Which patient would be a candidate for radioactive iodine therapy?
a. A 17-year-old woman with Graves' disease
b. A 64-year-old woman with hypothyroidism
c. A 46-year-old man with heart disease and thyroid cancer
d. An 82-year-old man with myxedema crisis
ANS: C
Patients typically treated with radioactive iodine therapy are those who are beyond childbearing years, those with severe complicating diseases (e.g., heart disease), those with recurrent hyperthyroidism after previous thyroid surgery, those who are poor surgical risks, and those who have unusually small thyroid glands. Women of childbearing age should not be treated with radioactive iodine. Hypothyroidism and myxedema are not treated with radioactive iodine.
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