Endocrine

Question 1

Blood supply of adrenal gland

Answer 1

1. Suprarenal
2. Phrenic
3. Renal

Question 2

Cutoff for excision of adrenal incidentaloma

Answer 2

4cm

Question 3

3 Ps of Multiple Endocrine Neoplasia type 1 (MEN1)

Answer 3

1. Parathyroid hyperplasia/hyperactivity
2. Pancreas functional tumors
3. Pituitary adenoma

Question 4

PMH acronym for MEN2A

Answer 4

Pheochromocytoma, often bilateral
Parathyroid hyperplasia or hyperPTH
Medullary Thyroid Cancer
Hirschsprung Disease

Question 5

Hallmarks of MEN2B

Answer 5

100& Medullary Thyroid Cancer
50% Pheochromocytoma
Neurocutaneous manifestations eg ganglioneuromatosis

Question 6

Indications for RET mutation screening for MEN2

Answer 6

1. Medullary Thyroid cancer
2. Pheochromocytoma
3. Newborns with Hirschsprung disease

Question 7

Features of Pemberton’s sign

Answer 7

Superior Vena Cava Obstruction
1. Dyspnea
2. Facial edema/congestion
3. Distended neck and facial veins

Question 8

Most common cause of single thyroid nodule

Answer 8

Dominant nodule of multi nodular goitre

Question 9

Layers to cut at the bedside in a neck hematoma post-thyroidectomy

Answer 9

1. Subcuticular layer
2. Platysma
3. Avascular plane of strap muscles

Question 10

Most common route of spread of papillary thyroid ca

Answer 10

Lymphatics

Question 11

Most common route of spread of follicular thyroid ca

Answer 11

Distant mets via hematogenous spread