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Retired NBME 17 Answers

nbme17/Block 0/Question#0 (reveal difficulty score)
A 57-year-old man with alcoholism has a ...
Gynecomastia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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This is one of the main consequences of liver failure. [FA2020 p389]

The proposed mechanism is an imbalance in free testosterone and estrogen caused by defect in sex hormone binding globulin (more free estrogen = gynecomastia).

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cheesetouch  FA2018 P383 see image in 'cirrhosis and portal hypertension' +3



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