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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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rcdaeDese attl,o omlarn refe bnunod()u = iohTdry igdnom-oennrihb luingblo eiyiccfend

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 +6  upvote downvote
submitted by โˆ—sugaplum(487)
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sihT is aetnlpprya oligacnnte thoryid biindng ougnblli icfeeyndci

nnybhxd-reTiiino"g bgliunol dfecnicyie โ€” xneynhgonidTr-bii ulolignb TG)B( nyeiicfecd is erieztdhaccar by lwo meusr tlota 4T tbu lmrano refe 4T nda HST; the inoigsasd is oneimdcrf by muesiganr BTG iecnt.tonrsnaoc esehT sfaitnn veah oamlnr thyriod ctfnouni adn do tno qurriee .taren"temt - tduc*op nttaa'e idfn ni A,F bmaye ti is in three rmeseew?oh

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hhsuperhigh  heT loyn hgnit I cna lteera ot hits si FA 331P " TBG in ennrg,ycap OCP use tneoeg(sr nssraciee BTG) acirssnee atlto 4"T,/3T os reeh is hte speoopit ,atiosntiu hchwi TBG ae,crdesse nad altot /43TT .rsad.s.eeec +16
jawnmeechell  oGanjl tklsa bouat htis anduor( 33 imsn noti hsi eonerincd cutree)l in alneiort ot rensadeic anongsdre ncgsaiu eecsdedar BGT +3
sarahs  hwy snti it rnamalet haodriyntit s?AB +2
sexymexican888  aa@rhss I nikht if ti swa ydhanittiro sAB sh)thimoa(so HST wuodl eb hhgi +
srmtn  sasa@rh acuseeb ti dwluo eb imtsenicr +( cylihaps nsdii)fgn = rdhtioy ndegiisses, oypcet or ilsap.ayhop hte oydihtr of eht abby lwdou tno be ealb ot ekma hrdtiyo erhnsomo ta al.l ihst ybab sah resedcade T3 nda 4T dna nmolra erfe .T4 +



 +3  upvote downvote
submitted by โˆ—step1soon(51)
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eTh 3 nmai troipens ttah ycrar het iyajromt g(&t)%59; of Tdhryoi osomneHr TH() rea bxgihitrd-eonynin iuolglbn ),(TBG yrientnrttash RT,(T ro nb,r)lpuamei dna nubai.ml A omnri rpontorpio fo hte THs si ubdno on serum poiiseropnt.l yreV rreya,l and in eht otcxent fo niTtaH- biasonited in uianemotmu ritydho sde,iase nubolomgmiulins asol yma nbdi H.T HT gnbinid ot TBG si rzrechateicda yb owl caaiyptc ubt hgih iiavty;d eht esveconr si et,ur ,ie ihhg ciaytapc utb wlo tvyiiad, orf HT ningbdi ot TTR and au.lbmin

A ycnedefcii ni iTHndb-ign onrisept is espucesdt ehwn lrblaoyamn lwo urems ttaol HT tacnetinoocnsr ear entrudcnoee in clilalniyc rhdoyutie tebjcsus ni the esecernp fo mranol emsur hrotioytprn (ie, ttyng-htmliiisaruod mrehono H.)T]S[ rMeo ilcca,yplfesi olw BTG is egssdetug ceebasu sith rpiento airserc het iojmyrat fo het meusr .TH

vaerSel setsta of ceeidicfyn of hsit epnirot ahve been besdrcdie ttha aer retieh inirheted ro i.uqcerad hyidorT tioufcnn stest F(T)sT ni pneitsta itwh GTB cicyndeeif ohsw mlanor SHT nad free T4, btu wlo ltota 4T ,and oalcnioyas,cl wlo ottal 3T remus niorncst.cnoeta eTh toms paotnmirt iialnlcc tcepsa of GTB cycfeiinde setsta si etionrcogni of hstee eoisddsrr nda odancivae of usensercany adn iepnattloly umflarh HT ctlepareenm .yrathep

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 +1  upvote downvote
submitted by โˆ—waterloo(126)
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fI ouy htkin utboa it isth ywa, sih erfe T4 si aronlm nad ihs SHT is .nmaolr uWold ayn threo toponi wlloa isht to p?phean

A teps rhufert owlud ,eb hwy is shi refe emsur T4 koay tub ish T3 nad 4T .ced siH tltoa T4 smut be asereddec hnt,e hiwhc one of htsoe cna acuse htat hlwei nikpeeg rfee T4 .orlamn

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 +1  upvote downvote
submitted by โˆ—hhsuperhigh(49)
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hTsi is woh ym ibnar ardetf ehliw I asw inogd stih tosuin.qe... I netdaw to eohcos BGT c,fiiyeednc tbu I ptke intngihk ttah fi GTB si tfceedn,ii atth aemns rheet rea elss or no giindnb porensti in the dbo.lo And woh nac eht eefr 4T be lran?mo uhontd'Sl fere T4 iacreesn if trhee reew sles 4T iindbng npti?reo ...

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adong  eerf 4T duwn'tlo aecsiner asbueec it uowdl eb eesdsn by teh uryatitip nad TSH duwol odpr luint eefr 4T zimrsolnea +3



 +0  upvote downvote
submitted by โˆ—whossayin(35)
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hwy 'tacn onncfaioairtig" edetcf ni T3 and T"4 eb teh ra?wsen

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sugaplum  I ihtnk fi it aws rcnangoioiatfi deftce uoy dulton'w heav a onralm T4 lvele in eth erm.us +18
divya  cuasbee rehet lduwo eb an lolrvae aedsecer ni erums ,T3 T4 adn ascirene in urems HTS .lvesel +



 +0  upvote downvote
submitted by โˆ—alimd(38)
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utoab %07 of the lcaincgriut hotiryd is doubn to idiyibtgdn-hrno bguoilnl g)(t.b teh eirmndera of the dnuob oirentp is adhectat ot -beirtniyhndixong ermpianlbu ts)antnyrht(rei dna nmiblu.a eLarg voartnsiai ni tgb od ton lrylaonm eftcfa eth refe m.orf a erra lentncgoia cfcienedyi ro esexcs of tgb slrlcatayid elarts eth uobnd ronicfta ubt ecubeas eht erfe tconiarf is on,mral hte adiuidvnlsi are all r.doiuethy

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