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NBME 20 Answers

nbme20/Block 3/Question#24 (34.0 difficulty score)
A 2-month-old girl is brought to the ...
Thyroid function testsπŸ”,πŸ“Ί
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 +9 
submitted by hayayah(1081),
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whossayin  how can you differentiate the symptoms of cretinism from Down syndrome? +  
step1soon  @whossayin Down Syndrome: upslanting palpebral fissures, atlantoaxial instability, bent little finger, congenital heart disease, displacement of the tongue, excess skin on the back of the neck, flaccid muscles, hearing loss, immune deficiency, low-set ears, mouth breathing, obesity, obstructive sleep apnea, polycythemia, seborrheic dermatitis, single line on palm, thickening of the skin of the palms and soles, thyroid disease, or vision disorder +3  
ally123  I was confused about why the infant was jaundiced, and found this: "Hypothyroidism causes decreased rate of bilirubin conjugation, slows gut motility and impairs feeding, all contributing to jaundice." Source: http://www.pathophys.org/neonatal-hyperbilirubinemia/ +6  



 +5 
submitted by dickass(88),
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lovebug  Wow good point! :D +