Which of the following is a symptom of hormonal imbalance related to the endocrine system?

Fatigue is recognized as a symptom of hormonal imbalance related to the endocrine system. The endocrine system produces hormones that regulate various bodily functions, including energy levels, metabolism, and mood. When there's an imbalance, such as in conditions like hypothyroidism or adrenal insufficiency, it can lead to feelings of extreme tiredness or lack of energy. This fatigue often persists even with adequate rest and can significantly impact daily activities.

In contrast, the other options – choking, fractures, and abrasions – do not directly relate to hormonal imbalances. Choking is typically associated with airway obstruction, fractures result from trauma or stress on bones, and abrasions are skin injuries caused by friction or scraping. These symptoms are not indicative of hormonal issues but rather point to other medical emergencies or physical injuries.