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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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submitted by โˆ—drmohandes(193)
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  • aoltt T4 ro( )3T = fere + GudoTB-bn
  • nangprcye โ†’ BTG eeianrcs โ†’ bBoGTnu-d 4T irecenas โ†’ erfe screaede โ†’ ssle aeenvgit cdaekbfe โ†’ roem HST โ†’ sererto eerf T4 elvsle
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abhishek021196  yreV miepsl oexnlt.npaia kTanh uyo +


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submitted by โˆ—gonyyong(131)
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I inhkt atwh rhwet me fof htwi itsh uoqstine was murs"e 4"T - w'tans eurs fi ttah netma lotta T4 or esmru .4T kiuycl,L I 'otnd nkiht any fo hte ohert seno tif for rhteei os I medusas it nmtae atlot 4T fro whihc the nraswe aemsk esnse

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submitted by โˆ—famylife(110)
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"daIecrsne dloob enoritatnnscco of ign-b4iTdn :iunloglb TGB is noe fo avlseer epnsitor thta rspotartn riyothd onhoserm in ,bdloo dna hsa eth thgihes tififyna rfo T4 yx)ri(eothn fo het ruo.gp esgosntEr sltetaimu osrneexips fo GBT in ,vlier nad eht rlnmoa reis ni gresteno runidg ngnrpeyca euniscd ouhgyrl a glioudnb in eurms BTG onrioc."taatsnnertc

eendIrca"s vllsee fo TBG dlea ot oelewrd eefr T4 i,soenntantcrco hichw tselsru ni dltveeae STH eecsnotri yb the irupaitty dna, nnsqtleoyue,c adceehnn dpinruotco adn sctnreoei of drhoyti moorn.esh Teh etn eftcef fo ledaeevt TGB tyishnsse si to oefcr a new qielirbuumi netbeew erfe dan dboun dityrho ohesmnor adn htsu a nfstngiaici acsiener ni tlaot T4 dna T3 l.slvee ehT reedcsnai demand ofr hdotiyr orsmohen si decareh yb uaobt 02 ewesk fo atniogets dan iersspst ituln "rte.m

b.//ew.ywise.eovtcthos/gkmtpicaohn:rt_ipohhuy/troohoaldtephwepy.ddo/dtstlr/nriv/h

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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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cgG ianoerPynl/nja: OCP es:u Hghi 4T, olanmr Tre(tSdaiSi)lbna cHsoo: woL ,T4 aolmnr SHT

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