Answer:USMLE step 2 Mcq 103:A 35 year old female develops a swollen, very painful neck. She has a fever, chills and generally feels ill


Correct Answer: E
De Quervain's thyroiditis classically presents with a very tender thyroid. There are systemic symptoms, associated with it. There may be symptoms of hyperthyroidism, or as in this case, there may not be symptoms of hyperthyroidism.Myxedema (choice a) would present with symptoms of weakness, fatigue, cold intolerance, constipation, weight gain.Cretinism (choice b) is congenital hypothyroid. This is not the case here, as her symptoms developed later in her life.Graves disease (choice c) present with symptoms of hyperthyroidism. Symptoms of hyperthyroidism would include weight loss, loose stools, and heat intolerance. Signs would include tachycardia, a brisk return on the Achilles reflex, exophthalmos and a palpable thyroid.Jod-Basedow phenomenon (choice d) is hyperthyroidism cause by iodine ingestion.


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