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A 20 year old female patient arrives to your office with a chief complaint of neck swelling. She also complains of weight gain and fatigue. What is the best diagnostic test to order?

A. Presence of antimicrosomal antibodies
B. Free T4 levels
C. TSH levels
D. Thyroglobulin levels
E. Thyroid Scan

b.......

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c
Hashimoto

ccccccc. the single best test to dx hyper/hypothyroidism is TSH and not T4/3... why???
because we have something called subclinical hyper/hypothyroidism where although the T4 and T3 levels are still normal,the TSH is increased (hypo) or decreased (hyper)
and hashimoto is the most common cause of hypothyroidism except in iodine-defecient areas

I agree with hopingfor99

whats the correct answer enalfady.?
please post it its been too late
thanks in advance

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