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Medicine Endocrinology 83a568e8

The Lab ivestigationofpatient shows|T3,|T4, &|TSH.It cannotbe-

A
Primaryhypothyrodism
B
Pan-hypopmuarlsm
C
liverdisease
D
None of the above
High-Yield Explanation
Ans is option 1 - primary hypothyroidism The single most useful measurement for assessment of hypothyroidism is serum TSH. It is increased in primary hypothyroidism. To compensate the reduced T3 and T4 there is a hypersecretion of TSH. Ref Harrison 19 /2289

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