28 female being evaluated in clinical for anterior neck swelling, and symptoms include palpitations, insomnia, restlessness, PH HR:110, Us show thyroid enlargement nodule 1.5 cm le hypoechoic nodule. What is the next step in evaluate the patient?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: A. order thyroid scan
- إجابة ثانية: B. fine needle aspiration
She is clinically thyrotoxic (palpitations, insomnia, HR 110) and has a nodule. In that setting the sources do a thyroid (radionuclide) scan first, because a hot nodule is rarely malignant and does not need FNA. FNA (the old bank key) is the next step only when TSH is normal or the nodule is cold. This recall gives no TSH, which makes it ambiguous. A later version of the same question (TSH 0.1) makes the scan the answer. Atenolol treats symptoms but does not evaluate the nodule.
ليش كل خيار صح أو غلط
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A
ليش صح
Supported by the thyroid-and-parathyroid lecture notes: the thyroid scan is first-line when the cause of thyrotoxicosis is uncertain, and a hot (hyperfunctioning) nodule is rarely malignant so FNAC is not recommended. The stem gives no TSH, so B is also defended.
✓ thyroid and parathyroid- Afnan.pdf · p. 21 -
B
ليش صح
Supported by Step Up: FNA is the only test that reliably separates benign from malignant nodules; the scan is only supplemental (done if FNA is indeterminate or TSH is low). The stem gives no TSH, so A is also defended.
✓ Step Up To Medicine 6th Edition 2024 (Thyroid).pdf · p. 12 -
C
ليش غلط
Atenolol is a beta blocker used for severe adrenergic symptoms; it treats symptoms but does not evaluate the nodule.
✓ Endocrine ✳️.pdf · p. 12 -
D
ليش غلط
Radioactive iodine ablation is a treatment (listed for toxic multinodular goitre and solitary toxic adenoma), not an evaluation step; the question asks how to evaluate her.
✓ Endocrine ✳️.pdf · p. 12
- المصدر
- Step Up To Medicine 6th Edition 2024 (Thyroid).pdf · p. 12
thyroid and parathyroid- Afnan.pdf · p. 21 - المحاضرة
- Thyroid Disorders · Endocrinology · Module B
- ظهر في
- Endo bank