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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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eesDedrca tot,al ornmal efer unon)u(bd = Thiroyd gbnrieonod-mhni lbgionul dcicfneiey

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 +6  upvote downvote
submitted by โˆ—sugaplum(487)
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hsiT si yalrtepnap tecignlano tdyihro bgnindi luboling cfdneyiiec

nniTe-rg"iyihnobxd nlibgoul ceiinyefcd โ€” Tneiionb-dnxgyhri nglbiluo (BGT) infcediyec si hazrcedtacire by wol esrmu oltat T4 utb lrnoam efer T4 and ;TSH eth iaiosndsg si imncorefd yb miaugresn BTG nsraco.citenont shTee sfiannt eahv nlmrao irdohyt tuocfinn nda od tno ueieqrr t"mtenr.eat - daat'c nepto*tu nidf ni ,FA mbeya ti si in terhe eweemo?rhs

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hhsuperhigh  hTe nylo nthig I acn rleeat ot siht si FA 3P13 " TGB ni n,ayrengcp CPO seu troen(ges neessrcia GT)B aecresins tlota 34/TT," os rhee si teh pesotiop tioa,tsniu wihch TGB sercas,eed and atolt TT3/4 c..ese.edars +16
jawnmeechell  jnaGol atlsk oubat isth oan(udr 33 isnm ntio shi dereoinnc ceter)ul ni alorinte to dsericean segandnor auisgnc eaeddcrse TGB +3
sarahs  ywh tisn it anermatl adtirytnhoi s?AB +2
sexymexican888  aras@sh I kthin fi it saw tdoiyarnhti AsB amshtho)iso( HTS udwlo be hhig +
srmtn  @aarshs scueaeb ti olwdu be imscenitr (+ liyascph igfndisn) = otdiyhr isgen,desis cpeyto or hali.ypospa hte dyohtir of eth abyb lduwo ton be ebal to ekma orytdih rohensmo ta all. isht ybab ash daderseec 3T nda T4 nad manrlo eerf .T4 +



 +3  upvote downvote
submitted by โˆ—step1soon(51)
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The 3 mina reotispn thta rracy eht tjoairmy %g)9&5(;t fo Tidyrho oomsernH )HT( aer tnxign-iidnhorbey ginlolub T(GB), tntartnsrehiy (T,RT ro i,rlnep)uabm nad amn.lbiu A nrmoi rprotoipon of the sTH si udonb no emrsu ierintsolpp.o yeVr ,elyrra and ni teh xtenoct fo iTnH-ta atinibsdoe ni uiumtoaemn rhtdyio sesad,ei lniigobmuloumsn lsao aym idbn .TH TH nbgidni to GTB si htdrceirezaca yb low yicctpaa but hhig tvi;iady het enceosvr is rte,u e,i hihg pctyiaac ubt low yitvadi, ofr HT inbnidg ot TRT and uaimbnl.

A cyfecnieid in n-inibTHdg snetorpi si tpcdusese ewhn alromyalbn wol rmeus atotl HT sctoenninratoc era ecnodtuener ni cinlialcly eutoyhdir eustcbjs ni eth rseepecn fo maonlr remsu noiorpythrt ie,( tndihgr-tilmauiyots eonmrho [.TH])S Mero esyf,cilpalic olw GTB si gtgudsese esacbue htsi onrpeit isaerrc hte oyjatmri fo the surme .TH

aleevSr saestt fo iecyenficd of ihts oniprte vahe been idesedcrb tath rae rethei tderneihi ro eir.cdqua rdTihyo utnoncfi tests sT()FT in enastipt whit GTB infeeidccy swho rnmola THS nda feer ,T4 ubt olw ltoat T4 dn,a ialoysalnco,c owl lttao 3T ersmu srcatnntcoo.nei eTh mtos nropttima inclicla paecst fo BTG iyeccfnied ssaett is ocgitnierno of ethes ddiossrre dna ceaodiavn of esscuyrnean nda etilynotpla mfahlur TH enltperemca e.tprayh

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 +1  upvote downvote
submitted by โˆ—waterloo(126)
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fI uyo nkiht tobua it itsh ay,w ish fere 4T is rlonam dan ihs HTS is nmo.arl dWlou nay trheo itoopn alowl hits ot pa?hnpe

A setp fuherrt lodwu b,e why is hsi eerf urmes T4 yoak tbu ish T3 adn T4 ced. His altot 4T sutm be aceddsere n,het hhiwc noe of teosh nac euasc taht wehli peenikg feer 4T n.loamr

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 +1  upvote downvote
submitted by โˆ—hhsuperhigh(49)
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isTh is how ym bairn fdaetr wlihe I wsa nidog sthi i.tn..euqo.s I tendwa ot hocsoe GBT y,nedefcici ubt I ekpt knntigih ahtt fi TGB is ntecif,eid ttha msane rehet ear less ro on gdibnin sinpetor ni eht dobol. ndA how cna het rfee 4T be rlmno?a dSlo'unht eerf T4 ieecsnra if teerh rwee sels 4T ingndbi neirpo?t ...

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adong  efer T4 dltnw'uo ierneacs eeaubcs ti ulowd be eesdsn by the tiapuyitr dna TSH odwlu rodp ltniu feer T4 irlamezons +3



 +0  upvote downvote
submitted by โˆ—whossayin(35)
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wyh tanc' "ogofcinrianiat dectfe ni T3 dna 4T" be eht wan?rse

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sugaplum  I hktin fi it saw acfiitiogonarn cfdete ouy undt'low aevh a loamnr 4T evlle ni eht m.seru +18
divya  bsceeua rehte wdulo be na elavlor ecrdaees ni rmeus T,3 T4 adn scneiare ni rmesu HST v.lslee +



 +0  upvote downvote
submitted by โˆ—alimd(38)
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tboau %07 fo eth cgulraitcni tdiroyh si ubdno to i-ytinbnodghdri uibolgnl t(.)bg eht meiaerrnd of hte obndu pnteoir is atechatd to inynordbtiexh-ing mapubleirn ttesnirnratyh() adn .mnublai rLgae asvtrnoiai in bgt od tno rlloyanm ffacte het rfee r.fom a erra agocneilnt ifyeeccidn ro esscex of gbt iystllacdar lertsa eth nodbu tniroafc ubt cbuaese hte rfee rciafnot si nao,rml het sdladiiuvin rae lla itohdyu.er

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