Head and neck tumours: hot thyroid nodule: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Head and neck tumours: hot thyroid nodule

Sample item

A 45-year-old woman has a thyroid nodule with a suppressed TSH. Which test is next?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Radionuclide thyroid scan

A suppressed TSH suggests an autonomous nodule. A radionuclide scan shows whether it concentrates tracer, a hot nodule, which is seldom malignant and needs no FNAC.

Option by option

  • A. Radionuclide thyroid scan (correct)

    Correct. With suppressed TSH, a scan identifies a hot autonomous nodule.

  • B. Core biopsy under CT

    Core biopsy is not first-line for a thyroid nodule.

  • C. Immediate hemithyroidectomy

    Surgery without confirming the nature is premature.

  • D. Serum calcitonin alone

    Calcitonin screens for medullary cancer and is not the next step.

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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Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Radionuclide thyroid scan. A suppressed TSH suggests an autonomous nodule.

Why is "Core biopsy under CT" not the answer?

Core biopsy is not first-line for a thyroid nodule.

Why is "Immediate hemithyroidectomy" not the answer?

Surgery without confirming the nature is premature.

Why is "Serum calcitonin alone" not the answer?

Calcitonin screens for medullary cancer and is not the next step.

What concept does this question test?

It tests Head and neck tumours: hot thyroid nodule in ENT. A radionuclide scan shows whether it concentrates tracer, a hot nodule, which is seldom malignant and needs no FNAC.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Head and neck tumours: hot thyroid nodule?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.