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NBME 20 Answers

nbme20/Block 3/Question#48 (20.6 difficulty score)
A 48-year-old woman comes to the physician ...

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submitted by celeste(78),
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ooidramnA,e a sslca III aryrtatchiimhn udr,g sha lmtipleu fectsfe no lycmaordai iltodzanepiaro nda roinzlapiteaor atth ekma it na reelyxetm fciveetfe mirtariytcahnh ugdr. He,rwove emardaonio si dtsasecaio ithw a urmneb of dies f,eftsec cndilniug drtiyho yundtcsofni o(bth y-hop dan eophr,htyy)diirsm ihhcw is eud ot dmoosrna'eai ighh enodii ocettnn and tis reicdt ocitx tffeec on eht htiyrod. (duo.tectaomp)

celeste  The "**iod**" part of am**iod**arone reminds me of it's high **iod**ine content. +8  
xxabi  I think of it as the trifecta - gotta monitor LFTs, PFTs, and Ts (thyroid) when on amiodarone! +3  
sinforslide  Also, the patient presented with Afib; this might've been caused by transient hyperthyroidism as a prelude to Hashimoto's. In this case, if you give Amio, you'd cause serious hypothyroidism! +  
fatboyslim  Always monitor LFTs (liver), TFTs (thyroid), and PFTs (pulmonary) with amiodarone +