new_n_lost
Politically InCorrect
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A 50 year old woman presented with a recently discovered, solitary, thyroid nodule.
Which of the following would suggest a diagnosis of thyroid malignancy?
1) Elevated serum thyroglobulin concentration.
2) Features of thyrotoxicosis.
3) Ipsilateral Horner’s Syndrome.
4) Previous iodine 131 therapy.
5) Tenderness over the nodule.
LAST ONE FOR NOW
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mytime
Kick my butt!
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3/4
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| new_n_lost
Politically InCorrect
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 Nobody Answers n So many Views Cmon Guys SHOW UR GUTS
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mms
Forum Junior
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3?
-iodine 131 has not been shown to be a human carcinogenic.
-A malignant nodule doesn't present tenderness
-If I understand it right serum thyroglobulin is used in the followup and not in the diagnosis
-Thyroid malignancy are most often cold nodules
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| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
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___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
Politically InCorrect
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Posts: 6,086
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The association of Horner's syndrome and a thyroid nodule would suggest invasion of the sympathetic chain and would suggest that this thyroid nodule is malignant. Previous I131 is not associated with the development of malignancy. Thyroglobulin may be elevated in any thyroiditis. Tenderness over the nodule would suggest a thyroiditis and thyrotoxicosis suggest a functional adenoma making the malignancy extremely unlikely
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| mytime
Kick my butt!
Topics: 39
Posts: 3,173
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ok i would have stuck with 3 in the test, so 
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