A number of symptoms and signs are well-established manifestations of thyroid dysfunction.The American Association of Clinical Endocrinologists (AACE)has established practice guidelines for the diagnostic evaluation and screening of hyperthyroidism and hypothyroidism.The AACE recommends the ___ as the single best screening test.A history of ___ are symptoms of concern,and patients with ___ require MRI or CT imaging because this may be indicative of metastasis.Select the clinical triad to complete this diagnostic screening guideline.

Question

Quizplus · Accepted Answer

The American Association of Clinical Endocrinologists (AACE)practice guidelines for the diagnostic evaluation of hyperthyroidism and hypothyroidism recommend TSH assay as the single best screening test.A thorough history and physical is indicated in screening for thyroid cancer.A history of being exposed to neck or whole-body radiation or being raised in iodine-poor areas should be assessed.A rapidly expanding neck mass,new onset of hoarseness,neck or ear pain,or cough are symptoms of concern.Patients with a fixed,immobile mass and/or hoarseness,dysphagia,or respiratory symptoms require CT or MRI imaging as part of the evaluation.These symptoms may be indicative of metastasis.Serum TSH measurement is the single most reliable test to diagnose all common forms of hypothyroidism and hyperthyroidism,with high sensitivity (98%)and specificity (92%).

A Number of Symptoms and Signs Are Well-Established Manifestations of Thyroid