Case Challenges

Quiz

197Endocrinology-Metabolism
A 69-year-old woman presented to the emergency department with loss of appetite and severe generalized weakness. She had been undergoing chemotherapy for lung cancer for the past 6 weeks, with a regimen consisting of Atezolizumab, Bevacizumab, Carboplatin, and Paclitaxel.
Her blood test results are shown below.
What is the most appropriate next diagnostic test?

173Endocrinology-Metabolism
A woman presented with a palpable neck mass. Thyroid ultrasound revealed a 4 cm thyroid nodule, and the fine-needle aspiration (FNA) findings are shown below.
Which gene mutation, if present in this patient’s tumor, is known to be associated with a poor prognosis?
166Endocrinology-Metabolism
A 32-year-old woman presented with abnormal thyroid function.
She is 9 weeks pregnant and has no prior history of thyroid disease.
She is currently experiencing severe morning sickness.
The blood test results are shown below. What is the most appropriate diagnostic test?

120Endocrinology-Metabolism
A 38-year-old woman visited the hospital for an adrenal incidentaloma that was found on a chest CT scan performed during a health checkup. She had a past medical history of hypertension and was currently on antihypertensive medication, with no other significant medical history.
The test results for the adrenal incidentaloma are shown below. What is the next appropriate diagnostic step?