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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 ...
Hypothyroidism🔍,📺
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 +3 
submitted by celeste(85),
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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