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    Woman 9 Weeks Pregnant with Lethargy and Weight Gain - Case

    Woman 9 Weeks Pregnant with Lethargy and Weight Gain - Clinical Patient Case of the Week

    Try this free Pregnancy Case Q&A courtesy of Med-Challenger.

    This pregnancy case comes from our Med-Challenger FM, part of Med-Challenger's library of board exam review and CME question banks.

    For more free clinical knowledge review questions, subscribe to the Med-Challenger Medical Education Blog

    Try this case and test your knowledge of pregnancy complications.

    A 23-year-old woman is 9 weeks pregnant and presents with lethargy and weight gain.

    Question:

    Which of the following statements is true concerning hypothyroidism and pregnancy?

    Answer Options:

    It is diagnosed by measuring free T4.

    In a healthy patient, thyroid-stimulating hormone (TSH) levels decrease in the first trimester and then return to normal in the second and third trimester.

    In a healthy patient, thyroid binding globulin hormone (TBG) levels increase each trimester in pregnancy.

    Short-term hypothyroidism has no effect on the fetus.

    See the Answer:

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