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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 or( T)3 = erfe + -TbnBoduG
  • rganncepy โ†’ GTB escainer โ†’ B-bGnoduT T4 nresecia โ†’ refe reesaecd โ†’ slse nigeveat dakeebfc โ†’ emro THS โ†’ toerres rfee 4T slevel
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abhishek021196  Veyr smeipl oxletn.inaap akTnh uyo +


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submitted by โˆ—gonyyong(131)
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I hiktn wath etrhw em ffo whit tihs uotqseni saw umrse" "4T - sna'wt esru if taht tmnae latto 4T ro eurms T.4 y,kiucLl I ntd'o kitnh any of eht rhote snoe fit ofr eirhte so I mausesd ti maent tatol T4 orf chhwi eth wseran skaem eenss

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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rcdsIn"eea blodo oriccstanenton of n4bngi-diT boluli:gn GBT is oen of aelrsve pnsotire ahtt rrpotants otdyirh roeonshm ni ,bolod dan has eht shihtge iyniatff for T4 ih)nxyreo(t of the rupo.g tgsrnsEoe easiulttm osinpeexsr fo GTB in vl,rei dna hte lmonra rsie ni gronstee dgruin cnarepygn uncdsei guohryl a ignobudl ni ersmu GBT ooernarnt"tccstnia.

eI"dcraesn lvsele of BTG aedl to odrewle rfee T4 anintost,norcce iwhhc stursle in eedtealv HTS sicteoern yb eth iuirpatty ,dna necy,tlqusone enhaedcn ituocrdpon nad cinerseot of tyridoh sme.nhroo Teh nte etfcfe fo detaleve TGB tssynsihe si ot rofec a enw ebuliimuirq eetwneb efer dna bnuod dhyorti hmronoes dna hsut a fngcinitasi esirnace in aoltt 4T adn T3 ll.esve The nsadrceie ndemad rof oridhty ohsnomer is radeche by obtau 02 eeksw fo gnestioat and trpsisse nutli .emtr"

tpt.py.ae/tlytduo/vmv.iwle/horkwr//dh./tboohh:eta/tosiordringoppcodhthsys_iwenhec

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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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elryjGna:oigPn a/cn COP u:se Hghi T,4 alonmr :SdHocl Sbn)iet(aoiTasr wLo 4,T ranmol HST

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