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Clinical > Endocrine surgery > Flashcards

Endocrine surgery Flashcards

1
Q

What are the 3 main complications of thyroid surgery?

A

RLN palsy
Bleeding
Hypocalcaemia

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1
Q

What is the pathophysiology of Graves disease?

A

TSH receptor antibodies stimulate receptors

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2
Q

What is the most sensitive test for diagnosing hyperthyroidism?

A

T3

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3
Q

What is the most sensitive test for diagnosing hypothyroidism?

A

T4
TSH

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4
Q

How does subacute (De Quervain’s) thyroiditis present?

A

Following viral infection
Hyperthyroid
Painful goitre
Raised ESR

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5
Q

Which three antibodies are present in Hashimotos thyroiditis?

A

Thyroid perioxidase
Thyroglobulin
TSH-R

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6
Q

What is the imaging of choice for suspected thyroid cancer?

A

USS

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7
Q

What is the most common type of thyroid cancer?

A

Papillary

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8
Q

What types of thyroid cancer cannot be accurately diagnosed on FNAC?

A

Follicular adenoma
Lymphoma

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9
Q

Which type of thyroid cancer results in raised serum calcitonin levels?

A

Medullar

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10
Q

List the important possible complications from thyroid surgery

A

Haemorrhage leading to airway compromise
Tracheomalacia
RLN palsy
Hypoparathyroidism

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11
Q

Which cells do glucagonomas originate from?

A

Alpha 2 cells of pancreas

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12
Q

What is the most characteristic clinical sign of a glucagonoma?

A

Necrolytic migratory erythema

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13
Q

What is the hormone profile in primary hyperparathyroidism?

A

High PTH
High calcium
Low phosphate

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14
Q

What is the most common cause of primary hyperparathyroidism?

A

Solitary adenoma

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15
Q

What is the hormone profile in secondary hyperparathyroidism?

A

High PTH
Low calcium
High phosphate
Low vitamin D

16
Q

What is the most common cause of secondary hyperparathyroidism?

A

CKD

17
Q

What is the hormone profile in tertiary hyperparathyroidism?

A

High calcium
High PTH
Low phosphate
Low vitamin D
High alkaline phosphatase

18
Q

Which psychiatric drug can cause goitre and hypothyroidism?

A

Lithium

19
Q

Which type of thyroid malignancy is associated with Hashimotos?

A

Lymphoma

20
Q

Which blood test can be used to follow up thyroid cancer?

A

Thyroglobulin

21
Q
A

Clinical (14 decks)

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