CSHK Part 2 EMQ Practice Questions - MHKICBSC Part 2 - Clinical Problem Solving EMQ Exam

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A 34-year-old female presents with a 1.5 cm asymptomatic, firm nodule in the left lobe of the thyroid, discovered incidentally on carotid duplex ultrasound. Fine-needle aspiration biopsy (FNAB) yields Bethesda Category VI (papillary thyroid carcinoma). Ultrasound of the neck shows no evidence of cervical lymphadenopathy or extrathyroidal extension, and thyroid function tests are normal. What is the most appropriate initial surgical management?

Left thyroid lobectomy Total thyroidectomy with bilateral routine prophylactic central neck dissection (Level VI) Total thyroidectomy without central neck dissection Active surveillance with serial neck ultrasounds every 6 months

Correct Answer:

Left thyroid lobectomy

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