need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

Retired NBME 22 Answers

nbme22/Block 4/Question#15 (reveal difficulty score)
A 24-year-old woman, gravida 1, para 1, comes ...
Release of stored thyroid hormone from a thyroid gland infiltrated by lymphocytes 🔍 / 📺 / 🌳 / 📖
tags:

 Login (or register) to see more


 +36  upvote downvote
submitted by liverdietrying(111)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

iThs oen swa a ttleli rtk.icy orF this eno eth eky is teh low daiiodieonr .atpuek iTsh tentipa sha hhig T4 dna owl HTS hciwh ekmas esesn ni a pryhetrihdyo a,ptenti ppasehr ruoy first othhtgu is that hsit ttpiane has seravG’ eseasd.i o,eervHw in seGva’r rouy hditroy si giebn ausiletdmt ot akem mero odrhiyt mhnreoo morf tchacsr dan as ucsh dowlu veha na dicasrene radnoieidoi pekaut eeucabs eth dhtyoir is nirginbg in eth rqeruied wno( )oaaeddrbilel niedio. sihT si why ti is ton areGvs ee“er(las of oyhitrd oornmeh rfom a tryhdio tiedtalsmu yb ent)idi.oa”sb

So fi sti not ve’sraG what cludo it ?be Fro thsi uyd’o aveh to nwok htat m’aiHsshtoo tdiTsoiiyhr sla(o nnkow as ncroiCh myicptcyLho oiitdhsTryi and is tneof erererdf to as chsu no rodba saexm to twhro yuo fof) ahs reeht ahseps - rtfsi hyte are ioeyrphdyhr,t nthe uotirhe,dy tehn teh ialccss rohoipdyhyt tath yuo olwdu ectexp itwh wol 4T nad hhgi THS. hisT was eht yek ot hits entu.siqo The ornsae rfo sthi si thta doatriynith irepxdaeso itbandoesi ni Hahoss’tomi aucse eth ryiohdt ot laresee lal of tis etodrs ydihrot rnoomhe gikmna hte epinatt hrtdyrhypeio ofr a rstoh iopred fo eti.m tferA ihts esmsavi eerlase of htorydi eh,onmro the ntasdoeiib ekma hemt eulnba ot kmae enw TH dan efhrorete etyh obcmee iyoehrutd fro a trosh dpoeri dna htne toyypdhoirh ichhw yuo dwulo pxtce!e Secni htye an’tc eamk new T,H eht oyhrdit lwli nto ekta up hte eidrndiaioo adn hreetroef reeht lwli be low einaoirddio tauk.ep ec,eHn ee“laser of ortsed oiythrd ehoomrn mrof a tiyhdor gdaln dtfeinlrtai by tceopm.hsyy”l kaa icytcmohLyp“ mhsh)(tooais ihordt”yt.iis

I thikn elsre“ae fo dhrytoi nheorom mfor a styloaomhpum tyrodhi ndag”l si igererfrn ot esmo kdni fo dotrhiy naccer ni hciwh case yuo olduw cexept emht ot be bsgcirdeni a udonle on oeariidniod ut.kaep

mauSy​rm deovi eher dna olas a eartg etis ni re:alnge idruehteceltp/ynnseit:eie/ooornh/dspgao.c/radmi/d/rnq

unscramble the site ⋅ become a member$279$49
aesalmon  pg 338 fo AF lssti ti erndu rhdihiymtoysop but ti seod nespert sa aetnristn yitisdoremprhyh istrf +9
hyperfukus  pye ahtt swa the !yke otreiG si OH"T" btu the iiganenmr ansrew coische rwee ilslt inkd fo lehb D swa cintrdtgias het lhel out fo em i petns os gnol to oineccnv yesflm ot ickp C nda meov on +3
hello  ansiPtg lnknsea'nwnim nmetocm sa na iiotd:adn coieCh "D" is wgrno /cb ltmpo"ayuomhs rtodiyh nag"ld = yprairm oyhitrd aylmohpm ypiltycl(a NHL, hchiw is yrve er)ar ro om'tsiahsHo rdioyht o.esonsrrgip ho'msaostHi shytoiirtdi = hptyymolicc tlaiitrnef thwi glnameir B secll and trlehHu ,leslc chhwi opun innetudco imitaul,tosn nca deal to tnmtnnmagaotaui/li sooaimttrnfran ot B llce mpl.yaohm hoBt fo eseth eeptnsr with yiyidotspmhrho twhi wol T4 and hghi STH (piooepts fo hsit et.p)iant +1
taediggity  I oayeubsltl velo ouyr ltyrvn@ieeri,dig rhoevew het nseohipsaegt of tpmpsurota ryitosidthi is mlrsiai ot sa'sHmhoo,it os I tnhik hsti sproen sha puttrposma dtsyihoirti and yoru opneiatnxla fo tarnetins tsotoshcyoirix is stop o,n hchiw wuold osal ucroc ni sttuopprma osdiythiitr +16
pg32  I geera thiw tgi.ie@ygatd Also eton taht mewno utlnlvyeae rcveoer from pttpsumrao sotyiihtdri dan tlypcyail oemecb hoeyrduti g,aian whhci ndst'eo eppahn whti osso'i.Hmtah +
vulcania  In FA 291(0 .p 33)8 ti ssay thta ridthoy si usullya aolrmn siez in sprtuatmop dhtoi,iriyst utb eht teiptan ni sthi einqusot ahd a dyrothi wt"cie het almnro iez"s. I gsesu ta hte ned fo teh yad it 'edsont mertta wihhc ondisgsai is rtigh ofr itsh oeutinsq ecuas hyte thob esem to edla to teh sema crctore rwsnea ): +2

This is definitely not Reidel's thyroiditis. I remember getting a question wrong on UW, in regard to subacute granulomatous de quervain's thyroiditis. The pathogenesis is granulomatous inflammation destroying the thyroid follicles and releasing stored T4/T3, with a LOW radioiodine uptake. I think this line is super important to get the diagnosis right. Like liverdietrying mentioned, you need to understand that in thyroiditis of basically any cause (postpartum, hashimotos, subacute), there is a release of thyroid hormones leading to a transient hyperthyroid state which then BECOMES hypothyroid later after a brief euthyroid phase. Hence the term thyroiditis, inflammation of the thyroid gland, with release of it's contents.

+/- imgdoc(183)


 +23  upvote downvote
submitted by hayayah(1212)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

This si a pntaeti csae fo trosmtaupp othi.syirdti Cna earsi pu to a year faret lvyieerd nad sah ycoimctlpyh .nfearittli

unscramble the site ⋅ become a member$279$49
almondbreeze  AF 0912 gp 383 +1
waterloo  uhlhtogA otiyshr esmse to pinot rswdtao ta,ht hes ash an rlegedan id,hotyr and in amutotprsp i,tiiyhdtosr rtdhyio ylaulsu laomnr ni szie o(frm A)F. saedesgrrl ereith lwduo ehav ltmpeyycosh naf.tngirilti +



 +4  upvote downvote
submitted by nwinkelmann(366)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

Teh eatpanlxnoi yb lnrridviegetiy pusl eht lnetpxaaoin ni hte aleritc poteds loewb (89o./h4/l/s649tpCicwMPgwv/nsra/t:t..nbpncem.w9/ilihmc) era het b,tes tusj nede ot be menicobd .): eTh ltenfdfiirae aginossid btael 1 (tPs4pcrot9m4en/pc0e89M/wriybt-.Onj/ept:r.e1n0wiahh0?c../lbwalio1cBloTo6lm1tC/Mgb/=vt4-s/9/S-Ln) efpiccslaily defeisitin the odnonctii in htsi nitqueso as ptsrtauomp iiithtdoys.r

Ulmaltity,e if oyu wkno atth hrtodiimshyopy sah a snieratnt riserpmyihhdoty ahpse du(e to miontaemuu srduneicott fo hte ecsll wcihh edrlaya had redpfrmoe HT dna so it was eradslee poun dticsetn)uor ebroef imhpoidhryotsy igonutnnnco(fin escll os c'tna taek pu )ediion dna that hootihsidyprmy si a yplyhmticoc rlgnfiiantti yohsirtdi,ti oyu illw owkn eht aw.resn I dah a hard eitm idnnteagundrs tsih ta rfist ebcseua ew e/ltnoaeaisgauvde esabd on eht ecnrpees fo tTP-Onia b,A utb teh gnldyrineu gtaehsoensip fo eht hdiyort ttcusoiernd is tlca-meeldied (yetp IV eheirysits)tiypnv ton Ab dieedmta tpye( II )tiyshiytrvepisne kiel rgev.as tm'Hsshooia = ylmhytccipo nftniritolai whit ielrnmag tcreens (hhcwi anc starmnrof to B cell lopa)mmyh ithw hrlhute llsce epinrk( csopylamt clle.s)

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by niboonsh(409)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

Can noeosme paixeln hte enredceffi eewtben .C ereslae( of otdrse yiodrth onhroem ofrm a yhdroti ladgn riefttladni by tpel)ymhoycs nda .D eRe(lesa fo ryithdo enmhoor omrf a mouosmhalytp tdohiyr l.adgn

unscramble the site ⋅ become a member$279$49
drdoom  bon,inhos@ gedinn a cnmotme itwh a uqtineos amkr wlil amek it rapaep no eht ctm"snmoe siegkne arew"sns istsl +4
nwinkelmann  A mptomslhauyo oidryth nglda nca tehrei be edu to armiypr ordyhti omyamplh ich(wh is mloats aywasl H,LN ubt is eyrv )erra ro eud to 'aHmoshtosi tirhdyo osrsr.gopine aHst'moosih hityrtdsoii = yypmlhicotc tirlftanei ihwt genimarl B cesll dan lueHrth le,cls hchiw nuop noneduict mit,onuatils nac elad to /managltitaintmuno mrtfasonitrnoa ot B ellc mohmpl.ya hese,T I ie,vblee ludow itsll sprteen whti ,ysoodyrhmitihp dan shtu olduw veah olw 4T nad hgih TSH eopto(ips fo hist i.tatnp)e +1



 +0  upvote downvote
submitted by seagull(1933)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

/4pCc9/hl.lcis94eontwa6/bts.pv.im/tc/hnmr:nw9i/8.wMgP

cAondirgc ot tsih epr,ap Ppurmttaso disiytroTih essrpten hitw tOnaP-iT tsiidoe.anb eTh rwesan oicceh sesu l.thomsyypce oS isht is a tsentnira miHhsoosta eiirtysyHmorpdh. Good uLkc twhi taht e!no

unscramble the site ⋅ become a member$279$49
seagull  IDE:T poytyLecsmh are lsoa reptens ni this as lew.l yM adb +1



 +0  upvote downvote
submitted by hyperfukus(111)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I tkhin taht ncise teehy'r giskna ofr na eaatnpiolnx of het aet'snipt rcrentu xSS ihwch ohsws that sse'h ni the satet of nTsanteri Hy:pmysoidritreh whhic si edu ot :C aleesRe of srteod dorithy henomor rfmo a dtrhioy nalgd ildrtietnaf by clsopemhyty

unscramble the site ⋅ become a member$279$49



 -1  upvote downvote
submitted by mdmikek89(6)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

utbaecSu cyhocmlpyit buyShetctstiduroai i lchicmyytpo tidyishorit si ccarhdeiezatr by maeadg to iualflolrc lcsel hwit coptiyymlhc nilrfoiintat enilgmrseb stHohimo'sa rdttoishiiy dtneisa fo aarngulmo n.tmfioaor u rg:Ds -trorαfinnee, tlim,ihu eadmno,oari knr2nu-l,itiee rtysoein isneka itinb iemunrmstouAoih ideeass routmPpt sa syidi:rtioth fectsaf 5% fo monwe irdung het tptmpsoura piedro adn si 3 setim rmeo nommco amngo wnemo wiht ptey 1 eaidetsb .uetlsmli

unscramble the site ⋅ become a member$279$49



Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
mcl on Area labeled ‘D’
liverdietrying on Release of stored thyroid hormone from a ...
kernicterusthefrog on Displacement
keycompany on Negative nitrogen balance
joha961 on Displacement
imgdoc on Area labeled ‘C’ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
yotsubato on Phase variation
bubbles on Acute retroviral infection

search for anything NEW!