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DrAlex_76
Forum Guru

Topics: 120
Posts: 410
09/20/08 - 05:36 PM       #1

young man with bilaterally thyroid lump + lymphadenopathy. His mother has thyroid cancer. What is the most likely abnormal in his lab studies ?

A. Calcitonin

B. PTH

D. TSH

E. T4

F.Cortisol




Eagle_303
Forum Guru

Topics: 77
Posts: 655
09/20/08 - 05:48 PM       #2

MEN II

Medullary Thyroid Carcinoma

80% =sporadic after 50 yr

20% = famiilial 20-40 yr

Look for other stigmata of MEN II

Best of luck


nightflight1945
banned

Topics: 32
Posts: 920
09/20/08 - 11:26 PM       #3

A. Calcitonin


DrAlex_76
Forum Guru

Topics: 120
Posts: 410
09/21/08 - 07:14 AM       #4

MEN II also have parathyroid adenoma ----> PTH also a good pick ? what u think ?


GOGETA
Trying to get in PGY1
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Topics: 381
Posts: 3,072
09/21/08 - 08:13 AM       #5

Yes but calcitonin is like more thyroid related in one way.
that was I choose in NBME3 and I have an * and no lines in high for endocrinologygrin
Huraaaaaaaaaaaay for gogeta he knows a little something about medicine, now let me try and learn the 99.99999% that I do not knownod

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