This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Which of the following treatment modality of Papillary carcinoma is obsolete nowadays? \nSelect and explain. \nA. Near total thyroidectomy, B. Modified radical neck dissection, C. Suppressive life long dose of L-thyroxine, D. Berry picking of involved lymph nodes', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Treatment:\n\nNear total or total thyroidectomy with modified neck dissection (functional) for nodes.\nSuppressive dose of L-thyroxine 0.3 mg once daily for life long.\nBerry picking means removal of involved nodes only. It is not followed nowadays.\n\nKey concept:\nMostly\xa0 central\xa0 neck\xa0 nodes\xa0 are\xa0 cleared.\xa0 If nodes\xa0 are enlarged in the anterior triangle, they are dissected and removed en bloc along with fat and fascia. This is called functional\xa0 block\xa0dissection\xa0 (Berry picking\xa0means removal of enlarged lymph nodes only.\xa0It is no\xa0 longer followed).', 'role': 'assistant'}]