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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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  • ottal 4T (or 3)T = eefr + udGo-BnbT
  • grcnenayp โ†’ GBT ernsieca โ†’ -bBnoTudG 4T enarecis โ†’ reef creedsea โ†’ slse avtienge ekfecbda โ†’ more HST โ†’ etoesrr efer T4 eevlsl
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abhishek021196  eryV slmipe litp.onneaxa nahkT ouy +


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 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I tihkn hawt trhwe me ffo wiht hsit noeitqsu asw "rmsue 4T" - tnaw's sure if thta tmena oltta T4 ro uesrm .4T L,cuylki I tnod' khnit any of teh teroh soen tif orf reieht os I musased it eamtn lotta 4T rof whchi hte snwaer amske enses

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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d"seanecrI odlbo toncinortesnca fo Tbg-inn4id inulg:lob BTG is neo of elvsrae ptirseon atth prattonsr tirhdyo orseohnm ni o,dlbo adn hsa het ihhesgt yatffnii ofr 4T yrnt(i)xohe of the upgro. ssoertEng suattilme osriepxnse fo GBT in ilvr,e dna het rlanom rise ni srgeotne grdnui grnayenpc encuids holyrug a guolibdn in mersu GBT nicetrnt.aoocrnsta"

ean"scedrI lelvse of GTB edal ot edewlro fere T4 srcttcai,ennono hwhci lustesr ni veetedal STH nrtseoeci by hte turiapyti a,nd conue,qtlsyne hdnneeac oitdorpnuc nda tonrsieec of ohdytri s.oemhnro The ent feceft fo devteela TBG ssnseiyht is to ecorf a wen imluqriebui eenbtwe feer and ubdon rotyihd srnohoem dan uths a fsniniitcga ceesrnia in ottal T4 adn 3T ele.svl The srencdeai mandde for yoithrd rsomeohn is redehac yb uobta 20 ewske of tegsntiao dna spressti uiltn m."tre

d/oatr:t.boupgh/oo_disrhrcpvthkh/ieomyrhhdeao./ec./hsnow.owltslw/teyp/iitdvetpynt

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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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e gojPl:ry/cianaGnn OPC es:u hHgi ,4T lanmor :ia(ro dcoibseantlT)HSS owL ,T4 oanmlr HST

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