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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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Decseread ,tatol mnlrao eref (uon)bndu = Tdyrhio nooenrghimbid-n ulingolb ccynedieif

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submitted by โˆ—sugaplum(487)
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Tish is lrptenapay ecagiotlnn ydrthio dngnibi bogllniu feyncidcie

enyxnbnig"rdi-oiTh oubgilln efeicidycn โ€” iyxebdohn-rininTg iulgnlob ()TBG ecyfieicdn si ccraedehrztia yb owl ursem lttoa T4 but aromnl rfee 4T dan ;HTS het aodsgiisn si mefroindc yb rsumaigne TBG oeasnnorc.cntti hTese tfinsna aehv lmrnoa ryhotdi nfnctoiu adn od tno reiueqr e.netta"mrt - d*nuc'tae pttao nifd ni ,AF beyam ti si ni theer whmosreee?

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hhsuperhigh  The noly ignht I cna tralee ot sthi is AF P313 " TBG ni nane,pcgry COP seu esr(gtoen esrsceian B)GT necserias toatl 4T,3"/T so eher si het tpspeoio tnia,sitou wihch BGT e,rsecseda dan oattl TT3/4 dr.s.ac.eese +16
jawnmeechell  ojlanG sklat tbaou isht rdou(na 33 smin oint hsi eorcneind cetrle)u in nroeilta ot naeeicdrs nsnagodre iausgcn rcddaseee BGT +3
sarahs  ywh snti ti tlmraaen ithiydatrno sAB? +2
sexymexican888  rasash@ I hitnk fi ti was yroindtaith sAB shmt(ihsoao) HTS woldu be high +
srmtn  rs@haas ausebec it ouwdl be mtieicsnr (+ hpyicsla nsfig)idn = dhrioyt dgesess,nii cetoyp ro alsioy.ahpp hte oyirdht fo eth baby lwoud otn be ealb to mkae doyrhit hnemorso ta .lla stih aybb hsa ddreaeesc 3T nda T4 adn nmlora eefr 4.T +



 +3  upvote downvote
submitted by โˆ—step1soon(51)
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hTe 3 naim nerpsito atth rycar het jaormiyt gt&;%)9(5 fo Thoyidr oHrmosen H(T) rea yieho-ibdtingrnnx ogliulbn BT),G( tnsnttiyrreha ,(TRT ro )iu,leprmbna dan aml.nbui A riomn optirropon of the sHT is ndoub no ursme rppsloini.eot yerV arry,el dan ni the noettcx of aitTn-H sdnabeitoi in uantuomime yhordit ei,eassd uuiimmlbnngsool lsoa yam dnbi H.T TH ignnibd to BTG is itrzcaaedcreh yb wol cctaaipy ubt ghhi aiv;tyid eht veorcsen is ,rteu i,e ihgh icctaapy utb wlo ayidvti, rof HT idnignb ot TRT and nimb.lua

A fdeicciyen in HTnnbgd-ii oirtpsne is scpeuestd nhew lnmlayroba owl msure ttoal TH onnctntsoeicar are dontecrunee in lnaiciycll thieoyurd jssbtuce in het eneecsrp of lmroan srume tpoyhirrton ,e(i -yaisiighroutttmndl roohmne T.)]SH[ roeM aciileyl,fcps low BTG is gtesdgeus ucasbee thsi nitopre esrraic teh oijartym of het mesru HT.

aerlvSe astset of ieneccdfyi fo tshi nptorie hvea ebne cseiedrbd htat aer eertih ehdtrniei or diuqraec. hoTrdyi ouicnnft estts T(TsF) ni ipansett htwi GBT efeicndicy owsh rlnmao TSH nad feer ,T4 ubt owl tlato T4 na,d socaclal,yino lwo tltoa T3 ruesm on.ictoctsrenan eTh omst mptorinta ilcailnc tcsepa fo GTB ydicfniece ssttea is etigcnorino of eetsh iddrresso dna odeainavc of naesernucsy dan aptlnyloeti hrufaml TH mrelaptceen yrapt.eh

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 +1  upvote downvote
submitted by โˆ—waterloo(126)
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fI ouy iktnh tauob ti tsih wa,y hsi free 4T is rolnam dan ihs THS is romn.al lduWo ayn hroet pitono wlaol sith to pp?enah

A tspe rfhuter wduol b,e hyw si hsi free rusem T4 ykao tbu sih 3T nda T4 e.cd isH lttoa 4T utsm eb cesdedare eh,tn hiwhc noe fo soteh acn ucase hatt ielwh ipenegk eerf 4T rmn.lao

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 +1  upvote downvote
submitted by โˆ—hhsuperhigh(49)
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hsiT is woh ym inarb ftdera iehwl I saw donig isht ue..onq..its I awetnd ot oosech BGT ce,yficnide utb I eptk nkhtnigi atht if BTG si dnfteci,ei hatt msane heter rea sels or on indngbi isnproet ni eht .lodob Adn woh cna the reef T4 eb o?mnlar odhStlu'n eerf T4 encaesir fi treeh erwe sles 4T bidngin tnire?po ...

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adong  eefr 4T n'woldut aiseenrc subacee ti wodlu be dneses by eth ttriiapyu and TSH owudl pord lntui refe T4 zlrmsenaio +3



 +0  upvote downvote
submitted by โˆ—whossayin(35)
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hwy ta'nc "aioiiotafnrcng ftdcee ni 3T nda 4T" eb het ?ernaws

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sugaplum  I ihktn fi ti was ftcoaiginoiran eftced ouy no'dwlut vahe a omraln 4T elevl ni eht rsme.u +18
divya  esacueb theer dowlu be an valorel eascrede ni rumse T,3 T4 nda esinecra in srmue HST l.selev +



 +0  upvote downvote
submitted by โˆ—alimd(38)
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ubtao 7%0 of the airulcgcitn idtyohr is nboud to n-ihyidgdnrbito gbolulni t)gb.( hte mrnedirae of teh budno tepnori si ahdcteat ot bnioxedngyi-hrint nmlauieprb tn(arit)hsyretn adn nlba.ium areLg aiasnoritv in tgb od not rlymolna eaftcf eht eefr ro.mf a erar aelcgitnon icinefdeyc ro ecssxe fo tgb aydcstlliar etlrsa teh buodn trofncai tub sacbuee teh eefr fincotra is ar,mlno eht aisduvlidni ear all etrdiuh.yo

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