HY USMLE Q #959 – Endocrine

A 32-year-old woman comes to the physician for a 2-day history of a very tender neck. She recently recovered from an upper respiratory tract viral infection. Physical examination shows a tender thyroid. Vitals are: temperature 99 F, HR 90, RR 16, BP 120/80. Which of the following combinations of findings is most likely to be seen in this patient?

  ↑ TSH; ↑ T4; ↑ 131Iodine uptake
  ↑ TSH; ↓ T4; ↑ 131Iodine uptake
  ↑ TSH; ↑ T4; ↓ 131Iodine uptake
  ↑ TSH; ↓ T4; ↓ 131Iodine uptake
  ↓ TSH; ↑ T4; ↑ 131Iodine uptake
  ↓ TSH; ↓ T4; ↑ 131Iodine uptake
  ↓ TSH; ↑ T4; ↓ 131Iodine uptake
  ↓ TSH; ↓ T4; ↓ 131Iodine uptake