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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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  • lotta 4T or( T)3 = eref + ou-BbTdGn
  • ncpanyger โ†’ TGB eecirsna โ†’ o-bTBunGd T4 esrnecai โ†’ rfee adeecesr โ†’ slse vigteean bcfedeka โ†’ rmeo THS โ†’ seoertr efre T4 eesllv
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abhishek021196  Vrye ipmsle .xneoailpant aThkn you +


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submitted by โˆ—gonyyong(131)
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I ktinh athw terhw em off whti ihts qesuntoi wsa rmsue" "T4 - tanws' rsue fi ttah natem taolt 4T or rumes .4T Lcyilu,k I ont'd hnkti yna of the toerh eosn tif rfo eeithr os I esmsaud ti tname oaltt T4 orf ihcwh the sawern samke eness

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submitted by โˆ—famylife(110)
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r"acdsneIe dlboo neaonctnrscoit of dnnig4-Tib logu:libn TGB is eno fo rveasel tonisper ttah taotsrnrp rhdiyot heormson ni o,ldob nad sah hte geihsht iatnifyf for 4T (onethxri)y fo the poru.g stesrogEn iutmsatel pernoissex fo GBT ni v,ielr nad the oalmrn esri ni etesrngo grdinu ecnnagrpy csdeuni rlghyou a lndgbiou in esrum TBG nst"ccioor.etnaatnr

deIar"senc eeslvl of TGB aedl to rdlweeo erfe T4 creto,onsatincn hhwci erstsul ni tdeeeval HTS ocetisren yb het ytiartupi and, se,lyceuoqnnt eehadncn ruiocdotnp dna encsrteio fo rhotiyd moesrohn. eTh etn fcftee fo evtldeae TGB hnesstisy si to ofecr a wne biuuqireilm etwbnee eerf nda udnob hytrdio mooeshnr nda tsuh a cgiftianins rieaescn in attlo 4T dan 3T lleves. heT arinecdse nmedda rfo toyhdir nmrooehs si caerdeh by outba 20 keswe of etgnistoa nda srpsesit lunti .etr"m

t/tsrtpdokaadd/ehelwrwh..wehtu/i/pptohic/ohsmtey.bo_oheyt.hltp:oorgsniivyvo//crnd

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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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nennrPlc j:aiaGy/og OPC :sue Hhgi ,T4 aolnmr abno e(rtils)aiH:oTSSdc wLo 4T, ormnla STH

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