A 45-year-old woman has a 1.2-cm thyroid nodule found on ultrasound. It is solid, hypoechoic, and has irregular margins. TSH is normal. She has no

Question

A 45-year-old woman has a 1.2-cm thyroid nodule found on ultrasound. It is solid, hypoechoic, and has irregular margins. TSH is normal. She has no compressive symptoms and no radiation exposure history. Which of the following is the most appropriate at this time?

Accepted Answer

Perform ultrasound-guided fine-needle aspiration

Answer

Begin methimazole

Answer

Start levothyroxine suppression therapy

Answer

Repeat ultrasound in 10 years

Answer

Order radioactive iodine ablation

Stable thyroid nodule — USMLE Step 3 MCQ

A 45-year-old woman has a 1.2-cm thyroid nodule found on ultrasound. It is solid, hypoechoic, and has irregular margins. TSH is normal. She has no compressive symptoms and no radiation exposure history. Which of the following is the most appropriate at this time?