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NBME thyroid

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DrAlex_76
Forum Guru

Topics: 120
Posts: 410

09/20/08 - 05:50 PM

A previously healthy 30 yo woman has had a painless lump in her neck for 2 days. Her mother was Rx for a thyroid cancer at age 35. Her sister is 28 and had an increased serum calcitonin but no thyroid nodule. Exam shows a palpable thyroid nodule. Her calcitonin level is increased. Which of the following diagnose should excluded prior to surgical treatment of the thyroid gland ?

A. adrenalcortical carcinoma

B. Lung cancer

C. Ovarian carcinoma

D. Parathyroid carcinoma

E.Pheo

Is it D ?

Eagle_303
Forum Guru

Topics: 77
Posts: 655

09/20/08 - 05:59 PM

It is pheochromocytoma option E which must be excluded because of hazards of pheochromocytoma

nightflight1945
banned

Topics: 32
Posts: 920

09/20/08 - 11:27 PM

GOGETA
Trying to get in PGY1
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Topics: 381
Posts: 3,072

09/21/08 - 08:10 AM

Follow up question
can that patient might have a MEN asoc? if yes which one?

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vanshita
Forum Guru
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Topics: 31
Posts: 933

09/21/08 - 09:55 AM

yes i think it is MEN 2

ngaybinhyen
Forum Guru

Topics: 23
Posts: 657

09/21/08 - 02:02 PM

MEN II (or IIA)

nightflight1945
banned

Topics: 32
Posts: 920

09/21/08 - 02:44 PM

Agree

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