Thyroid nodules and hypothyroidism treatment: Test your skills with these 5 questions
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Herbert L. Muncie Jr., MD, is a Professor of Family Medicine in the Department of Family Medicine, LSU Health, New Orleans, LA. Dr. Muncie is also a faculty member of the National Family Medicine Board Review course.

Question 1 of 5

A 39-year-old woman is seen in the office for the first time. She says she has had a sensation of fullness in her neck for the past 2 months. She has no medical problems and does not smoke or drink alcohol. She had a tubal ligation 4 years ago.

Her vital signs are a blood pressure of 115/76 mm Hg, a pulse of 78 beats/min and regular, a temperature of 97.8 °F (oral), and a body mass index (BMI) of 23.6. Her general physical examination is normal except for a palpable nodule in the right lobe of her thyroid gland.

What would be the most appropriate initial step in evaluating this palpable thyroid nodule?

Order a thyroid radionuclide uptake scan.

Order a thyroid-stimulating hormone (TSH) level and a thyroid ultrasonography (TUS) with a survey of the cervical lymph nodes.

Refer her to an endocrinologist to do a fine-needle aspiration (FNA) of the nodule.

Order a thyrotropin receptor antibody (TRA) level.

This quiz is not accredited for CME.

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