Painful Neck Swelling in Medicine / Internal Medicine — 27yo Woman | Endocrinology | SMLE Q#11190

SMLE Question #11190

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 27-year-old woman has 1 week of fever, sore throat, and anterior neck pain with painful neck swelling. Three weeks earlier, she had an upper respiratory infection. She reports palpitations, sweating, and fatigue. Examination shows a diffusely enlarged, firm, markedly tender thyroid without discrete nodules. What is the most likely diagnosis?

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