Benign Thyroid Disease

Question 1

Most common complication of thyroglossal duct cyst?

Answer 1

Secondary infection

Question 2

Results of RAI for hyperthyroidism is seen in?

Answer 2

2 months

Most patients become euthyroid within 2 months

Question 3

At surgery, how many percent of indeterminate or suspicious FNA specimens are malignant?

Answer 3

20%

Question 4

True of Hashimoto’s disease except?

A) most common form of thyroiditis
B) also called chronic lymphocytic thyroiditis
C) autoimmune in nature
D) may coexist with follicular CA

Answer 4

D) may coexist with follicular CA

Hashimoto’s disease may coexist with papillary CA

Question 5

Indications of surgery for Grave’s disease except

A) If it is the choice of the patient
B) Failure (resistance or intolerance) of drug therapy
C) Poor comoliance to drug therapy
D) First trimester of pregnancy

Answer 5

D) First trimester of pregnancy

Surgery if RAI is contraindicated:
A) confirmed cancer or suspicious
B) young
C) desire to conceive soon
D) severe reaction to antithyroid meds
E) large goiters (>80g) with compression
F) reluctant to RAI

Relative indications

• Smokers
• Moderate to severe ophthalmopathy
• Rapid control
• Poor compliance
• Pregnancy (best performed in 2nd trimester)