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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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submitted by โˆ—drmohandes(193)
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  • attlo 4T r(o 3T) = free + nuoG-BbTd
  • grnepycan โ†’ GBT nresacei โ†’ dnG-uoBTb T4 naescier โ†’ refe reascede โ†’ sels gaetnvie eekcdfab โ†’ orem TSH โ†’ soeterr efre T4 lesvel
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abhishek021196  Vrey sepiml nae.axnptilo ahknT uoy +


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submitted by โˆ—gonyyong(131)
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I ihntk thaw erwth me fof htiw isth esnqituo saw er"ums 4T" - 'wastn ersu if taht emtna aotlt 4T ro eusrm T4. iLcly,uk I d'tno ithnk yan fo eht hreto osne fti orf eehtir so I smudsae ti tnaem toalt T4 rof cihwh the sraenw akmse snese

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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rsdecen"Ia loodb ntcnaretisonoc of dT-ginb4ni uing:blol TBG si oen fo rsaleve eitsnopr tath rtspoatnr ihdotry mnhoesor in oo,dlb nda sha eth thgiehs itfnfiay fro T4 )hxi(oytren fo teh purg.o gsErnseto autmtesli irseosnpxe fo BTG ni ev,lir nad het omlran ires in tgseoenr rdgniu ncnrgaype deuicsn ohgyrul a oliugnbd ni uemsr GTB .renatnic"srocaottn

dIn"eeasrc vsleel fo BGT adel ot dweerlo refe 4T tetinrcon,acnso whhic rsstule ni adlvteee SHT econtseir by the rtitapyiu d,na ,uontqncylees eeahcnnd ucriodontp and seocritne fo rodiyht rhosnemo. The net effcet fo leatvede GTB sitsyenhs si ot ocefr a wne uruiibmlqei wnebete eefr dan oubdn riydoht msrenooh and utsh a afngiinsitc escaneri in talot 4T nda 3T lseve.l hTe iednarecs anedmd for irhyotd shnemoor si reacedh yb outba 02 ekews of ingtestoa and pitersss ultni tme".r

hds/evorrud/pwcibssehtttopw.e/poyvkpdol.oolamai/r_hdn.eitytt/ttihhwc/:gerh/y.nooh

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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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eorc:nla nPy/jgiaGn OPC se:u iHhg 4,T olmnra ole(acar:)iSHdtTso bSni owL T4, nlmroa THS

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