A 48-year-old woman has been found to have nodules on her thyroid ...

[mynx]

A 48-year-old woman has been found to have nodules on her thyroid that must be biopsied to determine whether or not they are malignant.
 
  Which of the following imaging techniques will be most helpful to the surgeon in visualization of the nodes for fine needle aspiration?
  A)
  Ultrasound
  B)
  Magnetic resonance imaging
  C)
  Radioactive scanning using radioiodine
  D)
  Radioactive scanning using sestamibi

Question 2

As part of the intake protocol at an eating disorders clinic, an interview precedes a physical examination.
 
  Which of the following questions would a clinician be justified in excluding from an intake interview of a 16-year-old female referred by her pediatrician for the treatment of anorexia nervosa?
  A)
  Do you remember when your last menstrual period was?
  B)
  Have you noticed any new hair growth on your body in the last several months?
  C)
  Have you had any episodes of shortness of breath in the recent past?
  D)
  Can you tell me about some of the habits that you have related to food in your daily routine?

[bbburns21]

Answer to Question 1

Ans:
A

Feedback:

Thyroid ultrasound is recommended for managing thyroid nodules and can aid in visualization of the nodule for biopsy (fine needle aspiration FNA), which is necessary to help distinguish benign from malignant etiology. Magnetic resonance imaging is the preferred choice for pituitary and hypothalamic imaging. Isotopic imaging includes radioactive scanning of the thyroid (e.g., using radioiodine), parathyroids (e.g., using sestamibi), and adrenals (e.g., using metaiodobenzylguani dine MIBG to detect pheochromocytoma).

Answer to Question 2

Ans:
C

Feedback:

Respiratory complications are not a noted consequence of anorexia nervosa. Amenorrhea, development of lanugo, and complex and important rituals around food preparation are common.