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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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utierhdyo kcis rosemdyn is steemimos ldlcea low" 3T "enymro.ds loAs yuo wkon ahtt hte pinatet si tiryehoud saeucbe her 4T nda SHT rea wtinhi hte eernfeecr gra.en ehS si ick.s

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yotsubato  hiTs si otn in FA w.bt +9
niboonsh  hpKnB2/iN.o.v/2mw9w.i:ot1hts/g8.4bkncnsbl//ow rbypboal duseac yb her rnecteurr ueinnmpao +3
eacv  I gohhut ni isht eon as a iskc sisnu myrnosed haahha in .UW +
pg32  etPtry sreu obrads adn nbyode csteaeh isth o.nwrg rD. naRy ssay ahtt ni hrueytodi scik symndroe T3, T4 dna SHT lwli be ow,l btu T3r will eb led.taeve +
pathogen7  In raleyit, HTS dna T4 llseev anc be hlygih bliareav abdes no het gesat of Erduyohti ciks ymnsreod. One tghni htta peshpan for e,sur I evl,eeib is ttah T3 si dwon adn 3rT si .up +3
trazobone  I hknti I eneb ni iarauqnent oot lngo I am layler ilgnggig ta esh si kcis MOLA +



 +6  upvote downvote
submitted by โˆ—peridot(115)
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I am rfo emos esanro aennlgir oabtu tshi rof eth rftsi temi so 'llI iwret a itb oubta rhodeyitu sick odymrnse in ecsa ti plshe een.soom

stI' a eisaeds of cselnxoui - eht ytordih ohsomner era kawhc btu eht htoydir dlgna tlsfei meses ot eb lytoatl nfei. iiec,cllSapfy T3 eevsll aer wo,l rT3 si hihg eth( cyiivtat fo fiftrdeen iesesdodani ear fof, so Tr3 si eamd mero adn dgederda ssl,e tghohu ti do'esnt mees kiel eth 3Tr veell has any ehrto cilinlca imapn.)soiilct As the roeht montecsm avhe d,entmenoi SHT adn T4 are cpylliyat ,armonl glhhtuoa eyht nca be reeecddas sa lewl in eseevr cse.sa

yiodEtuhr kics sdmneyor is pacyitlyl edu to an lydneiurgn rcicalti lnelssi or tataovrins - teh obdy ospts igkanm eth eshoornm sa na ereemxt ereuasm ot seav gnyeer dan ruerssoec. heT atmeerttn is ot tater teh ineylnrudg inslsel; dhoytir ehoormn htarpye is ont mmdeeercndo as tis iesnfctsveeef si eolscnuii.nvc

nI stih tisonque tm,se teh tpiatne ash an nrdgneliyu nslsil.e reH drityoh dlgna orwsk efin sen(dorps yeoarrailptpp to H.T)S scaliCs aces fo udhieytor ksic ndeyrm.os

ivneG ttha hre T4 elvsle era lnrma,o ew acn leur uot ,B D, dna .E I'm a muumdd nda utp C aueebsc I hda on iade hwat ioyhutred ciks syoernmd w.as But enivg ttah ehr HTS leelv is olas n,mlaro 'tsi tno an siesu tihw teh samhuplohtya or ryaititpu a.dlng

oSc:(rseu ikwi epag dna stih ialectr)

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schep  ah!nksT ,I ot,o am ahgnrei taoub shit for hte irtsf etim +



 +4  upvote downvote
submitted by โˆ—adong(144)
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toEhidruy sick oesrmdny = eesllv of 3T nd/rao 4T rae orabma,ln btu het rtodyhi dnagl esod nto raeapp ot eb onidutfcalns.y heT laicacsls pnhpteeoy fo tshi oidcnnito is fotne eens ni aaottrvn,is tcciliar eisslnl, ro antetsip in the tneiinsve aecr nti.u eTh omts moncom romenoh anetprt si wol oltat and eerf 3,T vledaeet ,3rT dan rmloan T4 nda THS sl.vele

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 +0  upvote downvote
submitted by thekneesofbees(7)
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In ueyrohtid iksc sro,ymnde rhtee wlli be omrlan 3,Tr wol T,3 and rlmaon THโ†’S sthi si cesueab in ctarlcii sliensl rteeh is rddaeeesc cyttiiav of /D21D d-o5ioeniemndaos victiyta mloa(nryl T4 โ†’ 3T, dan Tr3 โ†’ T),2 dn a riscdeane cayittvi of 3D '5 seomioedainndo lnao(mylr T4 โ†’ Tr)3

tnsatePi with vrseee uroydhiEt kiSc Sdryoemn may vhea olw efer 4T, low aottl 4,T AND owl HST lseevl

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 +0  upvote downvote
submitted by โˆ—basic_pathology(25)
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trhyiudEo kisc edymsonr

ueD o:t eseerv eityssmc nilsles s)sp(eis

h:atP isoecyntk 1,(IL- aNTF, L6-)I -t-&g; eecserdda hpreialper eiaidesn-do5' *

:sLab nloamr H,ST lonarm 4,T low ,T3 ighh Tr3 cl(lrae ttah T4 acn be netdrveco to hereit T3 or r.)3T

*eerht rae ynma msiaemnhsc atht adle to ih;st whvo,ere stih is hte stmo llayicclin evrlante ofr slba

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