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Retired 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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raeecdsDe ,atolt anlrom fere n(uu)nobd = rhdyiTo enbdign-rhionmo blnouigl dfiiceeycn

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 +6  upvote downvote
submitted by โˆ—sugaplum(487)
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sihT is ertnpaalpy eolncntaig ytrihdo gnidbni llouibng ideyfneicc

nrnb"Td-hexoigiiyn iulnbglo cfyiciedne โ€” grxenydiinohibn-T nboiullg )TGB( iyefcicdne is etireadzcahrc by lwo smeru tatlo 4T btu oalrmn efer T4 nda ;TSH the igisdoasn is miordnfec by agiunmser GTB atnneotccro.nis sheeT nsfinta aehv onrlma yoditrh oucnitfn dna od ont erreiqu et"ttaern.m - c*aa ptdo'tteun ndif ni ,FA meyab ti is in reteh eremhoes?w

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hhsuperhigh  ehT nylo ginht I nac eeratl ot siht is FA 3P13 " TGB ni npa,gyernc PCO esu nt(ogeers eseacsnir GTB) eiresnacs latto /4"T3T, os eehr si eth pptoeios ,tousntaii wchih TBG sdea,ecers dna oaltt T/4T3 ee.sa.dre.cs +16
jawnmeechell  aGlonj lkats obaut isht nro(uda 33 smin ntio ihs oircdenen lt)ureec in roetinal ot neaeicrds ragedsnon ugcaisn ddeercsea GTB +3
sarahs  ywh sint it ataemrln odayitintrh ?BsA +2
sexymexican888  ashra@s I inkth if ti wsa tiahtrnioyd BAs )timoahossh( SHT dowlu eb ihgh +
srmtn  shsa@ar ubacees it udlwo be ctirnsemi (+ ihypacls nfs)gindi = hiyrtod siins,eesgd teycop ro po.aiysphla hte dtiyhro fo hte bbay ulowd tno be ebal to mkae oritdhy hormeson at l.al itsh baby has ereedsacd T3 adn 4T nad omranl fere .T4 +



 +3  upvote downvote
submitted by โˆ—step1soon(51)
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ehT 3 nmai eortinps htta racry eth arijtomy )(t9g5&%; of oyhiTrd mroneosH )TH( are hoeynnxtbndii-igr biglluon T(,B)G tnrhartetinys (,TRT ro imbr)unpale, nad ubanml.i A nmroi roopipnrot fo het sHT si odnub no userm tnep.oiilsorp eyrV rrayl,e nad in eth ctexton of -THinta isabeindot in tmneiaomuu ihydotr se,sdiea mmsngonuolubili alos mya dinb .HT TH dbiingn ot BTG si aietdrczraehc by lwo ciaycpat tub hghi vyiti;da teh ovsnecre si treu, ,ie hhgi tayipcca ubt olw ,idtvyai rfo HT ingibdn to TTR dan lmain.ub

A dicencyfei in nbgdiniHT- ontipsre is psueecdst wehn nllrayobma lwo emsur olatt HT tsoercatinncon rea udcrnntoeee in nciallyilc oirhuyted ejstbsuc in het enrepsce fo rnloam rumse ythptnoorir ie,( ngutoh-iilymtsrdati romnhoe [)HS.]T eoMr cecilly,safip olw BGT is essgdguet acuebes ihst enortpi cerrsai eth ayjrtomi fo het umsre .HT

eravSel ttssae fo yeincfedci fo htsi rtnoiep evha eenb rcesdbied tath era htriee eidhnreti or erc.udiqa Toyhidr tuonicnf stste TTF()s ni aeitsntp wtih GBT cnyeidecfi whso amlnro HTS dan fere ,4T btu low atlot T4 n,da ics,ollcoanay wlo oltta T3 rmseu acsincn.onerott Teh tmos aionpmtrt liiaccln cptase of TBG enifeicycd ttsase si ngcotioenir of etehs sdidoesrr dna avedincoa of snneryueacs and peoiytlantl lafuhrm TH eaprnemeclt eaty.rhp

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 +1  upvote downvote
submitted by โˆ—waterloo(126)
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If you nhikt outab it thsi ,awy sih free 4T si nmloar and ish STH is anl.rmo udWlo yan oetrh opoint lalwo thsi to peapn?h

A tsep tfrehru oluwd eb, yhw si ihs erfe rmseu T4 okya utb hsi 3T nad 4T dce. His ottal 4T tmsu be daeseedrc ne,ht cihwh eno of etsho anc seauc that heilw npiekeg fere T4 ranl.om

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 +1  upvote downvote
submitted by โˆ—hhsuperhigh(49)
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iThs si woh ym bnair tedafr ielwh I was ingdo htis s.tnie..q.uo I anwdte to ohesco GTB enciifydec, utb I eptk iikghtnn htat if TBG si efdit,niec ttah smnea tehre era sesl or no iibdgnn rnepisto in the ol.odb And owh can hte eerf T4 eb mr?laon ldnuS'oth eerf 4T rnsceaie fi there erwe ssel T4 inndgbi p?rineto ...

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adong  eref 4T ntuwld'o srcieane ueesbac it owldu eb esdnse yb hte tuyatrpii and SHT wldou prdo liunt efre T4 roneilzasm +3



 +0  upvote downvote
submitted by โˆ—whossayin(35)
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hyw act'n iircnfniatoaog" tfdeec ni 3T adn "T4 be eth rena?sw

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sugaplum  I ihtnk fi ti asw icrafioaigtonn tfceed you onlw'utd vahe a arlonm 4T velle ni eht .sremu +18
divya  csbueea rehte olwud eb an lleaorv eedresac in reums T3, T4 dan eescnira ni serum THS levl.es +



 +0  upvote downvote
submitted by โˆ—alimd(38)
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btoau %70 of eht nutgicalcri ytodrhi si dbnuo to dnidboriinh-ytg bnulogli g).tb( eht ndermirae fo the ndubo ioentpr si ahetdtac ot t-neihydxngnbiori ibeanlpmur rthntie(sy)tnra nda blinma.u rLgea nsaioavrit in bgt od ton aollrnym aetfcf eth erfe fom.r a rear nlganoitce ceyidifenc ro sexcse of gbt sacartlylid laters eth ubodn iatofncr utb auesceb eth efer arfnocit is marnol, eht ivdidinasul are lla tr.odeyuih

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