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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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  • attlo T4 ro( )T3 = refe + bBG-noTud
  • cnpgaerny โ†’ TGB eirnasce โ†’ nGuoBbdT- 4T nsaicree โ†’ eref ecesrdae โ†’ esls neaigetv fkdeeabc โ†’ orme THS โ†’ ersetro eefr 4T selevl
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abhishek021196  Vyer meslip tinnaxole.pa Tknha ouy +



 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I nhtik what ethrw em off twhi tsih sonqeiut wsa rmeus" "T4 - was'tn user fi htat aentm ltaot T4 or mrseu T.4 ikuclLy, I od'tn tknih nya fo het hetro osne fti rof erieth os I semadus ti eanmt tloat 4T rfo hwhic the nwrsea skeam nsese

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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ne"dsaeIcr odblo nratistnnococe fo inbgTin4d- buloi:gnl TGB si noe fo evslrea treponsi atth natostrrp idthyro orsmnoeh in dbo,lo and sha het hesgtih tfayiinf for 4T try(eixhno) of teh u.pgro stnegrsoE tlsmauite ixpnseosre fo TGB in lv,eri nad the ranolm srie in nsetroge irundg apcrgenny dniescu ughoylr a lodbunig ni surem BTG notceoantn"atsr.rci

ne"Icesdra eellsv fo BTG eadl ot wrdeole feer T4 ntstoerocaic,nn ihchw suselrt in vleaetde SHT sntrceeoi yb the rtaptuyii nda, usoq,cenytnle ncaeednh oicudprnto dna icesotnre fo rdyhtio mehr.oons Teh ten eefftc fo teaevedl BTG shtienyss is ot orcef a wne riiqumbilue ewebnte efer and odnub doyitrh rhonsome nda utsh a ifacntsgiin aerisecn ni otlta T4 dan T3 e.lelsv heT earicsend aenddm orf doyihrt shromone is hcdaeer yb otbua 20 ewkse fo eatsngtoi dan rpssseti tulin e.r"mt

ewyet.cvaires/rhoandmloh.icynsw/ohr/hot.tuoidetdops//eyh:phvhko/pdottpwbg_ti/l.tr

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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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cn anorGj:/giyealnP OCP e:su ghHi 4T, amolnr bi(nioes)trSoHlcSTad:a woL T4, nlroma TSH

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