Ch 5- Pediatric neck Flashcards
Thyroid problems in children are _____
not common
The thyroid develops in the _____ at the _____ & _____ into the neck
1) floor of the pharynx
2) base of the tongue
3) descends
As it is developing, the thyroid gland is connected to the ____ for a short time by the ______. This duct __________.
1) tongue
2) Thyroglossal duct
3) degenerates & dissapears
A _____ is the persistence of the inferior portion of the Thyroglossal duct
Pyramidal lobe
Congenital Hypothyroidism is a ____ disorder usually related to a developmental anomaly such as ______ or _____.
1) common
2)ectopia
3) dyshormogenesis (enzyme defect)
Children with congenital hypothyroidism have a condition called ________. It affects ___________
1) Cretinism
2) females 2:1
Ectopic thyroid gland is an ______ congenital anomaly where the thyroid is located along the _____ of its descent from the ____.
1) infrequent
2) normal route
3) tongue
A ______ thyroid is the most common ectopic thyroid. it is due to ______ of the thyroid which results in thyroid tissue ________. This is usually the only ______ present
1) Lingual
2) incomplete descent
3) high in the neck (midline dorsum of the tongue)
4) functioning thyroid tissue
Accessory thyroid gland tissue may appear in the ____. The tissue is _____, but ____ to maintain normal thyroid function
1) Thymus gland
2) functional
3) insufficient
A goiter is a non- specific general term for an _____, of which there are _____ in children
1) enlarged thyroid
2) many causes in children
Grave’s disease is thyroid _____ & ____ when occurring in children. It is the most common cause of ______. This condition is more common in _________
1) hyperplasia
2) hyperfunctioning
3)hyperthyroidism
4) adolescent girls
Grave’s disease symptoms include (3 )
1) tachycardia
2) exophthalmos
3) enlarged thyroid
Grave’s disease may also be associated with (3)
1) myasthenia gravis
2) pernicious anemia
3) adrenal insufficiency
Grave’s disease, the gland is _____, due to infiltration of the ____ & ____
1) heterogeneous
2) lymphocytes
3) multiple blood vessels
Grave’s disease, you will see a _____ on CFD. Diffuse _____ may also be present
1) thyroid inferno
2) lymphadenopathy
Grave’s disease, an ____, _____, ____, ___ gland is seen.
1) enlarged
2) lobulated
3) hypoechoic
4) inhomogenous
Can you tell the difference between Grave’s disease & Hashimoto’s Thyroiditis sonographically ?
No, you need clinical scenarios or labs
Hashimoto’s Thyroiditis is a ________ condition where _____ of the gland occurs. It is a common cause of _____
1) Chronic autoimmune condition
2) lymphocyte infiltration
3) hypothyroidism
Hashimoto’s Thyroiditis, a ___, ___ gland will be seen, along with ___ vascularity of the gland during a hypothyroid event. The disease will eventually cause the thyroid to progress to a ___& ___ gland
1) enlarged
2) course
3) increased
4) small & atrophied
DeQuervain’s thyroiditis is an ____ form of subacute thyroiditis caused by a ______
1) uncommon
2) viral infection
Bacterial Thyroiditis (acute suppurative) is ____ & usually due to a _____. This is seen in association with ___________ on the ____
1) rare
2) staph infection
3) third/fourth brachial arch anomaly
4) left
Thyroid carcinoma is _____ in children. It is thought to be associated with _________
1) Very uncommon
2) irradiation of the head/neck
_______ account for the majority of thyroid cancers occuring in children
Papillary Carcinoma
Papillary Carcinoma most common identifying feature is ______.
____ are present in > 50% of cases. It metastasizes through the _____.
1) microcalcifications
2) Lymph nodes
3) lymphatics
