Endocrinology MCQ 008

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Fine Needle Aspiration Cytology: Diagnostic Principles and DilemmasA 38-year-old black woman draws your attention to a swelling in her neck, which she noticed 2 days ago. She denies palpitations, diaphoresis, and weight loss. There is no pain, hoarseness, or dysphagia. Her medical history is notable only for hypertension. Medications include only atenolol 50 mg once daily. On exam, blood pressure is 150/80 mm Hg; pulse is 70. There is a 2 × 1-cm nontender nodule on the right lobe of the thyroid. No lymphadenopathy is detected. The remainder of the exam is unremarkable. Electrolytes, blood urea nitrogen (BUN), creatinine, liver function tests, calcium, phosphorus, and CBC are normal. What would you do next?

A. Elicit history of head and neck irradiation.
B. Elicit a family history of thyroid cancer.
C. Obtain thyroid function tests.
D. Perform fine-needle aspiration.
E. All of the above


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Category: Endocrinology MCQs



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