PAEA Surgery End Of Rotation (EOR) Practice Exam

What diagnostic procedures are commonly used to evaluate thyroid nodules?

1. CT scan and MRI

2. Fine needle aspiration and thyroid scan

3. Ultrasound and blood test

4. X-ray and biopsy

The correct answer is: Fine needle aspiration and thyroid scan

The appropriate diagnostic procedures commonly used to evaluate thyroid nodules are fine needle aspiration (FNA) and thyroid scan. Fine needle aspiration is a minimally invasive technique that allows for cytological evaluation of thyroid nodules. It is considered the gold standard for assessing the likelihood of malignancy in a nodule. By obtaining a sample of cells from the nodule, healthcare providers can analyze the cellular characteristics and determine if further intervention is needed. Thyroid scans, which involve the use of radioactive iodine or technetium, help to assess the functional status of the nodules. They can determine whether a nodule is hyperfunctioning (producing excess thyroid hormone) or hypofunctioning (not producing hormone). This functional assessment can be crucial in clinical decision-making regarding management and treatment options. In contrast, while ultrasound and blood tests are also important in the evaluation of thyroid nodules, they serve different purposes. Ultrasound is excellent for assessing the size, structure, and characteristics of the nodule, helping to guide FNA, but it does not provide definitive diagnosis on its own. Blood tests, such as measuring thyroid hormone levels (TSH, T3, and T4), are useful for determining thyroid function but do not directly evaluate the nod