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Retired NBME 20 Answers

nbme20/Block 2/Question#26 (reveal difficulty score)
A male newborn is found to have a decreased ...
Thyroid hormone-binding globulin deficiency ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +9  upvote downvote
submitted by โˆ—monoloco(155)
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ecasrdeDe talot, loramn eerf )uuodnn(b = dThoyir gmhoe-dbniornni lbnoilgu cediefnyic

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 +6  upvote downvote
submitted by โˆ—sugaplum(487)
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hTis si ayeprpntal anitolceng rytodih ingidnb gloulinb ifediccnye

rihd"nTyxienbgn-io boliulng dicecinfye โ€” h-ibTgxdoeniinryn lubgoinl TB)G( ncfdeiicye is ecrchadtazeri by lwo emurs latot 4T tub norlma free T4 nda ST;H hte ssiandigo si frmedcoin by iuenrmsag BTG riosnca.onnettc Teesh fntansi hvae anlorm tridohy ufotncni dan od ont rqireeu mtaen"rtet. - dt*' uotcneatpa ifdn ni A,F mabye ti si in ehtre m?sworeeeh

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hhsuperhigh  eTh yoln higtn I can letrae ot hits is AF 313P " GTB ni epyrc,gnna OPC eus sgnoee(tr esacnsrei )BTG resicsane attlo 3TT,/4" so eehr si het oitpseop nuiais,ott ihhcw GBT ,ceereadss nda ttloa 3T4T/ ea.se.e.cdsr +16
jawnmeechell  jlnoaG saklt otbau isht ndraou( 33 ismn iton his rndicneeo rulecet) in roeltnia to crneaedis gesanondr ugcnisa rseeedacd TBG +3
sarahs  wyh nsti it nalaremt irothnayitd sBA? +2
sexymexican888  sha@sra I khnti if ti wsa dartnthiyio sBA smtohha)i(os TSH wduol be ihgh +
srmtn  s@hsara sbceuae it lwudo eb nesriitcm (+ pyaslihc dsfnii)ng = hitdyro ieesdnis,gs eoycpt or asla.hpiopy eth orhyitd fo the abby dluwo ont eb abel to eakm yrdhito emshrnoo at ll.a sthi baby ahs aesdcdeer 3T dan 4T dna naorml erfe .T4 +



 +3  upvote downvote
submitted by โˆ—step1soon(51)
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eTh 3 naim persiton ahtt cryra the ymarjiot g&t(;5)%9 fo dirohTy moornesH )H(T aer -riobgiinnhnxyted ngliuobl ,BG)(T rtahirstntyne (TT,R or elb,unaimr)p nad luniba.m A omrni oiponrrpto of teh HsT is bnoud on uresm ts.loeiippron yrVe rry,lea adn ni the ncextot of -iHtTan itnsidabeo ni meumtnouia ytiordh ,esdisea sullbinniuogmmo olas yma dbni HT. HT gnidbni ot TBG si azrhreactdiec by owl cptayaci ubt gihh yvii;tda hte onrsceve si ,etru i,e ihhg yaitpcac tbu olw tyd,vaii rof HT nndgiib to TRT nda abnlmiu.

A yieifncecd in nTdHnib-ig pesntrio is desuetscp henw rmnbyloaal wlo emsru ttoal HT tnoncetsorcani aer rendnctoeeu in alylicinlc urthioyde jbecsstu in teh ceesprne fo lorman ursem rontothiryp (,ie oglni-tahidtrsuimyt homneor S)T]H[. roMe ylcla,icpfies owl BTG si etgedusgs bseecua htis notirpe erascir the tarmijoy of eth eumsr T.H

areelSv staste fo ceyfdiicen of tish ptneiro haev nebe dcsbideer htta aer ehrtie deietirhn or crea.uqdi roiTydh fncinuto tsste F(T)Ts ni pasitnet tiwh TBG eieccdyfin hwso lnamor HST dna eefr ,4T btu lwo oatlt T4 n,da colycn,sioaal lwo lttao T3 semur rasn.itecontocn heT omts inrttmaop calnilci cptsea fo TBG yifeencdic asetst si gceiotnionr fo ehste ddrseosri adn davnoaiec fo eryesucsnna adn eiltpayntlo humfral TH prneaemtlce herta.py

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 +1  upvote downvote
submitted by โˆ—waterloo(126)
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fI yuo tnhik ubaot ti hsit ,way his eefr 4T si nraoml adn sih STH is .naorml Wdlou ayn orhte ioontp olawl tsih ot penhap?

A step thruref dlowu b,e yhw si ish eerf reums T4 akoy btu sih T3 dna 4T .dce sHi attol T4 stmu eb eadrseced hn,te icwhh oen of estho anc saeuc ttah wlihe ingekep fere T4 aron.ml

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 +1  upvote downvote
submitted by โˆ—hhsuperhigh(49)
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hTis is owh my arnbi fetrda elhiw I swa dnogi iths qteo....nuis I wntdae ot oceosh GBT infcyi,cdee ubt I ktpe ntigknhi ahtt fi TBG is eni,dfeitc atht nasem htere are essl ro no innidbg rtesopin in eth o.lodb And ohw anc eht fere T4 eb on?lmra l'Sntuohd eefr T4 nsraciee fi rteeh eewr slse 4T nnibgdi pn?rioet ...

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adong  erfe 4T olndut'w renacesi aeusecb ti olwud be eenssd by eht ttaiupiyr and SHT odluw drpo lntui efer T4 amnrlsozei +3



 +0  upvote downvote
submitted by โˆ—whossayin(35)
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hyw t'anc "anrnaoiigitofc cteefd in 3T dan 4T" eb eht rasen?w

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sugaplum  I kihnt fi ti was cnaoofrinigiat fcdeet ouy otwlnd'u ehav a nmalro T4 eelvl in het mr.eus +18
divya  cbeeasu ereht uodlw be na lvoearl edscaere ni esrum 3T, 4T nda eicsearn in esrum HTS leelv.s +



 +0  upvote downvote
submitted by โˆ—alimd(38)
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atobu 70% of the triniclcaug orhtiyd si odnub ot ntrbgdond-iyihi inglblou (.gtb) teh eridmarne of eth dbnuo epinort is dehaatct to y-dohnxnibgtineri bmrpniuale ttn)yr(asitrneh dan ulmia.nb agLre toavairisn in btg od nto llnoyarm eatcff eht eref of.rm a aerr tnelcognai eiencycdif ro cesexs of gtb iyrladctlas sltare het uodnb nirftoac tbu sbcauee eht erfe nfaticor is ln,oarm eht ivddanlisui are lla t.ryuhodie

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