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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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  • otlta 4T (or 3)T = eref + ToBG-budn
  • egynrapcn โ†’ TGB nsecarie โ†’ GudTBnb-o T4 rsanicee โ†’ eref eecraesd โ†’ ssel igneeatv ckedebfa โ†’ omer STH โ†’ reotesr efer T4 elesvl
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abhishek021196  reyV mseilp epiltxna.nao Tnahk uyo +



 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I hknti wtah twhre em fof hwit this snotuieq was "sumre 4"T - n'tasw ersu fi htta nemat ltoat T4 ro rmues 4T. ,Lulcyki I 'odnt tkinh yan fo het etroh seno tfi orf riteeh so I dssaemu it ematn lttoa T4 ofr ihhcw hte narsew eskma neses

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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n"aIcseerd olobd oacontinrtcsne of nd-nbTiig4 llug:inob BGT si oen fo evearls nsripeto atht tprtansor ohryitd srenmooh ni dbolo, and ahs het tseihgh nfiiaytf for 4T i(norethy)x of hte go.pur snogrsteE ttuelsmai sneorpexis of TGB ni ,rvile adn het olnrma eirs ni orentgse rdguni ceynnpagr ndsuiec uhgylro a ubdilngo ni mrues TBG tita.nnenccratoso"r

ncsIa"erde vlesle of BTG elad ot wdereol reef 4T cnct,aneitroson wchhi teursls in levedeta SHT snertecoi yb hte utrpaiyti ,dan sec,tlnnuoqye chendean optodrncui and toneerisc fo irothdy nreh.somo Teh tne tcfefe of vldteeea BGT sthesnsyi si to fecro a new biiueuimlrq teewebn refe dan dnbou ihryotd oomnsreh and uths a snnftiigica sareeinc in tlato 4T nda T3 esl.lev hTe nescardei adendm orf dohtryi rnmosoeh si reeahdc yb atobu 02 eskew fo etngioast dan issperts nltui t.mre"

h///sodpte/prleott.huitwis/obt.oyeathtysr:/dkrvledmhteoacincdoivwy/h.pwrgo.pohhn_

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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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j:Gnaoeyna clri/nPg COP esu: higH 4,T rmloan a)e:arSoS(ocTib nditlsH Lwo T,4 nloamr HTS

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