Thyroid nodule — MCCQE Part 1 MCQ

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EasyNeck MassThyroid noduleMCCQE Part 1

A 45-year-old man has a painless 2cm thyroid nodule. TSH normal. Most appropriate next step?

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Correct answer: C — Thyroid ultrasound followed by FNA biopsy if indicated

Nodule >1cm with normal TSH: US to characterise, then FNA if indicated (Bethesda system). RAI scan only if TSH suppressed. CT contrast can delay RAI treatment if needed.

Reference: Canadian Thyroid Guidelines / ATA