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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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redaeDsec ,latot onlmar erfe (o)nuubnd = odrhTyi gebirn-oiohmndn lbgonuli dnicieycef

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 +6  upvote downvote
submitted by โˆ—sugaplum(487)
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siTh is planyeprta ntaiglcneo otyhrid bigdinn buignllo cfcyeiedni

g-"ixryibnnneoThid giblulno ceiceiyfnd โ€” ndreh-nnoxTiibigy lgboluin TB()G enfceiiydc is ercihdeaazctr yb low rmseu oltat T4 tub alnomr efre T4 and TS;H eth aigsdsnio si mnrfdioec by umraegisn BTG irectotnn.ocsna seTeh tsnnafi vahe rnoaml itrdyho nofucnit and od ton uqierer mrnee"t.tat - tnua*t'dpcote a ndfi in A,F emyba it is ni htere rm?eoesehw

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hhsuperhigh  hTe onyl nhtig I nca laerte to stih is AF 31P3 " TBG ni c,eypagrnn OPC sue g(eorsent scesnaier BTG) asniersec aotlt /,43T"T os eerh is eth popsoiet aoints,iut hcwhi GBT ,eesdesrca dan lotta 4T/3T ads.se.cere. +16
jawnmeechell  Goljna aklts ubtao isth (arudon 33 inms otni shi ecdninero leuce)tr in artnlieo to daenercis gondasner ingacus ersdaeedc TBG +3
sarahs  ywh tsin ti rltnmaea toyirhaditn As?B +2
sexymexican888  aash@sr I ihntk if ti was ndoitrihaty ABs oss(hihtm)ao STH ulwdo be ihhg +
srmtn  saarh@s eecausb ti dluwo be nemrsitic (+ yacsihpl ni)dingfs = ohyitrd ,sigdnseise ptcyeo or ayphloasp.i eth idhotry fo the byba dwluo ont be elab to amek tyirhod mnsehroo ta la.l siht bbay hsa eceedrads T3 nda 4T adn nrlamo feer .T4 +



 +3  upvote downvote
submitted by โˆ—step1soon(51)
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eTh 3 anim oiesrptn taht rcyar het raytomji ;(&g9)5t% fo rhdTiyo eomrsHon HT)( aer nyxienodthngibr-i lobiulng (BT)G, nntsyhrrtaiet TR(T, or ,uemrian)lpb and imnluab. A irnom roinroptop fo teh HsT si udonb no sermu rtenolippis.o Vrye yra,elr and ni teh nttxoce of HtaiT-n ibdtnaiseo ni nmtiauoume rtohiyd isaese,d inimnlsgumluoob losa yam dnib H.T TH idnibng to TBG is rtdrhceeczaia yb olw taaycpci utb hihg di;vatyi eth voeersnc si ,rute e,i ghhi cyaatipc btu olw aiyv,tid for HT ngiibnd to RTT nad anliubm.

A cndeeciiyf in inHiTn-bdg esptionr si dsspeeuct wenh narmllyaob wlo emrsu otlat TH nsocntteiocnra are eodnenetcru ni ialnylcilc ytdehuori sctbseju ni hte nseeecpr fo omlran emrus rtrohontypi ei,( iuigi-ttmhtyrldnsao honmore T)[HS]. oMer yallei,pscfic wlo BTG is uessegtgd cbuaees tihs rinetpo ricresa teh mtiaoryj of het seumr HT.

aeSelvr tsstea fo yncdicieef of isht oetipnr ehav neeb ercddiebs tath rae riehte hdeniriet ro c.dqaeriu dyhoiTr infntuco sestt Ts()FT ni eiastnpt whit GTB ceicenyidf swho laomnr STH nda efre T,4 btu wlo tatol T4 dan, naacl,icsolyo owl lttao 3T erums on.nnaotceticsr The tmos omtanprit calcnili tpesac fo BTG yefcnecidi tssaet si tongnecoiri of sethe oddrsresi adn oeadcniva of nuasyrenecs nda liolapntyet amflurh TH tearnpeeclm .hrteayp

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 +1  upvote downvote
submitted by โˆ—waterloo(126)
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fI yuo khint obaut ti hsit yaw, sih reef 4T si roanlm dan shi TSH si r.mlaon duWol ayn other otponi lwaol tshi ot epp?ahn

A estp truefrh wloud b,e why si sih eefr mseru 4T akoy tbu sih 3T nda T4 d.ec Hsi otatl T4 utsm be dseraeedc ,ehtn ciwhh oen fo estho nac seuac ahtt elhwi gipeenk reef T4 norl.am

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 +1  upvote downvote
submitted by โˆ—hhsuperhigh(49)
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iTsh si who ym rnaib rfedta wilhe I aws odign sthi nse.oiq..tu. I aetdnw to oceohs BGT nyidcc,eefi ubt I pekt tnkhgnii thta fi GBT is itfcide,en ahtt amnes hrtee are sesl ro no ndiingb rtsoiepn in eht o.bdol And who cna het free 4T eb lano?mr td'lhnSuo free 4T cireesna fi rthee eerw elss 4T dgniibn npoite?r ...

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adong  eerf T4 ltou'dnw eirnecsa aebescu it oudwl be edesns by eht ttiirauyp and TSH luodw dpor ntliu efer T4 amozerinsl +3



 +0  upvote downvote
submitted by โˆ—whossayin(35)
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yhw na'ct taoaiioinnc"rfg cefdte in 3T nda T"4 be eht esn?arw

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sugaplum  I nhtik if it wsa onnafgtcoaiiir ecftde oyu ndlwout' veah a nmarol 4T elvel ni het ru.sme +18
divya  scbeeua erthe dlouw be na ovlalre sdeeraec in rseum 3T, T4 dan cnieares ni murse TSH svel.le +



 +0  upvote downvote
submitted by โˆ—alimd(38)
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aoubt 7%0 of hte lcngticirua tdoirhy is udonb ot idgrtnhdiyionb- nlugbilo g(bt.) eth rdeamneri fo het ounbd noripet si tedathca ot d-xonnitgrheibniy iueaplmrbn ra)itt(esnhrnty dna iml.aubn aLrge sntriaviao ni tgb od tno ymnlrlao ctfaef het fere .fmro a rera egtainnocl ceiynfcedi ro scxsee of gbt ctilyasldar larets eht doubn ofiarcnt btu eacubse eht efer itarfcon is nr,loam het idnladiuvis rea lal .ethuodyri

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