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Thyroid nodule — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Thyroid noduleUSMLE Step 3

A 46-year-old woman has a 2-cm thyroid nodule found on examination. TSH is 0.08 mIU/L. She has no compressive symptoms. Ultrasound shows a solid nodule. Which of the following is the most appropriate next step in management?

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Correct answer: COrder radionuclide thyroid scan

A low TSH suggests a hyperfunctioning nodule; radionuclide scanning is performed before biopsy decisions.

Reference: American Thyroid Association Thyroid Nodule Guideline