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Retired NBME 21 Answers

nbme21/Block 3/Question#31 (reveal difficulty score)
A 28-year-old woman at 18 weeks' gestation ...
Free T4 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro repeat

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 +76  upvote downvote
submitted by โˆ—assoplasty(108)
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I iknht teh ctoecnp yโ€™erteh eignstt is teh aenrcsied TBG elsevl in napcrengy, adn ton jstu oteyhimhspydrri in gerelan.

When ecenrngis rof oeioytps,hrymprhyhdi/ STH elevsl rea YLWASA ealplnfrtieeyr cdekceh seabuce they era erom eniveisst to eimntu ndefesfcire in T3/.T4 Onfet simte SHT veesll cna anteetomdrs a ehngac neve whne TT4/3 evelsl aer ni hte lbsuaicncil anegr. eTh ynlo nteocxepi to itsh udlow eb in ypacgnrne dan( I usegs eabmy eivlr uraf?iel I udobt eyht wdluo ask hsit )t.huogh iHgh esegnrot ellsev rtnvseep the irelv rfom igkaebrn ownd ,GBT lnedgai to riscdaene GTB lvesle in the mu.ers ihsT idbsn to rfee 4T, isnreegdca eth tomnau fo avbailael free .T4 sA a osyaomrptecn mianchmes, STH esllve are nialynrtste niceresda nda eht ATRE fo T4 icnroopudt si daisreenc ot eeiphrsnl sbelaien fere T4 .vleles weovreH hte OLTTA tmuano of 4T si i.saerndec

Teh uneoisqt is aigkns hwo to nimrofc yhdioytreispmrh ni a gratnepn onmaw ;&g-t- you nede to kcehc FERE T4 eevlls (eusbeac ythe ohsdlu be nmlaro edu to psetnmyacoro sre.eonps) ouY otnnca cekch HST (ysullua eaetelvd ni rnpcnayeg to atmoncespe rfo eardnecsi T),BG dan uyo conatn khecc lttao 4T velles wll(i eb icen)sr.aed ouY gto teh srawne gthri ieerht awy utb I htikn ihst si a ndiffeetr gaosnneir thwor iorni,gdnsec sceubea htye nca kas itsh ncptceo in eorht xotncest of ,epyemrigt-rsosehn dna fi tyeh tsidle TSHโ€โ€œ as na ranwse cechio atht uldwo eb .ironerctc

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hungrybox  exmEleryt oruotghh esanwr hloy sthi nkhat u os mcuh I ehpo you AEC tpeS 1 +9
arkmoses  arget anwsre o,latsysspa I rmemeber anjolg inkltag tuoba hsti in sih oedn rleeutc s(deud a ipifnpl egeldn ohyl st)hi tub it kadin fwel eorv my d!eah khasnt rfo teh kebra nwod! +3
whoissaad  uoy mena otlta uatmon of 4T is "ont dh2"ndc aeg?n arap slat e.scnteen +1
ratadecalle  swds,hao@ai ni a anroml pgyrceann otalt T4 si rsneaid,ce ubt eth efer T4 llwi eb mrnaol dna tser fo 4T doubn to .GTB fI atpetni si tryoye,rihdhp ltato 4T uodwl lilts be acriedsne tbu the feer T4 duwlo wno be cisaerned sa l.lwe +3
maxillarythirdmolar  To etak it a sept tfe,urrh ljnoaG sntimneo ahtt heert aer a ramiyd of hgnsit cntgucaliri ni teh by,od etfno ni a :12 trioa of :,eduofrebn so in setsta ikle sthi uyo clodu lauactly ees ursntodiip of iths aiort sa teh odby aitnamsin its elvle of feer nrmeoho btu retfruh seeanrcsi tsi vlele fo nudob ern.ohmo ojnlGa laso sitonmen ahtt oy'ud ees het ispoptoe tefcef ni eth psrencee of oietdsrs nad hcnitoper sysdmoe.nr oS oyu ocdul ees sdadeerce atotl 4T tbu arnoml free 4T seaceub het dunob uosatmn og nwd.o +2
lovebug  amngAzi rns!aew TXH +1
an_improved_me  sJut ot dda: enncagPry is nto na ptecexion to ngius STH ni eetpdussc ephrthoyyidr nargtpen iapstnet o(tn rseu in tpo)dyyh;iorh uyo wluod isltl tge a TSH sitrf, nad if ist uaylnulus w,lo uoy dwlou neth edeoprc to mreseua T4 eef,r( totl)a, nad os n.o tc==rucTptipnnn;/dasicd-lmamet%ie-?d2po_p9ptp-psm/Hn:sus5upyaneum2wyrtusalta0et9ipse.soi4sycptpmh/easeolps2uatt&eu&arm;cietedatdnso-g_ghshirearhlr&io2;cehesi1hk~_nfoaaye4rimsentr9doteg.coasaien/aaydae9n0r-ylfia=rl&ace#ygndrs0sw-%n-nwci=tgdihclncy=;rm +1



 +1  upvote downvote
submitted by โˆ—unknown001(9)
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if eth otomncsem seacu of siipomrhyrheytd ni cnpaegnyr is sgaerv ,.xd etnh wyh tanc eth YHORTID SB.INDIATEO

spl hlpe

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 -2  upvote downvote
submitted by โˆ—cantaloupe5(87)
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pyHm/ryhehdiotprsoiy si asiedogdn wthi STH /w lxeerf ot T4 sih(t ujts llset eth lba if SHT is rnloam dotnโ€™ ecckh T4 tub if TSH si l,aoarnmb ehckc 4T oo)t. HTS โ€™nwtas na ionpot os 4T is eth best snwa.re

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hello  I tnod' egt ywh thsi swa .w.te.dnovod +2
maxillarythirdmolar  To etka it a tpse tfeuhr,r Glonaj oinemsnt that rhete rea a radiym fo tngsih cigacnliutr in eth d,yob otfen in a :12 atori fo ue:nde,rofb so ni ssetta ikel hits yuo lcdou alaulytc ese uprstiidno of tsih iarto sa eht odyb asimtiann tsi elvle fo eref omheron btu fuerhrt isenecars sit evlle fo dunob o.reohnm aGjlno sloa senomtni taht yu'do ese het psiotpoe ftfeec ni eht ercespen fo ertssido dna hentpicor eodsysrmn. oS ouy ludoc ese cereddase loatt T4 but nmoalr fere 4T uecbeas hte obudn monasut go dow.n +1



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