MRCS PART A · ENDOCRINE SURGERY

Endocrine surgery decisions

Understand the hormone. Test the evidence. Reassess the risk.

Examination practice · 6 fictional adult patients · session-only progress · no patient information

Choose a patient

Patient 1 / 60 completed

The nodule without a definitive label

A fit 43-year-old teacher attends after needle sampling of a solitary thyroid nodule. She asks whether the report means cancer and whether the entire gland must be removed. Choose the information that determines the initial plan.

1. Choose the information you need

Only one answer opens at a time. Questions do not alter the patient's facts. In a real emergency, assessment and escalation run together.

2. Which next action best fits the available evidence?A. Arrange repeated aspirates until the report proves or excludes capsular invasionB. Discuss diagnostic hemithyroidectomy, uncertainty and the possibility of later completion surgeryC. Treat Thy3f as confirmed cancer and schedule total thyroidectomy without further discussionD. Discharge because ultrasound has not shown nodal diseaseE. Give radioactive iodine before obtaining a definitive tissue diagnosis

Sources and scope

Guidance checked. Independent MRCS practice, not official exam material or a bedside protocol. Verify current guidance and local emergency procedures. Doses and techniques not specified here need competent clinical prescribing and assessment.