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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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  • ttloa T4 or( T3) = fere + uTd-BbnGo
  • nagrpycne โ†’ GBT crasenie โ†’ GouTb-ndB T4 rnaiseec โ†’ reef edaescre โ†’ lses gteavien edcfbkae โ†’ eorm HST โ†’ srtereo rfee T4 svlele
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abhishek021196  Vrye imslep oxnnaetp.ial ahnTk yuo +


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submitted by โˆ—gonyyong(131)
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I nkith twha tewhr em ffo with siht qusniote asw rmues" 4"T - 'swtan erus fi htta nmtae taotl T4 ro rsmeu 4T. kiuycL,l I tno'd ktihn nya of the hteor nseo tif ofr eehitr os I usaedms it amnet taotl 4T orf which teh rewnsa emkas snees

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 +8  upvote downvote
submitted by โˆ—famylife(110)
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rcd"Ieenas bdool ornonitcesctan of n-d4giiTbn llign:obu BTG si oen of saeevlr nsetrpoi thta ansttropr yhrodit oresnmho ni oldob, dna sah eth sgthhei iintyaff rof T4 nexhir(yto) fo het rpu.og rtsogsenE eltuimsat erxsepoisn fo BTG in vlei,r nda teh aolnrm ries ni ternoegs rugdni cnngpyrae cedsnui oyuhglr a bgoidunl ni rmesu GBT itart"ocas.onnrncte

e"ndsIcear llvsee fo GBT alde ot deelrwo eref T4 ointnatosencrc, whcih eustlsr in deetaevl HTS noecetrsi yb the irtypiuta a,dn nyc,qonuelets cedhanen tnrcduoipo nda etneisrco of rdythio msreoo.nh heT ten ftfcee fo alveeted TGB esshitnsy si ot eocrf a wne bueiiqmurli ebetnew refe nda nobdu ithrdoy omnreosh dna htus a cisfiitngna eneriacs in latot 4T nad T3 sellev. The rneesiacd nmddea fro ytdiohr mrsoohen si daceher yb uoabt 02 eewks fo estagotin dan retisssp tunli t.mre"

lwoe/tdpd/hsrresitoyihtmtnitwrtt/./coehvyikpaowvsohbd..pcun/g/lah.:/_yhpotheeoord

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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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cGlej:nayog/anPn ir CPO eus: gihH T4, oamnrl iba(tocoTer di:SaslSH)n Low ,4T nalrmo THS

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