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Retired NBME 21 Answers

nbme21/Block 4/Question#8 (reveal difficulty score)
A 70-year-old woman has had recurrent ...
Euthyroid sick syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: FA_missing endo thyroid

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 +14  upvote downvote
submitted by โˆ—imaginarybanana(30)
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ieuotdyrh sick rondemsy is seimoemst eladcl olw" 3T eors.y"mnd osAl uyo nowk ttha hte itenpat is uitdyhero eaubesc erh T4 adn SHT era wnitih teh cernfeere r.aegn She si .isck

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yotsubato  This si ton in FA bwt. +9
niboonsh  8Nm/iww.1ntno.p./k/K/2glo4o:cvtswsh2B.9hbnb/i bryalpob eaudcs yb ehr rcnerutre umoeannip +3
eacv  I ghhuot ni isht eno as a skic insus mesdorny ahhhaa in .UW +
pg32  tryPet resu dsbrao nda boneyd csteahe hsit wng.ro .rD naRy ayss htta in eotuhidry kisc oedsnmry T3, T4 adn HST iwll be ,owl tbu T3r wlli eb .eeldteav +
pathogen7  nI tair,yel HTS nda 4T leeslv can eb lyghih viabalre esdba no eth estag of otdEyrihu ksic .enmrdsyo enO inght thta ansphpe fro ues,r I ev,eblei si htta 3T is wnod nad 3Tr is .up +3
trazobone  I iknht I been in atnnaequri oot ognl I ma rlyale ligngggi at ehs is ikcs MALO +



 +6  upvote downvote
submitted by โˆ—peridot(115)
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I am for esom srnaoe nrniagel utoab isht for eht tifrs etmi so Il'l ritew a ibt taoub eotrudyhi iksc osnymdre in csae it ehpsl soeon.em

s'tI a dseeais of xulneicso - eth htdroiy semohorn rae kwhca tub het toidhry angld flesti messe ot eb yltalot fn.ie i,pcecfSaylli T3 vslele rea ,wlo 3Tr si ihgh ht(e atyticiv of fedfrenit isndseoieda rae ,ffo so T3r si dema rome dan dderdage s,els thuohg it 'ostden seme elik eht 3rT evell sah ayn threo nalliicc a.iont)mlpicsi sA eth oehrt mnemostc aehv nte,eminod STH nda 4T aer lycplyati l,monar ohulgtah teyh can eb csededrea as llwe in vsreee esa.sc

tiEduhryo iskc osnrdyme is itlylacyp due ot an uydigenlnr caricilt iselsnl or tatnasvior - eht doby tossp imgnak eth nmreosoh sa na emreetx eeursam ot aevs neyger nad soeursc.re ehT rtteteamn si ot ratet eth ernynldiug ien;slls dityrho nehromo rphayte si tno ecdedmnmeor sa sit seecitenvffes si iuni.sclecvon

In tsih nustqoei mt,se eth petinat hsa na nnerdgiluy lsel.sin rHe hrotyid ladgn wkors ifen n(sosdpre loeripapratpy ot S)T.H Casclis case fo yeihdortu skci esomnydr.

nviGe thta reh 4T esllve rae ,oramln ew can erlu uot B, ,D and .E Im' a mduudm nda utp C eubscae I dha no aide waht ueiyothrd csik eynordsm saw. tuB enigv taht rhe STH lelev is olsa l,monar st'i otn an usesi thiw the mysahphutlao or aiuyprtit .nldga

cr:o(Sues iikw page dna sthi iartlce)

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schep  shnk!Ta ,I too, ma irgehan oautb shti ofr eth itsrf temi +



 +4  upvote downvote
submitted by โˆ—adong(144)
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yodutErhi kisc dsoemryn = evlsle of 3T /dnaro 4T era lna,maobr tbu the ihtyord lgadn seod otn erpaap ot eb uasf.dlnnctoyi The claascsli hyppeteno of stih niniocotd is teonf sene ni ivrta,nsato iltccria eils,sln ro npaetsit in eth nieeisntv erac .tniu ehT otms mcoomn nooemhr rnttpae is wol aoltt and efre 3T, leedatve ,T3r adn alomnr 4T nda TSH llseev.

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 +0  upvote downvote
submitted by thekneesofbees(7)
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In iodytuerh kcis eydsrn,om ehret lliw be anlrmo rT,3 owl 3,T adn romnal Hโ†’ TS tsih is escebua in taicicrl nilsels reteh is rsaeeeddc atycivit fo /DD12 asoidedoi5o-ennm vaicytti orllm(ayn T4 โ†’ T,3 nda T3r โ†’ )T,2 a nd rneecidsa tvtacyii of D3 '5 nimnooedsieoda n(moyllar T4 โ†’ )r3T

ttPseina ihtw esreev rouyitdEh icSk Sreoydmn mya veha wol reef ,T4 wlo tloat ,4T NAD wlo HST eelsvl

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 +0  upvote downvote
submitted by โˆ—basic_pathology(25)
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ryhEitduo ksci oydrsemn

eDu t:o erevse mytcseis islslen isse()ps

th:aP cykoiesnt ,-L1(I F,NaT IL)-6 &--t;g adreeedcs rrhpieaple a5'ned-dsoiie *

Lb:sa ramnol ,HST oanrlm T,4 wlo T3, hhig r3T clear(l htat 4T nac be evdetocnr to reeith 3T or r.3)T

*trehe rea ymna mieahmcsns ttha elda to h;its hvrewe,o isth si hte mots ycaiicnlll leeavtnr for lsba

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