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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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  • ottla T4 ro( 3T) = refe + GBunT-obd
  • epygnracn โ†’ BTG eenaicrs โ†’ du-noGTbB T4 eecsainr โ†’ eefr eecadres โ†’ essl ginaetev febdekca โ†’ roem HST โ†’ eotrres eerf T4 velsel
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abhishek021196  yVer elpsmi nloaip.extan hankT oyu +


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submitted by โˆ—gonyyong(131)
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I khtin what terwh em fof twih iths nutqoise wsa "emurs "4T - taws'n sreu if atht etamn ttoal T4 ro mresu T.4 uclyik,L I ntod' tknih nya fo eth eohrt neso tif ofr hterie so I smeuasd ti neatm ottla 4T for cihhw het swraen kemsa esesn

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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I"eesrdnac dloob atcercitosnnno fo bi4n-idngT lli:obgun TGB is oen fo eseralv pnetiosr taht rtaprnost diohrty romhnsoe ni ood,lb adn sah het ghhites aftfiyni for T4 )ieoyrhtx(n fo hte o.rpgu gtosEenrs atetuslmi einsospxer fo BTG in vie,lr adn het oanmrl eirs in gnsortee dgnrui grnapyenc dseicun lgurhyo a odlbguni ni musre BTG onsoctnnaa"crert.it

ecderIans" leesvl of TGB adel ot rwdeoel fere 4T o,iocnrncaesntt chhwi letsrsu ni aevltdee HTS crsnitoee yb het yuittiapr ad,n loeuq,nnyecst naedhnec tpodniocru and ienesrtoc of orihytd .nrsomheo hTe etn tfecef of aedeelvt TGB sseyihtns is ot ecfor a ewn qiiiuumbrle netewbe free adn ubodn doyriht eroonsmh dan htsu a faitginnsic seraince ni tloat T4 adn 3T e.lslve The sadeiernc demand rfo dtroyhi nhresomo is caheedr by obatu 02 ewkes of inattoges dna spsstire nuitl "trm.e

lhehwstutpoyyhct/b.ooiirc..slpeativsnrdo_ntgae/e.hdhwd//thop:pktrdewo//i/yovotrmh

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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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nijlo/arPy:eGnancg POC u:se ihgH ,T4 nolmar tbacnd)(HoTSii e:saSlro Lwo ,T4 nmlaro SHT

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