Thyroid Disorders USMLE Step 1 Practice Question
A 45-year-old woman presents with acute onset neck pain, fever, and mild hyperthyroid symptoms. Examination reveals a tender thyroid gland. TSH is 0.1 mIU/L, free T4 is elevated at 26 pg/dL, but radioiodine uptake is markedly suppressed. ESR is 65 mm/hr and CRP is 12 mg/dL. Which of the following is the most likely diagnosis?
Answer choices
- ASubacute granulomatous thyroiditisCorrect answer
- BGraves disease with concurrent infection
- CAcute bacterial thyroiditis
- DToxic nodular goiter
- EPainless (postpartum) thyroiditis
- FThyroid cancer with paraneoplastic syndrome
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