free T4 OD. Increased weight, low heart rate, high TSH, and low free T4