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Retired NBME 21 Answers

nbme21/Block 3/Question#31 (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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 +76  upvote downvote
submitted by โˆ—assoplasty(108)
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I knhti eht neptocc etryheโ€™ stntige is hte ceaedirns BGT eslvle ni ,nregnypac adn ont utsj iyhdtsrrohyipem in ne.elrag

hWen cernsineg rof o,yyp/todmhiirhepshry HTS lvlees aer YAWSAL frtleyrinplaee edckech ecabsue hyet rea oemr ineisstev ot emnuit sfnerecdefi in T34./T neftO tmsie SHT lvesle anc tetdosrenma a ncgeha vene whne /43TT veesll ear in eth bucslcailni enrga. heT ynlo oitncpxee to thsi duwlo be ni cgynrpaen n(ad I sugse ymaeb ilver ulfrae?i I tbuod yhte oudwl ask hits h.ht)guo hgiH esgronte veesll pesvrtne teh rveli omrf arienbgk ndwo G,TB dlanieg ot drsaceein TBG ellves ni hte m.rues ishT dbnsi ot eefr T4, asncgriede eth autmno of vaibealal rfee .T4 sA a eptcrsnyaomo h,scnmamie THS lveels ear nisyaelnrtt cdarneies nda the ETAR of 4T oprinctuod si edsrenica to ipnheserl sbleenia reef T4 .elevls evoeHrw eth ATTLO atnuom of 4T si cdrneas.ei

The eionqstu si gsakni hwo to ocnfirm yiyieptdhorsrmh in a taerpngn nmwoa tg--&; oyu ende ot eckch ERFE 4T lesevl usaeebc( tehy shdlou eb lnramo eud to oyancrepmsot sp)neesor. oYu tnncao ckceh STH (lyulaus evateeld in cyegarnpn ot ontecpemsa rfo deracneis BG,)T nad oyu natnco hceck atotl 4T lsevle (wlli be .eesadin)cr ouY tog eht ewrans hgirt terihe awy btu I ntkhi itsh is a refienftd nngresioa hwrto gr,siedinnoc eecabsu hety nca sak this ncpteoc ni ehrot tocsxnet of mree-giertnh,sspyo dna if yhte lditse Tโ€โ€œHS as na aeswrn eihcco htat ouwld be nrorc.eitc

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hungrybox  rxletEmye rhuoghot wesran yhol hist khtan u so uhmc I eohp ouy CAE ptSe 1 +9
arkmoses  tagre anewsr oaspassl,yt I eebmmrer olangj antiklg auotb isth in shi noed uleetcr d(esud a lnppfii denlge ohly ht)is tbu it kaidn fwle reov my heda! kstnha rfo eth kreba w!ndo +3
whoissaad  you nmae altto otaumn of 4T si to"n na?c"h2egdnd apar salt ne.tecnes +1
ratadecalle  a@adiwos,sh ni a lmaorn pynrcange lotat 4T is rieecda,sn tbu eht eefr T4 lwil be maonlr adn rste of T4 oundb ot .TBG fI ptitnae is poyrhy,dihter otlat T4 wlodu listl eb edsnireac utb het erfe 4T louwd won eb acerdeisn as wle.l +3
maxillarythirdmolar  To tkea it a stpe efu,rthr ajlnGo oimesntn atht heetr rea a adryim fo isgnht cuiitranclg ni teh ,bdyo etnfo in a 2:1 iroat of of:bd,neeur so in eststa keil isth oyu uolcd clayautl see uinpidrtos fo hist tiroa as hte bdoy smatinnai its llvee of free nohomre utb eurtfhr aeriscsne sit veell fo undob .enrmooh oaGlnj sola ionenmts htat yodu' see eth ppioteos ffcete in eht srpeeecn of tiroesds and hotencpir yrsemsdo.n So ouy ocldu ese rceddasee ltota 4T btu narlom eefr 4T ueescba hte ubond usnotam og nd.wo +2
lovebug  aznmigA !esnwra XTH +1
an_improved_me  Just to ad:d Peygncanr is tno na pteixoecn ot nuisg TSH in epudsetcs hpyteyhrdroi aerptgnn eipatsnt o(tn eurs in rpootdy;hy)hi oyu ldwuo sltli egt a TSH tris,f and fi tis lunusauly ,owl you oludw then redocpe ot aureesm 4T e(,fre tot)a,l dan os n.o saen.modenT-s~en0a4msiiiehrcdr/esy-letncsri#ssh.sutcaytkhuttserei4hcpmgsd;0apgprta-sw;ardpccs-:opll=dlpi;rcampthrip-=2oi=<sn0cpu2fn?esipae9ydasnnn/&t_o1eeuasrtihyertamed2wmpymic/nrtig-ohaaruoan;ccesietgey%2n=yaag&el9tan5mdaulwdpe=n/yo-ft_&uHoi9%9_a +1



 +1  upvote downvote
submitted by โˆ—unknown001(9)
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if teh mcsetonmo eacsu of ysriitermpdhyho ni ngnaerpyc si easvrg .xd, nteh why ncat hte TIHYDRO IEABDIS.NOT

lsp hple

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 -2  upvote downvote
submitted by โˆ—cantaloupe5(87)
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hiritshHyormep/pyoyd si ongsaided iwth THS w/ lrxefe ot 4T (ihts sujt llest the bal if HTS is alrmno โ€™ndot chkec T4 but if TSH si bmalnar,o hccke T4 .ot)o SHT tโ€™answ an otiopn so 4T si teh steb eawrn.s

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hello  I ontd' teg hyw shti was dwedoov..nt. +2
maxillarythirdmolar  oT ktea ti a estp rf,rtuhe jnaloG nsominte ttah etreh rea a yimard of shgnti ctnugiracli ni hte obd,y enotf in a 1:2 ioatr fo bfdr,:neeou so in setsta liek hsit uyo cdluo ltaclauy see rtdpnoiius of ihts oitar sa the bdyo insamitna tis velle of feer hnromeo but efrhtur ssriecnea tis ellve of onubd nrem.hoo ljonGa slao tnesionm ttah oudy' ese the pptsiooe ftfece ni eth enceresp fo otrssedi adn ioecptrnh nysosred.m oS ouy ocdlu see reaescded ottla 4T but ornmla eref T4 abeusec the budno tnsouam go d.own +1



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