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Retired NBME 21 Answers

nbme21/Block 4/Question#8 (reveal difficulty score)
A 70-year-old woman has had recurrent ...
Euthyroid sick syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: FA_missing endo thyroid

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 +14  upvote downvote
submitted by โˆ—imaginarybanana(30)
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hdriyoute skic rmnoeysd si ieosmemst celald wo"l 3T osm"y.nedr Aosl you nokw atth teh pteanit si yroehditu ceseuba rhe 4T dna HTS ear nwhiit teh creeneref egr.na eSh is .kcsi

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yotsubato  Tish is ont ni AF .bwt +9
niboonsh  8io..vc2wth.:Nknts/Kiohwg/2b/ls9B.no4/nmbwp1/ braylopb scdeua by reh curretner punenoima +3
eacv  I utghoh in sthi neo as a sick siusn morysedn hahhaa in .UW +
pg32  ryPtte user basdor adn bonedy theeasc isht now.rg rD. Ryna ysas hatt ni rhotiyedu skci rsmeynod 3T, 4T dna TSH wlil be ,olw btu r3T lwli be etad.eevl +
pathogen7  In teryl,ai HTS dan 4T lvslee can be lgihyh avrbaiel abeds no eht ategs of yoihErudt ciks yond.resm nOe tnhig htta nahspep fro us,er I ,leeeibv is taht T3 si wnod nad rT3 is pu. +3
trazobone  I kthni I bene in aqatnrneiu too gnol I ma layler iinggggl ta she is kcsi ALMO +



 +6  upvote downvote
submitted by โˆ—peridot(115)
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I ma orf osem onarse gernlian uotba ihst rof eht tisrf tmie so l'Il iwert a tib tuoab udoteiyhr isck drmynoes in sace ti sephl mesn.ooe

sI't a eedsasi of nicoexlsu - the ortidyh ohmsnero rea khwac tbu het toirdyh gnadl eiltsf essem to eb oyalltt nfe.i ccpilla,eiySf T3 eevlsl ear ol,w 3Tr is ghih (the ytvictia of fterfdeni esodisiande ear fo,f os 3Tr is aedm rome nad gerddeda es,ls ghhtou ti ndseot' eesm eilk het 3rT vlele sah yan threo niiacllc cnamli.s)tpoii sA eth toreh mcmontes ehav ineendo,tm TSH nad T4 are aicyylptl l,nmaor tghlhuoa ythe nac be eeacsrdde sa lwle in ervese css.ae

Eihuyodrt csik meorsynd is yacypiltl ude ot an nudrlnegyi caicitlr eilnssl or naoarvttis - het yobd stops ikngma the mnrhosoe sa an eeermtx esrumea to svae enrgye nad reer.cosus The tretmeatn si ot tetar teh nyeurgndli e;silsln yrhdoti rmoehon traheyp is ton nmrecddemoe sa its svsfneeetcfie si nlou.cecviisn

In shit ensotuqi mets, hte nttaiep has na ydrluiegnn slsl.ein eHr yriohtd dalgn kwors einf e(dosprns eaaiyproptprl to ).STH saslCic caes of oitdrheuy scik emor.ynds

einGv ttha reh T4 velsle rae alnrm,o ew can erul uot B, D, dna E. m'I a uudmmd adn tup C bseueca I dah no aied awht irhduyteo sick dmrnyoes asw. uBt vnegi ahtt rhe HST velel is laos on,lamr ist' nto an iessu iwht teh hsahymualopt ro raptiuiyt glad.n

e(oSsuc:r wkii pega nad sthi rctalei)

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schep  hnTks!a I, ,too am ahenigr tboua stih rof het irstf eimt +



 +4  upvote downvote
submitted by โˆ—adong(144)
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uohtEiydr ksic eonsyrdm = leslev of 3T ao/rdn T4 ear ,rolbnmaa tbu eht yrdihot ndlga sedo ont appaer ot eb nfo.lucdnisaty Teh assicllca ythppoeen of shit ncontoiid si oeftn seen ni ivatnt,rsoa aiclirtc nseslil, or tnpsitea in the iisevntne rcea .intu hTe tsom oomcnm nehmoro tenptar si owl tlota dna free ,3T aeedvlte Tr3, dan lornam T4 dna TSH .svelel

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 +0  upvote downvote
submitted by thekneesofbees(7)
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In oidtheyur iksc nyesrmd,o ehert will eb nalorm ,r3T low ,3T adn romaln โ†’SHT ihts si ebcesua in licraitc elsnsli eerht si rddacseee tiatyivc of DD2/1 om5nddno-oiseiae atciyvit rlya(monl T4 โ†’ 3,T adn r3T โ†’ 2,)T d an srieecdna ciayivtt fo 3D '5 annidmseodiooe maloyrln( T4 โ†’ )3rT

antietsP thiw vreees doryihEut ickS Sonerdym yma ehva wol refe ,4T owl toatl ,T4 DAN wlo TSH lsvele

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 +0  upvote downvote
submitted by โˆ—basic_pathology(25)
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odytiurhE ksic mdnseyro

Deu :to resvee tcssimye eislnsl ()seissp

hatP: kyoscetni (,1LI- ,FaNT )6IL- &g;--t deaedrecs rehaleripp e'i-ndaodise5 *

:bsLa ranoml ,STH oanlmr 4T, wol ,T3 hihg 3rT lar(elc hatt 4T cna eb cvereotdn to ehtier 3T ro )3Tr.

*ehetr ear myan ahcsenmmsi that elad ot ;sthi wv,orhee stih si eht smto ilclyaclni evernlta fro lasb

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