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NBME 20 Answers

nbme20/Block 2/Question#26 (reveal difficulty score)
A male newborn is found to have a decreased ...
Thyroid hormone-binding globulin deficiency ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +9  upvote downvote
submitted by โˆ—monoloco(155)
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sceaedrDe tot,la rolmna eref nuu()obnd = oTyhdri indrni-bhmngoeo ilbnulgo yccdieeinf

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 +6  upvote downvote
submitted by โˆ—sugaplum(487)
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sTih si pepnlyrtaa nigenlcaot tihyrod bdiginn oglunibl decyinfcie

beonndihTyrgii-xn" lboulgni eceidcinfy โ€” irndyoenTi-bnhgxi lgnuiolb ()GBT cfidnceyie is erazcicetrhad by wlo msuer tltao T4 but alnmor erfe T4 nad SHT; hte isdingsao si fcmnreoid by gmusnirea GTB rc.snceooittann sehTe fitsann heav mloarn iotrhdy ucfninto nda od tno qeurire temr.ea"tnt - tacto'udpa*et n nfdi in FA, ybmae ti si ni eerht ehesero?mw

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hhsuperhigh  The yoln gtinh I acn lartee to htsi is AF P313 " GBT ni cenayp,grn POC esu tgeeo(nrs sesacrine TB)G eisncersa taolt 3T,/"T4 so ehre is the peitopso suttoinai, wichh TGB esdeca,res nad oltat 43TT/ rscd..easee. +16
jawnmeechell  njaGol ltkas tbaou shit dn(uoar 33 nsmi toni his drnoiceen tlr)eceu in nateilro to ecidsnare grnsedona nasguic ceeddsera TBG +3
sarahs  yhw stni it mntearla rdtoytiniah sBA? +2
sexymexican888  shaa@rs I hnitk if ti asw hatnortyiid ABs hsihaotsm(o) STH dwolu eb ihhg +
srmtn  hasasr@ aeubcse ti udwol be tnrismcei +( scilyahp nfsigind) = ohrtydi isgnse,sedi ocytpe or spihoapla.y het iodthry fo eht ybba odulw not eb blae to kame itrhody noeorsmh at lal. isth baby sah daeecsder 3T dna 4T and nromla efer .4T +



 +3  upvote downvote
submitted by โˆ—step1soon(51)
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hTe 3 anim soirnpte atth carry hte tomriajy (5);9%t&g of rhiyTdo onmesrHo HT() aer nodgirnbh-enyixit lblugnio T,)G(B hsyerntnritta T(R,T ro u)e,blmiarnp adn uailb.mn A romin nopropotri fo hte HsT is dnbuo no murse ipr.ntooipels eVry yrr,lae nda in eth otnxcet of Tn-tHai nditasobie in taoneuimum riodyht eaid,ess lguiombuolmisnn soal yma ibnd .TH HT dinibng to GTB si diecatrhreazc by olw accytipa but hhgi aiid;vyt the onevrecs si ur,et ei, ihhg yapiatcc btu owl a,viityd orf HT ngndibi ot RTT nad alinubm.

A iedicnfcye in nHbniidTg- ntsioepr is stedspecu hwen byonalmlra low smreu tlato TH ntetcnsrocioan era ureecntonde in aciinllcyl rotyuhdie bjsuscet in eht neperces of alnmor usemr hrtyotroinp i(,e ltanimis-ditgtyuhro mehroon HS[])T. roeM ieclic,pyasfl owl BTG is tsgegdesu uceseab sthi oipnrte sicerar hte ojymirta fo het eumsr H.T

eaervlS stetsa of eniedyiccf of thsi etrinop vaeh eebn isddrecbe that aer theeir rheidtnei ro icu.eqadr hTriyod uicnntof tstes s(T)FT in pntaiste htwi GBT iediycencf wsoh rnolma HST nda fere ,4T utb olw latot 4T da,n ioclayocs,lan wol atolt T3 eursm noaoei.tcsncrtn heT mtso ptairtonm acillinc spetca of GTB edcyiifecn setsta is notcgrionei of ehets sdsridore dna aiodanecv fo eaenyncsurs dan tptnoyialle afumrlh HT meacpenlret .rayphte

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 +1  upvote downvote
submitted by โˆ—waterloo(126)
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fI yuo inkth uabot ti tsih w,ya shi efre 4T is rlnoma adn shi TSH is lrnaom. olWud any eotrh tonpio llwao stih ot ?pphaen

A tpse rreuthf wdulo eb, hwy si shi efre esmur 4T oyak ubt ish 3T dna 4T c.ed isH otlat T4 tusm eb sedecadre nhet, hchwi one fo esoth nca sacue hatt hlewi egkipne refe 4T omnra.l

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 +1  upvote downvote
submitted by โˆ—hhsuperhigh(49)
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hsTi is how my binra arfetd ewhli I wsa odgin htsi ..o.sq.uneit I dtnawe to eoocsh BTG ,diyfeiecnc tbu I tepk ghntniik thta fi TBG si idncefet,i thta manes eehtr ear lsse ro no gnidinb psnteiro in hte .ldboo dAn owh can eth erfe 4T eb oarln?m 'tdSnohlu eerf 4T ecrneais fi eehrt erew lses 4T ignibnd otprein? ...

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adong  fere T4 u'odtwln esraneci csuabee ti lduwo eb nessde yb eht ruittyiap nad SHT owldu prdo ntliu eefr 4T zsemnlaori +3



 +0  upvote downvote
submitted by โˆ—whossayin(35)
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yhw tc'an ai"ofaorcningti etdefc ni 3T nad "4T eb eht a?eswnr

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sugaplum  I hknit fi ti saw aioargniftinco cfdete uyo 'ntdoulw heav a nomral 4T ellev in eth .resmu +18
divya  uscbeae etreh wudlo eb na lavelor ersedeca ni srmeu T,3 4T nad niescear ni mesur HST slel.ev +



 +0  upvote downvote
submitted by โˆ—alimd(38)
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buota %07 fo hte lngicurciat yihrtdo si nubdo ot gnohdbitiidr-ny lblngoui t(g).b eth meridarne of het unobd opteirn si thtdaeca ot drbgn-iienhnxtiyo nurpmielab )yrsinneht(ttra adn nlbm.iua rLega itoansiarv ni tbg do nto nmrollay tafefc eth fere .rfmo a rare ngctiaolen cfiyneeidc or ssxece of btg ialarsycltd eatrls eht dbuon cnafirot utb eebucsa het efer itfrnoac is rmon,la het advisniduil ear lal ouyihd.ert

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