8-Surgery Thyroid

Question 1

MC etiologic agent for thyroiditis

Answer 1

Streptococcus and Anerobes

Question 2

Presentation of Acute Thyroiditis

Answer 2

Neck Pain with fever, chills, odynophagia and dysphonia

More common in children preceded by URTI or ear infection

Question 3

MC etiologic agent of Subacute or Granulomatous Thyroiditis (De Quervain)

Answer 3

Presumed Viral or a result of Post Viral inflammation

Question 4

Management for Subacute or Granulomatous Thyroiditis

Answer 4

Thyroid hormone replacement

Question 5

Most Common inflammatory Disorder of the Thyroid and cause hypothyroidism

Answer 5

Chronic Thyroiditis: Lymphocytic (Hashimoto)

Question 6

Thyroid Parenchyma is replaced by fibrous tissue
Painless thyroid mass,
Hypothyroid and hypoparathyroid

Answer 6

Reidel Thyroiditis

Question 7

Indication for Thyroidectomy

Answer 7

-Confirmed Cancer or Suspicious thyroid nodules
-Sever Reaction to antithyroid medications
-Large Goiter with compressive symptoms
Reluctant to undergo RAI

Question 8

What medication do you give prior to Thyroidectomy, and what is it for

Answer 8

Lugol’s Iodine solution: may be given 7-10 days prior to surgery to decrease vascularity of thyroid and lessen risk of thyroid storm

Question 9

What are the clinical manifestation of the neoplasm of the thyroid

Answer 9

Hoarseness
Rapid Mass Growth
Change in Cosmetic Appearance
Obstructive Symptoms: Dyspnea, Dysphagia

Question 10

Lined by epithelial cells predominant with fluid component

Ultrasound is necessary to rule out any sol component that will warrant a FNAB

Answer 10

Simple Thyroid Cyst

Question 11

Malignant neoplasm of the thyroid and has Orphan Annie and Psammoma Bodies and is the most common

Answer 11

Papillary

Question 12

Malignant neoplasm of the thyroid that arise from oxyphilic cells, that has a higher mortality and more commonly multifocal and bilateral

Answer 12

Hurthle Cell CA

Question 13

Airse from parafollicular cells or C cells in the superolateral thyroid lobes. Elevated Calcitonin or CEA Levels

Answer 13

Medullary Carcinoma

Management is Total Thyroidectomy with bilateral central neck node dissection

Question 14

Giant and multinucleated cells
Might have developed from follicular or papillary thyroid,
Highly aggressive tumor and with a lymphnode metastases usually present

Answer 14

Anaplastic Carcinoma

Most palliative