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  #1  
Old 09-20-2012
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Default poor prognostic indicator

A 56-year-old woman presents to the outpatient
clinic for a routine visit. On physical examination
a 1-cm nodule is palpated in her thyroid.
Her physical examination is otherwise unremarkable.
Her heart rate is 70/min and regular,
blood pressure is 126/82 mm Hg, and temperature
is 36.7°C (98.0°F). Which of the following
is a poor prognostic indicator for the thyroid
nodule?

(A) Female gender
(B) Hoarseness
(C) Palpitations
(D) Patient age of 56 years
(E) Slow growth of nodule
(F) Tender nodule
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  #2  
Old 09-20-2012
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B? probably via extension to the laryngeal nerve or compression.. seems logic to me.
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  #3  
Old 09-20-2012
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Yes hoarsness of voice suggest infiltration hence poor prognsis and chance of metz
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Old 09-20-2012
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Answer B ........
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(B) Hoarseness
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  #6  
Old 09-20-2012
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The correct Answer is B
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