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Thyroid nodule — ABFM Board MCQ

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ModerateEndocrine/MetabolicThyroid noduleABFM Board

A 55-year-old woman has a 2-cm thyroid nodule found on examination. TSH is low. She has no compressive symptoms and no history of neck radiation. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ARadionuclide thyroid uptake scan

A low TSH suggests an autonomously functioning nodule; radionuclide scan is the next step before biopsy decisions.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html