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Retired NBME 17 Answers

nbme17/Block 2/Question#13 (reveal difficulty score)
A 28-year-old woman at 18 weeks' gestation ...
Free T4 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro repeat

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 +12  upvote downvote
submitted by โˆ—cassdawg(1781)
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In eategmenr tihw hte oehrt s:tpo s(ee 00F2A2 31p3)

Yuo ldowu ntwa ot hkcec REFE T4 escebua egynpncar rscseneia Tyrdohi iindngb llngboui. tI si siblsope ehs hgmit ehav daicesner vrolale 4T, btu OTN ahve siroeirtmdyhyph eecabsu het efer 4T is normla e.i(. hre ssneicera naomut of ohtiydr bdiinng lgloibun has nduob erom T4, dan ecsin ruo iodbse dronspe ot eth nctcnroaneoit fo refe 4T l,yno het tmpohuysalha dsuohl unrese thta eth fere T4 is ketp coasttn;n hsit lowud praaep as irdneasec ravolel )T4

tehnoAr way fo thnkigin of :isht

  • rlaOvel 4T = nboud T4 + eerf 4T

fI we ecneiras dnbuo T4 and eekp efer T4 hte m,eas we wulod lslit iarncsee vealrol 4T. sThu ot wnok fi seh tylur ahs dsmroirhytihyep we msut oolk at feer T4 oo.tccennnrtai

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lpp06  oseD allOrev 4T syta hte asme ecseabu BTT+G4 nca astl gorenl ni rl?nitocauic Csuea I yaswla srgugtel kiginthn ahtt reef T4 si olw ecbusae sit being buodn by hte axrte TBG +
covid_19  m'I not resu fi 'Im rtiintneregp yrou tiuqeson yccrol,ret ubt I ghthtou rleoavl 4T escernias in cphnen?e rTgay wya I nhkti of ti is thta realy ni ,ygcepannr G-ฮฒHC (gaintc ekil TSH) โ†’ โ†‘ rfee 4T โ†’ โ†“ HTS iav )(- efakbdce โ†’ TSH bcka ot lnm sa GCHโ†“ฮฒ- igdurn ceyapgrnn .i.e( nstgtailaoe hocsx.riitts)ooy f I hte omm yaelrl hsa hpeoitdsyimhryr, tneh eefr T4 ersiamn hgih and THS low nvee sa HGCฮฒ- โ†“ nad โ†‘B.GT eLtra ni teh rcapey,gnn nteesgro โ†’ TGโ†‘B โ†’ โ†“ erfe 4T โ†’ HTS aleeesr โ†’ โ†‘ eefr T4 ot egarin ibeiuuq.mirl bno(ud T4: eref T)4 22: )nlm( โ†’ :13 โ†’ 3:3 (enw nml weher trshee' a arletevi enrseica ni eefr 4T DNA larovel . h)TaW4t aer uroy ughsttoh no th?si +
topgunber  vreOlal t4 sensce,ira tbu enwh 4t is odbnu to ryithod niibndg ginlolub it is nto ,viecta erhfortee onomsee wdluo tno hwso rsiscirccaathte fo yopstrhmhidyire if ythe dha hhig thdiryo dgnibni oglubnli and ghhi ottla 4t. ia,sllaycB eerf t4 is eht ucatal aounmt fo dyithro ronohem thta nac secua a sigiycoolph e.tfefc sA teh strif mocnmte ssay, olatt oihyrtd enormoh adn hoirdty gbnindi blnolugi era neieacsrd in encgr.anpy hTsu to ckhce rof dyrtyhoperhi ew era recennodc oyln hwit eerf t4 if( it is olw hent hte enpatit lowud eb phhdrytiy)oo +
step1dreamteam  cdaetovRiia nIioed nt(ioop C) si gwonr eubasce danostairi rae oaectnitgre rfo eht tfu.se +



 +1  upvote downvote
submitted by kbizzitt(9)
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ergosEtn icanseres dhyroiT gBdniin lblinGuo (.BTG) 2F0(A02 - 313).

TGB ibnds efre T4 -&-;gt iarndesce tloat 4T and seaerecds eref 4T.

STH ersis to mtacpnsoee rof ecrdsaede reef 4T ot rurnet ot anlrmo e.atsts

heeorrTef ni cgnerynpa olatt 4T si seceniard tbu refe T4 is la.nrom If T4 erwe to eb iardcense -tg&-; rhe.shyyoidrpimt

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