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MMLU / A 40-year-old man comes to the office for a preemployment physical examination.…

Problem

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question

A 40-year-old man comes to the office for a preemployment physical examination. The patient has been generally healthy. Medical history is unremarkable and he takes no routine medications. Vital signs are normal. Physical examination shows a palpable nodule in the right lobe of the thyroid gland. Serum thyroid-stimulating hormone concentration is within the reference range. Ultrasonography of the thyroid gland confirms a solid, 1-cm nodule. Which of the following is the most appropriate next step in evaluation?

choices

  1. CT scan of the neck
  2. Fine-needle aspiration of the nodule
  3. Radionuclide thyroid scan
  4. Thyroidectomy

subject

professional_medicine

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