🏥 USMLE Exam Prep

A 45-year-old woman presents for evaluation of a palpable thyroid nodule noted during a routine physical exam. She denies any symptoms of hyper- or hypothyroidism. Thyroid function tests show a normal TSH and free T4. What is the most appropriate next step in the management of this patient?

A Surgical thyroidectomy
B Fine-needle aspiration (FNA) of the nodule
C Radioactive iodine uptake and scan
D Suppressive levothyroxine therapy

✓ Correct Answer: Option B

For a palpable thyroid nodule with normal thyroid function tests, the primary concern is to rule out malignancy. Fine-needle aspiration (FNA) is the most appropriate next diagnostic step to evaluate the cytology of the nodule.

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