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Retired NBME 24 Answers

nbme24/Block 1/Question#37 (reveal difficulty score)
A 25-year-old woman at 16 weeks' gestation ...
Increased hepatic production of T4-binding globulin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—drmohandes(193)
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  • lttao 4T (or 3T) = reef + TBunod-bG
  • erngnyacp โ†’ TBG scneaeri โ†’ GB-uoTndb T4 rsiecena โ†’ rfee eeaerdcs โ†’ ssle iveteang eebdafck โ†’ rmeo HST โ†’ estorre refe 4T levles
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abhishek021196  yVer mlsipe inax.lpenoat hkTan uoy +



 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I htnik hawt wthre em ffo twih isht entusoqi wsa rmseu" T"4 - wnsa't usre if atth manet tltao 4T or surme .4T cyki,Llu I tnd'o hiktn nay fo eth hreto neos tif ofr ieerth so I dsamues it mnate aottl T4 rof hichw het wrnaes asmke nssee

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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Icren"dase oldbo sercotcaontnin fo Tdninbg4i- luin:olbg TBG si one fo lservae irnpeots ttah ttrprnosa oithrdy oemhnosr ni lobd,o nda ahs het hegshti iiafntyf orf 4T te)hnoxri(y fo eht rpgo.u Etssonegr titaumsle eniespsxro fo BGT ni ilev,r dna hte oalnrm iser ni nseergot irdgnu nagrcpnye cneiusd urlhogy a ouibndlg ni sermu TBG cont".orarcnstitnea

serceIa"dn lvlees of BGT elad ot oeewrdl efre T4 rteoticnsnan,co hcwih tsrseul in deatleve TSH eorcsiten by the ypitatiru a,nd etoecyqnnlus, ceahdenn otorpucidn dna nteerisco of yirtdho onhrmo.es heT etn efctef of vdaeleet TGB ishynstes si ot ofrce a wne builmqireui webtnee efre adn bduno oihtrdy msoehrno and tshu a nitncsfaiig earceisn ni ltato 4T nda 3T veslle. hTe neaeiscrd eadnmd orf tidyrho onroemsh is rehcaed yb baout 02 kwees of gostnieat adn ssepirts tnuli tmer."

ta/behe..uhrgkyisdvwtopd.teasypihoettnthdtivl//no:ciowephpmh_/h/dsoootrlc/o.wr/yr

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Struma ovarii is a type of teratoma that produces thyroid hormone. However, due to the negative fb, TSH levels would be extremely low.

Similarly, Graves would have low TSH.

Placenta delivers T4 to fetus, not the other way around. Also, fetus starts to make thyroid hormone around 16 weeks and if it were going to the mother, you'd see negative fb on TSH as well.

TSH producing pituitary tumor would have a high TSH.

Prenatal vitamins can affect absorption of treatment for hypothyroidism (due to dications or whatever). They do not contain T4 because that just doesn't make sense lol

+10/- thotcandy(131)


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submitted by โˆ—an1(114)
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/rGenncygaaji:l Pon CPO e:su High ,4T amlnor dl)ira HsoS(oSTbt:iecna Lwo ,4T lmanro THS

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