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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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  • oltta 4T r(o T3) = reef + bGTdn-uBo
  • reacnpgyn โ†’ TBG easinerc โ†’ dBoTGubn- T4 ercsanei โ†’ efer dcreseea โ†’ essl gnveeiat eeabdckf โ†’ orem STH โ†’ eseortr eefr T4 lelsve
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abhishek021196  eyrV seilpm ne.itlnapxoa haknT uoy +



 +9  upvote downvote
submitted by โˆ—gonyyong(131)
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I tknih twha hrwte me fof iwth tish eoinustq saw rm"seu "T4 - snta'w uers if htat manet otatl 4T or umsre T.4 y,Llciku I ton'd nkthi ayn fo teh rhtoe seon tfi ofr eitreh so I usmesda it anmte ottla T4 fro wichh eht aeswrn ksema neses

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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ers"Ienacd boodl conenosctiatrn of -idng4inTb n:gloilbu GBT is neo of leevasr pornetsi htat otrrpnast ryoidht reohsmno ni b,oodl dna has het ghhsiet fifitnay orf T4 )hnietroyx( fo eth pru.go enEssrtog aimlstteu pxsrseoien fo GBT in lr,evi and the morlan reis in eronsgte rduign pgecnrany disuenc yrhulog a lbdongiu in rumes GBT ic."onorneantstrtac

a"drIecnse esvell of BGT ldae ot drleeow eref 4T s,ntaoctincnoer hwihc ltruses ni edlevtae SHT enostceri by the tparytuii dn,a ltee,scqonyun denehnca tdcrnouipo nad eritncseo of yodihrt oners.mho The etn cffete of dalvteee GBT yheisstns si ot ceofr a wen buuqliimrie etbnwee eerf and oudnb todrhiy shmonroe and suth a ncfansigiit eacnirse in taotl 4T adn T3 eve.lsl heT endrsceai adedmn for iotrhdy ohonmser si edchear by otuab 02 wseek of snoitegta nda rsepisst ilnut .rmet"

e/ppwwaahyvseohopeerct:vtnip//hylywo.sedohosidbidthl/oghtm/.kt.rdt/iu.h/not_rtcro

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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)


 +0  upvote downvote
submitted by โˆ—an1(114)
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ariclnjPyG/oa:g nne PCO eu:s Hhgi ,4T nmrlao eSoisHTSr(at cndbio)l:a wLo ,T4 molarn STH

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