13/01 Flashcards

1
Q

What are the indications for parathyroidectomy?

A
Age <50
Symptomatic disease
Calcium level >0.25 more than upper normal limit
eGFR <60
Renal stones
Osteoporosis
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2
Q

What should be measured to confirm a diagnosis of acromegaly?

A

Insulin like growth factor 1

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3
Q

How can papillary thyroid cancer be diagnosed?

A

Via the presence of Psammomma calcification on histology

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4
Q

What is the pathology of MEN1?

A
Autosomal dominant 
Parathyroid tumour
Pancreatic tumour
Pancreatic islet cell tumour
Pituitary tumour
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5
Q

What is the pathology of MEN 2a?

A

Autosomal dominant
Thyroid medullary carcinoma
Pheochromocytoma
Parathyroid tumour

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6
Q

What is the pathology of Men 2b?

A

50% autosomal dominant and 50% due to de novo mutations
Thyroid medullary carcinoma
Phaeochromocytoma
Mucocutaneous ganglioneuromas

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