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Which of the following is a sign of hypotonia?

  1. Increased energy levels

  2. Acute weight gain

  3. Excessive thirst

  4. Skin rashes

The correct answer is: Acute weight gain

Hypotonia, or decreased muscle tone, can manifest in various ways, but among the options provided, acute weight gain is a state that can occur in individuals with hypotonia. This is often linked to decreased physical activity levels and difficulty in maintaining muscle strength, leading individuals to gain weight due to a sedentary lifestyle. When muscle tone is low, the body may not be able to effectively burn calories, which can result in the accumulation of excess body fat. The other options, while they can indicate different health issues, do not specifically correlate with hypotonia. Increased energy levels typically would not be associated with hypotonia, as decreased muscle tone often leads to fatigue and lower stamina. Excessive thirst and skin rashes can also be symptoms of other conditions unrelated to hypotonia. Therefore, acute weight gain is the most relevant indication among the choices provided in relation to hypotonia, reflecting its potential effects on a person's physical condition over time.