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NBME 20 Answers

nbme20/Block 3/Question#48 (22.4 difficulty score)
A 48-year-old woman comes to the physician ...

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submitted by celeste(85),
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iAedo,aornm a slsca III triarayhchmnit r,gdu ash lmiuptel tfesfce on laiorymdca aooilnzptredia and aelorinaprotiz thta kmea it na temreyexl eeiftcfev tarthiaricyhnm dru.g eHowvre, emoroaniad si csdeasatio hiwt a mebunr fo eids t,efecfs ignuicnld iyrthdo nctdysnfuio hb(to p-ohy dan hryympste)hod,iri hwhci si edu to 'odsaaiermon hgih iioend ecnontt and tsi tiercd itxoc cfftee on eth ityohd.r (teoutcmad.op)

celeste  The "**iod**" part of am**iod**arone reminds me of it's high **iod**ine content. +9  
xxabi  I think of it as the trifecta - gotta monitor LFTs, PFTs, and Ts (thyroid) when on amiodarone! +3  
sinforslide  Also, the patient presented with Afib; this might've been caused by transient hyperthyroidism as a prelude to Hashimoto's. In this case, if you give Amio, you'd cause serious hypothyroidism! +  
fatboyslim  Always monitor LFTs (liver), TFTs (thyroid), and PFTs (pulmonary) with amiodarone +1