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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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  • latot 4T or( T3) = feer + -dbTnGouB
  • eprncgnay โ†’ GTB cieneasr โ†’ GBubnTd-o 4T anrseiec โ†’ eref eeardsce โ†’ lses itvnaege ebaeckfd โ†’ eorm STH โ†’ eretosr rfee 4T elvsle
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abhishek021196  ryeV mesilp aanniolpx.et khnTa yuo +



 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I tikhn twah wterh em ffo tihw tish sneqtoiu asw seumr" T"4 - naw'st sure fi ttah nemat taotl T4 or umesr 4.T kuci,lyL I 'notd intkh nya of het eorht nseo itf orf itrhee os I esmduas it atemn ttoal 4T fro iwhch teh eswnra akmse nsese

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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ee"rIdcnas ldobo ncnttcneosroai fo -nTgd4niib ogil:unbl TGB is neo of vrleeas tiesropn thta trprtason yitodhr moroshne ni odobl, adn sah the ehhistg ifaitnyf rof 4T irex(toyhn) of eht uopgr. rsosEgetn elatuimts eoierxsnps of TGB in ,rliev and eth lmrona rsie ni ertsgeon ugirdn pgynrcnea ndeucsi lygoruh a ubgilnod in remsu TBG crtoosanatrint"n.ec

da"Iecrnes lseelv fo GBT dlae ot lworede free T4 e,cnnotrnitaocs chhwi ssruelt in ldaeveet THS risecetno by het yriatiupt nad, u,onsleqnytec cnendhae idcnooutrp dna teesirocn of rotyihd seomhron. The tne cftfee fo eeeadtvl GTB inhetssys is ot roecf a wne iuuibemrqil ebenewt free nda bundo yotirhd eomnhros and thsu a nfgaicstini senciera in toalt 4T dna 3T .elvlse hTe acreendsi maeddn fro hidrtoy sehormno si rehcdae yb abuto 20 wseek of angisotte and tsepisrs intlu em.t"r

hnwctkpdo/lo.:ede/mhprwtlr.heye/pos_sd/ichohodeapsavtoo/tritttgwri/i.un/.ybthvohy

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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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nlircoGgna jynaeP/: OPC :seu ihHg ,T4 ralmon )tonTiS:clseiadSo Hb(ar oLw 4T, amnrol HTS

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