Swallowing in Medicine / Internal Medicine — 28yo Woman | Endocrinology | SMLE Q#11475
SMLE Question #11475
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 28-year-old woman has a painless anterior neck swelling that has slowly increased over 1 year. Examination shows a diffuse, non-tender, symmetrically enlarged thyroid that moves with swallowing, with no cervical lymphadenopathy. Thyroid ultrasound shows bilateral enlargement with two solid nodules (left 1×2 cm, right 4×3 cm) without suspicious sonographic features and no abnormal cervical lymph nodes. What is the most appropriate next step in management?
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