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
Which of the following treatment modality of Papillary carcinoma is obsolete nowadays? 
Select and explain. 
A. Near total thyroidectomy, B. Modified radical neck dissection, C. Suppressive life long dose of L-thyroxine, D. Berry picking of involved lymph nodes
D: Berry picking of involved lymph nodes
Answer: D: Berry picking of involved lymph nodes 
Explanation: Treatment:

Near total or total thyroidectomy with modified neck dissection (functional) for nodes.
Suppressive dose of L-thyroxine 0.3 mg once daily for life long.
Berry picking means removal of involved nodes only. It is not followed nowadays.

Key concept:
Mostly  central  neck  nodes  are  cleared.  If nodes  are enlarged in the anterior triangle, they are dissected and removed en bloc along with fat and fascia. This is called functional  block dissection  (Berry picking means removal of enlarged lymph nodes only. It is no  longer followed).