Test your USMLE Step 2 readiness with this most-missed question

The United States Medical Licensing Examination ® (USMLE®) Step 2 is a major measure of any medical student’s clinical knowledge, soAMA Wire® is providing frequent expert insights to help you prepare for it. Take a few minutes here to work through another of the most-missed USMLE Step 2 test prep questions and view an expert video explanation of the answer from Kaplan Medical. Once you ’ve got this question under your belt, be sure to test your knowledge with other posts in this series. Ready. Set. Go.This month ’s question that stumped most students: A 54-year-old woman comes to the physician for a routine health maintenance examination. She has had no weight loss, fever, cough, decreased appetite, chest pain, lower extremity swelling or blood in the stool or urine. She has a history of osteoarthritis in her right knee treated with ibuprofen. Her temperature is 36.5 º C (97.7º F), blood pressure is 128/72 mm Hg and pulse is 75/min. Neck examination shows a solitary nodule in the thyroid gland that is readily palpable. The remainder of the examination shows no abnormalities. Laboratory studies show TSH 0.4 µU/mL and free thyroxine (FT4) 10 ng/L. Ultrasound of the thyroid shows a 1.5-cm hyperechoic nodule in the right lower lobe. Which of the following is the most appropriate next step in management? A. Fine-needle aspiration (FNA) B. No further management is necessary C. Radioactive iodine uptake (RAIU) D. Surgical resection E. Thyroid replacement therap...
Source: AMA Wire - Category: Journals (General) Authors: Source Type: news