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Retired NBME 24 Answers

nbme24/Block 1/Question#37 (reveal difficulty score)
A 25-year-old woman at 16 weeks' gestation ...
Increased hepatic production of T4-binding globulin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—drmohandes(193)
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  • taotl T4 or( T3) = eref + BGnuTb-od
  • rycnpgane โ†’ BGT eeiasrcn โ†’ Gub-TBndo 4T eacrnsei โ†’ reef acederse โ†’ ssel egievtna dbceefka โ†’ orme HTS โ†’ eroestr eref T4 seevll
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abhishek021196  yrVe lipsem enpaxtni.lao nhTak ouy +



 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I iknht thaw hewrt em ffo twih hsit qsoniute saw srem"u 4T" - tn'aws sure fi ttha etman lttoa 4T or urmse 4.T Lckylui, I tndo' tnkhi ayn fo the trohe enos ift rfo either os I saesdmu ti mntae ltoat T4 rfo hwcih hte nswrae kmsea sense

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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n"erdsacIe oobdl ntscotrneaocni fo 4g-nbindiT nlg:boilu GTB is oen fo alreevs posrnite tath oarrttnsp hytdroi sohrmnoe in od,blo dna sah hte stihhge tfnfiaiy for 4T y(or)iehtxn of eth .guorp ogrEnesst emiautlst sonespixre of BTG in ,vriel nda eth monlar esri in tseneogr rngudi yarnpncge ceusdni orglhuy a idluobng in uresm TBG nitstc."eratconrnao

cIanrees"d vllese fo BTG aedl to reedowl free T4 nnotnoieasr,tcc whihc suetslr ni lvdeeeta HST trecoseni by hte iytitarpu ,adn tsqonlynecu,e edheannc copourtdni nad reecostni fo otirhdy ner.soomh heT nte fcefte of etledeva GBT esnihssyt is ot eorfc a enw imiubilquer ewbntee free dna oundb thodriy noomhesr adn hstu a ifacisinntg nasicree in otalt 4T and 3T v.eesll The eniadescr dnmeda orf odiyhtr roeomnsh is crehaed yb atbuo 20 wseek of entoisgta and iretspss iltnu m"ter.

ooe.boli/ehtlpvrpow.ttiiipychh/oe.ehaghheonyddtht/r/vwmrt_td/swn/cosoy:dar/ustp.k

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Struma ovarii is a type of teratoma that produces thyroid hormone. However, due to the negative fb, TSH levels would be extremely low.

Similarly, Graves would have low TSH.

Placenta delivers T4 to fetus, not the other way around. Also, fetus starts to make thyroid hormone around 16 weeks and if it were going to the mother, you'd see negative fb on TSH as well.

TSH producing pituitary tumor would have a high TSH.

Prenatal vitamins can affect absorption of treatment for hypothyroidism (due to dications or whatever). They do not contain T4 because that just doesn't make sense lol

+10/- thotcandy(131)


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submitted by โˆ—an1(114)
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rnn:ean lcoyiajGP/g COP e:us ighH 4T, malnor ona(alH:T )iSdsiScbtero owL 4T, amornl SHT

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