Thyroid nodules and thyroid cancer Quiz: Ace Your Exams

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A 63-year-old woman comes to the office due to a neck lump. She is otherwise healthy, and medical history is unremarkable. She does not use tobacco, excessive alcohol, or illicit substances. The patient has not noticed any weight loss, but she does endorse some changes in her voice lately. Temperature is 37.0°C (98.6°F), pulse is 75/min, and blood pressure is 135/85 mmHg. Physical examination reveals a fixed, non-tender nodule occupying the right thyroid lobe. Laboratory testing shows normal TSH levels. Ultrasound is obtained and reveals a 2.5 cm, hypoechoic nodule with increased central flow. Fine-needle biopsy is performed and shows the following:

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This finding can also be seen in which of the following conditions?

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