A 55-year-old woman has a 2-cm thyroid nodule found incidentally on carotid ultrasonography. She has no radiation exposure history and no compressive

Question

A 55-year-old woman has a 2-cm thyroid nodule found incidentally on carotid ultrasonography. She has no radiation exposure history and no compressive symptoms. TSH is suppressed. Neck examination shows no lymphadenopathy. Which of the following is the most appropriate next step in management?

Accepted Answer

Obtain radionuclide thyroid scan

Answer

Start levothyroxine suppression therapy

Answer

Schedule thyroidectomy

Answer

Repeat TSH in 5 years

Answer

Perform fine-needle aspiration as the immediate next test

Thyroid nodule — USMLE Step 3 MCQ

A 55-year-old woman has a 2-cm thyroid nodule found incidentally on carotid ultrasonography. She has no radiation exposure history and no compressive symptoms. TSH is suppressed. Neck examination shows no lymphadenopathy. Which of the following is the most appropriate next step in management?