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ENT · Head and neck oncology
Sample itemWhich thyroid-nodule feature requires urgent cancer evaluation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Hard fixed nodule with cervical nodes
A hard fixed thyroid nodule or accompanying cervical lymphadenopathy is suspicious for malignancy and needs structured imaging and cytology.
Option by option
A. Hard fixed nodule with cervical nodes (correct)
Correct: fixation and nodes are concerning.
B. Diffuse painless goitre
Diffuse goitre has another differential.
C. Tender thyroid after viral illness
Tender thyroiditis is often inflammatory.
D. Small stable simple cyst
Simple cysts are usually lower risk.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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