paheli
It'sAllAboutGoodKarma
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A 29-yr old F, with history of irregular menses becomes amenorrheic. She had no problems conceiving her first child at age 23, but has been trying unsuccessfully to become pregnant for the past 2 yrs. She also notes a wt gain of 3 kg, increasing fatigue, puffy face, marked cold intolerance. CBC shows Hb 11.1, MCV 90. Physical exam reveals moderate-size diffuse enlatgement of the thyroid. Which of the following profiles would most likely be seen in this woman?
A] low T3, low T4, high TSH
B] low T3, low T4, low TSH
C] low T3, high T4, low TSH
D] high T3, low T4, low TSH
E] high T3, high T4, low TSH
Edited by paheli on 12/17/07 - 04:27 AM
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| drgho
Forum Junior
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A. Thyroid is enlarged which means having TSH stimulation of higher degree. Only A has high TSH. what is the answer?
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| paheli
It'sAllAboutGoodKarma
Topics: 170
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yes, you're right. i just figured out the answer.
i read the qn too fast i think, and posted it here too soon as well!
thanks all the same.
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| SURVIVOR
Forum Junior
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why the amenorrhoea? isnt that more of a feature of HYPERthyroidism?
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| new_n_lost
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A] low T3, low T4, high TSH
SURVIVOR wrote:why the amenorrhoea? isnt that more of a feature of HYPERthyroidism?
No Oligomenorrhea is a possible presentation of Hyperthyroidism but amenorrhea along with other symptoms mentioned in the stemm its hypothyroidism.
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| new_n_lost
Politically InCorrect
Topics: 650
Posts: 6,056
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A] low T3, low T4, high TSH
SURVIVOR wrote:why the amenorrhoea? isnt that more of a feature of HYPERthyroidism?
No Oligomenorrhea is a possible presentation of Hyperthyroidism but amenorrhea along with other symptoms mentioned in the stemm its hypothyroidism.
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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