ord
Forum Junior
Topics: 15
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A 50 year old woman comes to the physician because of a visible painless lump in her neck for the past six months. Her pulse is 80/min, respirations are 14/min and blood pressure is 120/70 mm Hg. She has an enlarged, non tender thyroid gland. Initial thyroid function studies are normal. Her serum thyroid stimulating hormone (TSH) concentration is 15uU/mL and serum thyroxine(t4) concentration is 3.5ug/dL. Which of the following describes the most likely pathologic findings in her thyroid gland?
a)absence of thyroglobulin
B)heavy lymphocyte infiltrate with germinal center formation
c)noncaseating granulomas
D)presence of an antibody that stimulates the action of TSH
e)regenerative nodules with lakes of excess thyroid proteins
A?
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| alpha12
Forum Senior
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Low T4 (nl: 5-12ug/dl) with very elevated TSH(nl:0.5-5.0uU/ml), this is definitely a case of hypothyroidism. Heavy lymphocyte infiltrate with germinal center formation in Hashimoto's.
B
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| robin082006
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B
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| Cedrick
Forum Fanatic
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B sounds right
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