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Radiology · Nuclear medicine: contraindication
Sample itemI-131 therapy for hyperthyroidism is absolutely contraindicated in which situation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Pregnancy
Radioiodine crosses the placenta and the fetal thyroid takes it up after 10 to 12 weeks, risking ablation. Pregnancy must be excluded before treatment, and conception is deferred for some months. Elderly patients with toxic nodular goitre and relapse after surgery are good candidates.
Option by option
A. Pregnancy (correct)
Correct. Pregnancy and lactation are contraindications.
B. Recurrent hyperthyroidism after surgery
Recurrence after surgery is an indication.
C. Toxic multinodular goitre in an elderly patient
Toxic multinodular goitre is an indication.
D. Relapse after antithyroid drugs
Relapse after drugs is a standard indication.
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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