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Pathology · Endocrine pathology
Sample itemWhat is the pathological mechanism of Graves disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. TSH-receptor stimulating autoantibodies
Graves disease is autoimmune hyperthyroidism caused by antibodies that stimulate the TSH receptor, increasing thyroid hormone production and gland growth.
Option by option
A. Iodine deficiency alone
Iodine deficiency causes different goitre patterns.
B. Pituitary destruction causing low TSH
Pituitary destruction causes secondary hypothyroidism.
C. Thyroid bacterial abscess
Abscess is infectious thyroiditis.
D. TSH-receptor stimulating autoantibodies (correct)
Correct: receptor-stimulating antibodies drive Graves hyperthyroidism.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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