NBME form2, q1. thanks

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NBME form2, q1. thanks

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NBME form2, q1. thanks

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9 Posts

Perhaps
Forum Elite

Topics: 61
Posts: 162

08/14/06 - 01:18 PM

A 32-year-old woman has had a lump in her neck for 6 months. She has a 1.2-cm solitary left thyroid nodule. Fine-needle aspiration cytology of the mass is consistent with a low-grade papillary malignancy. Which of the following is the most appropriate next step in management?

A) Thyroid scan
B) 131I therapy
C) Propylthiouracil therapy
D) Thyroxine therapy
E) Left thyroid lobectomy

shumaila
Forum Elite

Topics: 58
Posts: 347

08/14/06 - 02:35 PM

GDS2008
Forum Elite

Topics: 9
Posts: 144

08/14/06 - 03:16 PM

E. Left thyroid lobectomy

HighHopes
Forum Senior

Topics: 12
Posts: 165

08/14/06 - 03:46 PM

E, ok let me ask you guys this question .. what if tumor has metastasized? what would you do to find out?

GDS2008
Forum Elite

Topics: 9
Posts: 144

08/14/06 - 03:51 PM

no need to. Unlike the TNM classification for most cancers, the thyroid cancers are classified according to AGES (Age, Grade, Extent and S: I do not rem). Regardless of the extent (whihc is determined at surgery), malignant thyroid tissue has to come out.

GDS2008
Forum Elite

Topics: 9
Posts: 144

08/14/06 - 03:53 PM

S= Size

achilles
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Topics: 90
Posts: 1,228

08/14/06 - 05:16 PM

E

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" it's not whether you get knocked down, it's whether you get up"
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Perhaps
Forum Elite

Topics: 61
Posts: 162

08/15/06 - 09:17 AM

I picked E also.

frank100
Forum Guru

Topics: 48
Posts: 586

08/15/06 - 04:05 PM

E same reasons

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