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Kaplan Qbank USMLE



Author9 Posts
  #1

What is compatible with severe illness?
a. Increased cortisol, Increased TSH
b. both cortisol and TSH decreased
c. Increased cortisol, TSH decreased
d. decreased cortisol and Increased TSH
e. normal cortisol and Increased TSH

  #2

b could be a sign of polyglandular deficiency.

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deep breathing...

  #3

B..panhypopitutarism

  #4

sorry, but I couldnt get this q. Can somebody explain?

  #5

"cache" wrote:
What is compatible with severe illness?
a. Increased cortisol, Increased TSH
b. both cortisol and TSH decreased
c. Increased cortisol, TSH decreased
d. decreased cortisol and Increased TSH
e. normal cortisol and Increased TSH


First, i think what kind of severe illness can make a differnece to the answer. What i think is that severe illness make a stress state to body, so i will go with a) inc coritsol and inc TSH

  #6

hi cache

if u have answer plz do write
even i agree with tess
i will go with answer ---a - Increased cortisol, Increased TSH

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  #7

sorry for the delay, kind of lost track of this question.
the answer mentioned is Increased cortisol , and Increased TSH
there is no explanation given,
and i am sure about the increased cortisol part, but was not sure if TSH would also be elevated in stress.
if anybody can enlighten me as to the role of TSH in stress , it will be great

  #8

i think this might help u


if the adrenals are hyperactive because the patient is living a high-stress life, then the amount of thyroid hormone produced is decreased, and the patient may well have signs of functional hypothyroidism – low energy, easy fatigue – together with signs of increased catecholamines – anxiety, irritability, insomnia. Under conditions of high cortisol levels, thyroid hormone production is often shifted towards the inactive reverseT3 side, rather than the active T3 side, thus decreasing the amount of thyroid hormone available
this might increase TSH level

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hi how r u

  #9

i could not understand any of that, but what the hell sounds convincing :wink:







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