Final Answer:
The likely diagnosis for the 24-year-old woman experiencing paranoid delusions, diaphoresis, tachycardia, and pupillary dilation is b) Hyperthyroidism.
Step-by-step explanation:
The symptoms described, including paranoid delusions, diaphoresis (excessive sweating), tachycardia (rapid heartbeat), and pupillary dilation, are indicative of a hypermetabolic state. Hyperthyroidism, caused by an overactive thyroid gland, can lead to an excess of thyroid hormones in the bloodstream. This hormonal imbalance affects various systems in the body, leading to symptoms such as increased heart rate, sweating, and psychological manifestations like paranoia.
Hypoglycemia (option A) can present with similar symptoms, but it typically involves low blood sugar levels, not hypermetabolism. Schizophrenia (option C) and major depressive disorder (option D) do not typically manifest with the specific physiological symptoms mentioned.
Option B, Hyperthyroidism, is the answer.