4. Neck Lump

Question 1

Answer 1

Question 2

Answer 2

Question 3

What questions should the GP ask about the neck lump itself?

Answer 3

Question 4

What associated symptoms should the GP ask the patient presenting with a neck lump?

Answer 4

Question 5

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Question 6

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Question 7

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Question 8

Other than the location,

Answer 8

Question 9

Is there anything other than the lump that the GP should examine?

Answer 9

Question 10

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Question 11

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Question 12

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Question 13

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Question 14

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Question 15

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Question 16

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Question 17

Other than the lump, what else should the GP examine in the patient with a midline neck lump?

Answer 17

Question 18

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Question 19

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Question 20

Mrs Luther is examined by a surgeon and an ultrasound-guided FNA of the nodule is performed. The aspirate is reported by the pathologist as a ‘follicular lesion/suspected follicular neoplasm’.
Does Mrs Luther have thyroid cancer? How should she be managed?

Answer 20

Question 22

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Question 23

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Question 24

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Question 25

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Question 26

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Question 27

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Question 28

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Question 29

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Question 30

What are the characteristic features of the MEN syndromes:
- MEN-1? (3)
- MEN-2A? (3)
- MEN-2B? (3)

Answer 30

Question 31

Answer 31

Question 32

Sjrogens syndrome is a risk factor for which neck lump?

Answer 32

Question 33

What is the surface anatomy of the thyroid gland?

Answer 33

Question 34

What is the pathophysiology of Graves and Hashimoto’s disease?

Answer 34

Question 35

6 histological types of thyroid neoplasia?

Answer 35

Question 36

What are the indications for prophylactic thyroidectomy?

Answer 36

Question 37

10 potential complications of a thyroidectomy?

Answer 37

Question 38

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Question 39

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Question 40

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Question 41

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Question 42

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Question 43

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Question 44

Answer 44