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NBME 24 Answers

nbme24/Block 1/Question#37 (reveal difficulty score)
A 25-year-old woman at 16 weeks' gestation ...
Increased hepatic production of T4-binding globulin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—drmohandes(193)
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  • aotlt 4T (ro 3)T = feer + ToudbG-nB
  • rpnyeagnc โ†’ BTG enesaicr โ†’ ub-TdBGon T4 seicarne โ†’ feer erceadse โ†’ sles tigeanve fbekedca โ†’ reom HST โ†’ orester efer 4T elelvs
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abhishek021196  yrVe splime aloxnptn.eai nhTak you +



 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I thnki thwa trweh me fof wiht isth uotensqi aws ruems" "4T - twnas' erus fi ttah enatm tatol T4 or smeur 4T. ,icyLkul I notd' hkint yan of eht hoter nose fit rof heriet os I sdausme it tneam total T4 orf hcwih het rwanes msake ssene

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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"redIcnesa doolb ocrcainnonetst fo ginb-4diTn lugnbiol: GTB si noe fo erveals ntrsopei taht npsrttaor rtiodyh hrsnomoe ni dbo,lo dan hsa eht htegsih ynifitaf orf 4T ()ointxyehr of the uo.prg eogrnssEt lstmiteua ireeonsxsp fo GTB ni veirl, dna eth namrlo seri in nsgtereo grudin egrnncapy snudiec uyohrgl a iunogbld in usrem TBG t"natornccnti.aorse

rnde"saeIc lselve fo TGB aled ot weodrel erfe 4T onscentaitnr,co hcihw strusle ni vteelaed THS ecrtosien by the iyittarpu ,and ysncnuetql,oe ehncedan procinutod dan toernesci of iothryd .merohnos The ten ceetff fo eelatedv TGB ensshisty si to cofer a new urlibqemiui enewetb efre adn bduon orhtydi esonohrm nad shut a igftianncis ascinree in ttoal 4T adn T3 eev.sll ehT easicnred dmdean fro oytidrh ronemsoh si heedcra by uabto 02 eekws fo egsntotia dan isptsers lutin tr".em

thvmnoke/h:h.eieor/iudt/ocas..lp_/pdsevpty/twtoroohltdinhtcwow/.ghorydibretsy/pah

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Struma ovarii is a type of teratoma that produces thyroid hormone. However, due to the negative fb, TSH levels would be extremely low.

Similarly, Graves would have low TSH.

Placenta delivers T4 to fetus, not the other way around. Also, fetus starts to make thyroid hormone around 16 weeks and if it were going to the mother, you'd see negative fb on TSH as well.

TSH producing pituitary tumor would have a high TSH.

Prenatal vitamins can affect absorption of treatment for hypothyroidism (due to dications or whatever). They do not contain T4 because that just doesn't make sense lol

+10/- thotcandy(131)


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submitted by โˆ—an1(114)
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ePc/aonlgGinay r:nj PCO seu: iHhg 4T, nraoml ndisTbot)oHla Si:aSc(re wLo T4, lnaomr TSH

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