HY USMLE Q #658 – Pathology

A 43-year-old man comes to the physician for a routine health maintenance examination. On physical examination, a thyroid nodule is palpated. Serum TSH is 3.0 mIU/L (NR 0.5-5.0). Ultrasound-guided biopsy of the mass is performed and shown below. Serum calcium is 9.0 mg/dL (NR 8.4-10.2).

 

 

 

 

 

 

Which of the following is most likely to be seen in this patient?

Decreased osteoclast activity
Decreased serum phosphate
Increased bone turnover
Psammoma bodies
Uric acid urolithiasis