Hagen Chapter 22 Thyroid Flashcards

1
Q
A cystic formation lateral to the thyroid gland is typically which one of the following?
Select one:
a. Thyroglossal cyst
b. Brachial cleft cyst
c. Cystic hygroma
d. Sublingual cyst
A

b. Brachial cleft cyst

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2
Q
A solitary thyroid nodule in the presence of ipsilateral lymphadenopathy suggests which one of the following?
Select one:
a. Adenoma
b. Grave's disease
c. Malignancy 
d. Hashimoto's thyroiditis
A

c. Malignancy

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3
Q
A \_\_\_\_\_\_\_\_\_\_\_ is a palpable midline mass between the hyoid bone and the isthmus of the thyroid gland.
Select one:
a. Carotid aneurysm
b. Parathyroid adenoma
c. Thyroglossal duct cyst
d. Brachial cleft cyst
A

c. Thyroglossal duct cyst

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4
Q
All of the following structures form neighboring structures for the thyroid gland except the:
Select one:
a. Longus colli muscle
b. Parotid muscle 
c. Strap muscles
d. Sternocleidomastoid muscle
A

b. Parotid muscle

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5
Q
An abnormal lymph node demonstrates which one of the following?
Select one:
a. Homogeneous texture
b. Central echogenic complex
c. Oval contour
d. Round contour
A

d. Round contour

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6
Q
Approximately 20% of solitary thyroid nodules are \_\_\_\_\_\_\_\_\_\_\_.
Select one:
a. Cystic
b. Adenomas
c. Goiters
d. Malignant
A

a. Cystic

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7
Q
Common disorders associated with hyperthyroidism include all of the following except:
Select one:
a. Toxic adenoma
b. Toxic multinodular goiter
c. Grave's disease
d. Acute thyroiditis
A

d. Acute thyroiditis

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8
Q

Hyperfunction of all parathyroid glands with no apparent cause occurs with which one of the following?
Select one:
a. Primary hyperplasia of the parathyroid glands
b. Secondary hyperplasia of the thyroid glands
c. Primary hyperparathyroidism
d. Secondary hyperplasia of the parathyroid glands

A

a. Primary hyperplasia of the parathyroid glands

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9
Q
Increased vascularity with color Doppler, termed the thyroid inferno, is observed in \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
Select one:
a. Hashimoto's disease
b. Graves' disease 
c. de Quervain thyroiditis
d. Papillary carcinoma
A

b. Graves’ disease

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10
Q

Sonographically, the normal thyroid gland may be described as having all of the following characteristics except:
Select one:
a. Diffusely homogenous
b. Slightly more echogenic than surrounding muscle
c. Fine homogenous echo texture
d. Having a thin, hyperechoic line representing the thyroid capsule

A

a. Diffusely homogenous

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11
Q
The approximate dimensions of the thyroid gland are:
Select one:
a. 5 cm length, 2 cm width, 2 cm depth 
b. 4 cm length, 5 cm width, 2 cm depth
c. 3 cm length, 5 cm width, 2 cm depth
d. 6 cm length, 3 cm width, 3 cm depth
A

a. 5 cm length, 2 cm width, 2 cm depth

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12
Q
The lobes of the thyroid gland are connected by:
Select one:
a. Ismal tissue
b. The isthmus 
c. Island tissue
d. Parathyroid tissue
A

b. The isthmus

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13
Q
The most common cause of primary hyperparathyroidism is which one of the following?
Select one:
a. Thyroid adenoma
b. Parathyroid adenoma 
c. Parathyroid cyst
d. Parathyroid hemorrhagic cyst
A

b. Parathyroid adenoma

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14
Q
The most common cause of thyroid disorders worldwide is which one of the following?
Select one:
a. Hypothyroidism
b. Iron deficiency
c. Iodine deficiency
d. Autoimmune process
A

c. Iodine deficiency

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15
Q
The most common cause of thyroid malignancy is \_\_\_\_\_\_\_\_\_\_\_\_\_ carcinoma.
Select one:
a. Papillary
b. Medullary
c. Anaplastic
d. Follicular
A

a. Papillary

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16
Q
The normal parathyroid glands measure less than \_\_\_\_\_\_\_ millimeters (mm).
Select one:
a. 3
b. 4
c. 5
d. 6
A

b. 4

17
Q
The parathyroid glands lie between the \_\_\_\_\_\_\_\_\_\_\_\_ borders of the \_\_\_\_\_\_\_\_\_\_\_\_ lobes of the thyroid gland.
Select one:
a. Posterior; lateral
b. Anterior; lateral
c. Anterior; medial
d. Posterior; medial
A

d. Posterior; medial

18
Q

The parathyroid glands produce a hormone that affects the:
Select one:
a. Liver, colon, and kidneys
b. Kidneys, bones, and gastrointestinal tract
c. Gastrointestinal tract, breast, and scrotum
d. Kidneys, heart, and colon

A

b. Kidneys, bones, and gastrointestinal tract

19
Q
The pyramid lobe of the thyroid gland extends from the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
Select one:
a. Superior right lobe
b. Inferior left lobe
c. Superior isthmus 
d. Inferior right lobe
A

c. Superior isthmus

20
Q
The thyroid gland consists of \_\_\_\_\_\_\_\_ lobes:
Select one:
a. Three
b. Four
c. Two 
d. Six
A

c. Two

21
Q
The thyroid is an endocrine gland that regulates metabolic function through the production of all of the following hormones except:
Select one:
a. Thyroxine
b. Triiodothyronine
c. Thyrocalcitonin
d. Thyroliberin
A

d. Thyroliberin

22
Q
Usually \_\_\_\_\_ parathyroid glands exist.
Select one:
a. Two
b. Three
c. Four 
d. Five
A

c. Four

23
Q
Which one of the following sonographic features of a thyroid adenoma is the most common?
Select one:
a. Complex echo pattern
b. Hyperechoic mass
c. Hypoechoic peripheral halo
d. Irregular margins
A

c. Hypoechoic peripheral halo

24
Q
Which one of the following structures lies medial to the left thyroid lobe?
Select one:
a. Larynx
b. Jugular vein
c. Strap muscles
d. Longus colli muscle
A

a. Larynx

25
Q
Which one of the following structures lies posterolateral to the thyroid gland?
Select one:
a. Esophagus
b. Sternocleidomastoid muscle
c. Longus colli muscle
d. Omohyoid muscle
A

c. Longus colli muscle