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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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eurhodiyt isck rdyomesn is tesoeismm aledlc "olw T3 .menysdr"o sloA uoy nowk ttah eth itntaep is yurdthoie sceuabe erh 4T dan THS are nwihit teh eenrfeecr ae.nrg eSh si csi.k

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yotsubato  Tshi is otn ni FA bw.t +9
niboonsh  bsil2Bw/nnvwbh.nhos/N.wto../gm9cK/t41p2:k/oi8 pbboyrla deuasc yb rhe rrernuect unmiopaen +3
eacv  I ogtuhh ni shti neo sa a isck iunss esymnrdo haaahh ni UW. +
pg32  ttyPer user rodabs adn dneyob thecsea ihst won.gr r.D nyRa syas htat in durityheo ikcs odrysnme 3T, T4 nda HST lliw be ,wol ubt 3rT will be eelt.deav +
pathogen7  nI ,aiyelrt HTS adn T4 slevel cna eb hlghyi relvbaai asbde on eht tsaeg fo odytEhrui csik ydomsrne. neO nhtig htta eshnpap rfo e,usr I ,elbeiev si htat T3 si dwno adn Tr3 is pu. +3
trazobone  I inthk I ebne ni urqnanatie too nglo I am laleyr inggligg ta esh is isck ALMO +



 +6  upvote downvote
submitted by โˆ—peridot(115)
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I am fro msoe aenosr agennril oubat htis for the rstif mtie so l'lI tewri a tbi tuoab tdoyrehiu kcis normydes in seca it plhse e.onsmoe

It's a ssedaie fo oiuenlxsc - het yhrdito eosrmhon are hckaw tbu teh thydrio ladng iesflt semes to be lttayol iefn. pfSiacyiell,c 3T eesvll rae ,low 3Tr is hhig t(eh civtayti of fnetrdief eedosiasdni era o,ff os 3rT si dmae emor adn eaerddgd els,s ghhuto ti node'st emes lkie teh rT3 vleel sha ayn eotrh clciilan opcila.intis)m As the trohe sommnect vaeh dni,tnoeem HTS nda T4 aer ayticyllp amlon,r ahtglohu ythe can be ecedeadrs sa ewll in vrseee ae.scs

tiorEuhdy icks sendormy is ycplliyat deu to na nirnyglude iicltcar ssinlle or vistrnoata - hte boyd sptos kniagm teh eomohrsn as na exterem umsaere to esva neeyrg adn ssrcruoee. ehT eenttrmta is to tetar eht ylnedgirnu nilel;ss drtyiho oonrhme rhypate si otn mmnddcreeoe sa tsi fvsfniseecete si lunscieon.vic

In thsi tonsieuq setm, het patinet sha an idnuyerlgn sils.lne Her ydrotih dnlag srkow nife dnsrps(oe areoprtpilyap to TH).S sCsaicl case fo iheyotdru kics em.dsoryn

Gniev ttha her 4T leslve rae orln,ma ew nca urle tou ,B ,D nad .E mI' a dmmudu and tpu C ucaeseb I adh no deia ahwt teirdhoyu iskc roydnsme .asw tBu veing ttah ehr HST levle si slao malon,r i'ts nto na uesis iwht hte hyphtaumlaso ro utiytiapr na.dgl

:oSeur(cs wiik gpae dan ihts racteil)

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schep  ashkn!T I, ot,o ma reangih atobu hsti for het frits eimt +



 +4  upvote downvote
submitted by โˆ—adong(144)
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riudhoytE sick noydmers = ellves fo T3 rno/da 4T rea nmor,abal btu teh oyhdrit dlang osde not parpea to be ltc.uyonfisdna heT slacsaicl yoeepnhpt fo hsti ncidtiono si oetnf nsee ni niao,vstart rccaiilt ,nslelis or itptsnae in hte vtnenieis aerc iu.nt Teh stmo omcmon nhoermo ttnerpa si low taolt nad refe T3, tdaeelve 3,rT adn anrlmo 4T nda THS svel.le

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 +0  upvote downvote
submitted by thekneesofbees(7)
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In ytiurehdo kisc y,oenmsrd rhtee liwl eb lmnaor Tr,3 olw 3,T dna aomnlr โ†’SH T tihs is esubeca ni lciiacrt slnisle ehret is cderadsee vciatiyt of D1/2D dsniino-ooam5eed tivyitac oarml(nly T4 โ†’ T3, dna r3T โ†’ 2T), nda dcasrneie ctiyvita of D3 '5 dniomnideoaoes olaml(ynr 4T โ†’ Tr)3

esntPait ithw sreeev Euyrodiht kcSi rdynSmoe yam avhe owl efer 4,T low ttoal T4, DAN lwo STH lsevel

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 +0  upvote downvote
submitted by โˆ—basic_pathology(25)
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Eryouhitd cksi deymsnro

Due :ot vseere ecissmyt sesnill pis(es)s

ta:Ph ieoytkscn I1,L(- T,NaF -L)I6 ;gt&-- adeercsed erlpriepah oe'ainide5sd- *

aLsb: lonamr TH,S nloarm T,4 wol T3, ihhg rT3 call(re that 4T cna be tevcornde ot ieetrh 3T or Tr).3

*tereh rea nyam ahssncmmie hatt dlea ot ;ihts wr,hoeve tsih is the stmo llylnciica nearltev fro slab

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