Thyroid Nodules

Test Your Knowledge by Sandy Wilbanks

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Across 1. Palpation is the _____ effective method of detecting nodules. 3. Without symptoms. 9. High-resolution ultrasound (ab). 11. Cross-sectional _____. 15. Thyroid peroxidase _____ level. 16. Before surgery. 17. Thyroid stimulating _____. 22. Study ______ points. 23. Check_____ TSH level. 24. Opposite of women. 28. Thyroid hormone that regulates calcium. 29. Accumulation of calcium salts in tissue. 32. Where blood and tissue are analyzed. 34. An enlarged thyroid gland. 35. Tumor. 38. Opposite of warm. 39. A type of thyroid cancer. 41. Real-time _____ compound sonography. 42. TSH autoantibodies can ______ the placenta.

43. A fluid filled sac under the skin. 46. FNA under ultrasound ______. 47. The most effective method to evaluate thyroid nodules. 48. Surgical removal. 50. Serum IGF ______ protein. 51. Interpretation of laboratory _____. 53. The incidence of thyroid nodules is more common in this group. 55. A post mortum examination. 57. A deficiency of this contributes to thyroid nodules. 60. The expected incidence of disease in a population. 62. Thyroid nodules are commonly ______. 63. ______ acid deficiency. 65. Incidence of thyroid nodules increases with _____. 66. Borderline or at-______. 67.Risk of malignancy is ______ with multiple nodules. 68. Gender. 69. Geographical areas know as goiter _____. 70. Short for laboratory.

Source: Dean DS, Gharib H. Epidemiology of thyroid nodules. Best Practice & Research Clin Endocrinol Metabolism 2008;22(6):901-911.

The answers will be provided in the next issue.

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The Journal for Nurse Practitioners - JNP

Down 2. Measured after eradication of thyroid tissue. 4. Ultrasound shows the ____ & number of nodules. 5. Surgical removal of the thyroid gland. 6. To intervene. 7. Section of thyroid. 8. _____ skin may be symptom of hypothyroidism. 10. Opposite of benign. 12. Thyroid peroxidase (ab). 13. A thyroid ______ is a crisis of hyperthyroidism. 14. Finding nodules without looking for them. 17. Thyroglobulin is a thyroid _____. 18. Pertains to follicles. 19. Spread of cancer. 20. Normal thyroid function. 21. Physician that specializes in the endocrine system. 25. Unable to function normally. 26. Having more than one focus.

27. Most labs use immune absorption ______. 30. Most thyroid ______ are not palpable. 31. Exposure to this is associated with thyroid nodules. 33. One nodule. 36. Occupational ______ to radiation. 37. A firm, dense mass. 40. To feel texture, size and consistency. 44. Diagnosis of thyroid nodules depends on the method of ______ used. 45. Fine needle aspiration (ab). 49. Advances in diagnostic _____ may create confusion. 52. To lose something. 54. Fine ______ aspiration. 56. Prevalence of nodules is highest in the______ decade. 58. Primary ______ carcinoma. 59. Head and _____ exam. 61. Tertiary _____ center. 63. Total and ______ T3 levels. 64. White blood ______.

Sandra Wilbanks, APRN, MSN, FNP, works at Phoenix Family Physicians Group in Saginaw, MI. She can be reached at [email protected]. 1555-4155/$ see front matter © 2010 American College of Nurse Practitioners doi:10.1016/j.nurpra.2010.05.009

Volume 6, Issue 7, July/August 2010