NBME Step 2 CK Form 7 Surreptitious administration of thyroxine (NBME Answers)

need help with your account or subscription? click here to email us (or see the contact page)

search for anything ⋅ score predictor (“predict me!”)

Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#22 (reveal difficulty score)
A 25-year-old woman comes to the physician ...
Surreptitious administration of thyroxine 🔍 / 📺 / 🌳 / 📖
tags: endo inc

+0 upvote downvote
submitted by ∗azibird(279)

get full access to all content ⋅ pick a username

I love factitious and surreptitious pill popping patients almost as much as I love fat embolism. I pray for it on every single thyroid question, but it rarely pays off.

BIG MONEY HERE PEOPLE! Gonna buy some lotto tickets with my next pack of smokes.

get full access to all content ⋅ pick a username

+0 upvote downvote
submitted by ∗step_prep5(246)

get full access to all content ⋅ pick a username

These patients have a small thyroid because chronically low TSH leads to low levels of thyroid stimulation and have low iodine uptake into the thyroid because the thyroid is not actively producing thyroid hormone (thyroid hormone is coming into body exogenously)
Key idea: We would expect this patient to have low TSH because of negative feedback of exogenous T3/T4 upon anterior pituitary
Ophthalmic examination is normal = Not Graves disease

https://step-prep.org/tutoring/

get full access to all content ⋅ pick a username

step_prep5 https://www.aafp.org/afp/2016/0301/p363.html +

kcyanide101 basically the thyroid is atrophied, that is why it is small +

Must-See Comments from step2ck_form7

seagull on Analgesic therapy
athleticmedic on Uterine atony
seagull on Haemophilus influenzae
jlbae on Lorazepam therapy
seagull on Spondylolisthesis
carolebaskin on B lymphocyte
yotsubato on Indomethacin
yotsubato on Uterine atony
study_dude_guy on Bone marrow aspiration
chris07 on Heat stroke
osler_weber_rendu on Compression fracture
buttercup on Repeat blood pressure measurement in 4 weeks
step_prep5 on CT scan of the head
thajoker on Brisk rotatory nystagmus on left lateral gaze