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Another “recalled question” in endocrine/pharm A 40-year-old woman named Gwyneth Paltrow has a palpable nodule in the Left lobe of her thyroid gland. The nodule measures 2 cm and is firm. The rest of the thyroid gland cannot be felt and is not tender. She also describes losing weight in spite of a ravenous appetite, palpitations, and heat intolerance. She is thin, fidgety, and constantly moving, with moist skin and a pulse of 115/min. She has no exophthalmos or pretibial edema. Her TSH is reported as much lower than normal, and she has elevated levels of free T4. What do you do? 1-Administer alprazolam 2-Administer midazolam 3-Administer propanolol 4-Reassurance, return office visit in two years 5-Radionuclide thyroid scan 6-Repeat free T4 levels 7-bound T4 levels 8-free T3 levels 9-Surgical inspection 10-Pituitary adenoma 11-Papillary carcinoma of the thyroid 12-Follicular carcinoma of the thyroid (Even if you “guessed” correctly, make SURE you know why the wrong answers ARE wrong, OK?)

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Subject: Tommy's Concepts

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Another “recalled question” in endocrine/pharm
A 40-year-old woman named Gwyneth Paltrow has a palpable nodule in the Left lobe of her thyroid gland. The nodule measures 2 cm and is firm. The rest of the thyroid gland cannot be felt and is not tender. She also describes losing weight in spite of a ravenous appetite, palpitations, and heat intolerance. She is thin, fidgety, and constantly moving, with moist skin and a pulse of 115/min. She has no exophthalmos or pretibial edema. Her TSH is reported as much lower than normal, and she has elevated levels of free T4. What do you do?
1-Administer alprazolam
2-Administer midazolam
3-Administer propanolol
4-Reassurance, return office visit in two years
5-Radionuclide thyroid scan
6-Repeat free T4 levels
7-bound T4 levels
8-free T3 levels
9-Surgical inspection
10-Pituitary adenoma
11-Papillary carcinoma of the thyroid
12-Follicular carcinoma of the thyroid
(Even if you “guessed” correctly, make SURE you know why the wrong answers ARE wrong, OK?)

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