Breast And Endocrinology

Question 1

Structures developing from 4th pharyngeal pouch

Answer 1

Superior parathyroid
Ultimobranchial body

Question 2

MEN1

Answer 2

Pituitary adenoma
Primary hyperparathyroidism
Pancreatic and duodenal ulcer

Question 3

MEN 2A

Answer 3

Primary hyperparathyroidism
Medullary thyroid CA
Pheochromocytoma

Question 4

MEN 2B

Answer 4

Primary hyperparathyroidism
MTC
Marfanoid features
Mucosal neuromas

Question 5

Investigation for localization of pheochromocytoma

Answer 5

MRI

Question 6

Investigation for response to treatment and recurrence of disease in pheochromocytoma.

Answer 6

MIBG

Question 7

Blood supply of parathyroid gland

Answer 7

Inferior thyroid artery

Question 8

Pre-op localization of gastronome

Answer 8

Octreotide scan

Question 9

Treatment of Grave’s disease in pregnancy

Answer 9

PTU in 1st trimester methimazole in 2nd and 3rd trimester

Question 10

Multifocal vs multi-centric breast ca

Answer 10

Multifocal. Multiple foci in same quadrant of breast
Multi-centric multiple foci in different quadrants of breast

Question 11

Cushing disease

Answer 11

ACTH secreting pituitary adenoma
Cortisol is suppressed with high dose dexamethasone

Question 12

Role of RAI in follicular CA

Answer 12

RAI is recommended when the combination of individual clinical factors (such as the extent of the primary tumor, histology, degree of lymphatic invasion, lymph node metastases, postoperative thyroglobulin, and age at diagnosis) predicts a significant risk of recurrence, distant metastases, or disease‑specific mortality

Question 13

osteitis fibrosa cystica

Answer 13

Osteitis fibrosa cystica is a condition associated with hyperparathyroidism that is characterized by severe demineralization with subperiosteal bone resorption (most prominent in the middle phalanx of the second and third fingers), bone cysts, and tufting of the distal phalanges on hand films.