CNPLE Practice Questions - Canadian Nurse Practitioner Licensure Examination (CNPLE) Exam

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A 42-year-old female presents with fatigue and cold intolerance. On physical examination, the Nurse Practitioner notes a palpable, firm, non-tender thyroid nodule measuring approximately 1.5 cm. Which of the following is the most appropriate initial diagnostic assessment?

Serum thyroid-stimulating hormone (TSH) level and thyroid ultrasound. Immediate fine-needle aspiration biopsy (FNAB) of the nodule. Thyroid scintigraphy (radioactive iodine uptake scan) and free T4. Empiric therapy with levothyroxine and follow-up in 3 months.

Correct Answer:

Serum thyroid-stimulating hormone (TSH) level and thyroid ultrasound.

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