This seems to be excessive GPU use when simply connecting an external monitor at its native res.
When I had a MBP 2015 I rarely had the fan come because it only had and and used an integrated GPU.
With a 2018 MBP the fan frequently kicks on because it switches to the Radeon high perf GPU when doing things like connecting to an external monitor.
Newer versions of Win10 actually have an odd variant of this that works more like MacOS where it will sometimes rasterize at a higher DPI and scale down - it looks pretty nice but it's not compatible with all old applications, I only have it enabled for a couple.