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

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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

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submitted by ∗azibird(279)

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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.

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submitted by ∗step_prep5(246)

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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

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

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

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