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NBME 23 Answers

nbme23/Block 2/Question#8 (reveal difficulty score)
An 8-year-old boy is brought to the physician ...
Serum calcitonin concentration๐Ÿ”,๐Ÿ“บ
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 +19 
submitted by mousie(237),
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adonMfria bhtasiu + lsuocaM eomasunr + Nkce amss = EMN B2 M(P)M he,Po rlayeuMdl oidyhrt CA cl(nCiiaont ,sencgeit)r uloscma muserona

thotcandy  I knew it was MEN2B but forgot medullary ca of Thyroid is parafollicular/c cells which means Calcitonin, not T3/T4 Other answers: AntiThyroglobulin: Hashimoto's (or other thyroiditis) Dexamethasone suppression test: positive/suppressed in pituitary adenoma (acth secreting), negative/unresponsive in Adrenal hyperplasia/adenoma (suppressed by high dose) or ectopic acth (unresponsive to high dose) Serum TSH test: for papillary or follicular ca, thyroid adenomas are usually cold but could also cause HyperT TSHR antibodies: graves disease, hyperT +2  



 +0 
submitted by mannan(9),

Why is medullary thyroid cancer on the lateral side of the neck???

username  I think it is referring to like not in the midline but lateral to it. Not completely lateral but like center lateral +