Audio Qbank – Q135 – A 41F with heat intolerance

 

A 41-year-old woman comes to the physician because of a 4-day history of heat intolerance and restlessness. Her vitals are: temperature 98.8F, HR 92, RR 16, BP 122/84. Physical examination shows a thyroid gland that is tender to palpation but not enlarged. Which of the following sets of findings is most likely in this patient?

 

  ↑ TSH; ↑ T3; ↑ T4; ↑ 123I uptake
  ↑ TSH; ↑ T3; ↑ T4; ↓ 123I uptake
  ↑ TSH; ↓ T3; ↓ T4; ↑ 123I uptake
  ↑ TSH; ↓ T3; ↓ T4; ↓ 123I uptake
  ↓ TSH; ↑ T3; ↑ T4; ↑ 123I uptake
  ↓ TSH; ↑ T3; ↑ T4; ↓ 123I uptake
  ↓ TSH; ↓ T3; ↓ T4; ↑ 123I uptake
  ↓ TSH; ↓ T3; ↓ T4; ↓ 123I uptake

 

Cut-to-the-chase Answer (1:00):
HY USMLE Answer (2:47):