Head/Neck/Thyroid/PT

Question 1

hx questions for thyroid nodule

Answer 1

radiation, endocrine diseases, hyperthyroid

Question 2

Thyroid nodule workup? what size do you work up

Answer 2

FNA, u/s ; 1 cm

Question 3

thyroid nodule concerning signs on us

Answer 3

LNs, calcs, hypervasc, hypoecho

Question 4

Bethesda 3 next moves (2 possible)

Answer 4

lobectomy
FNa

Question 5

hypercalcemia ddx(2 big surgical diagnoses)

Answer 5

Malignancy(breast, lung)

Primary PTH

Question 6

Goal PTH after removal

Answer 6

50%

Question 7

Stuff to have in the room for a parathyroid or thyroid

Answer 7

Nerve monitoring

Question 8

Patient has Ca of 10.3 and an elevated PTH, what now?

Answer 8

look for indications for surgery
DEXA

Question 9

MCC of primary hyperPTH

What hereditary cases and what percent

Answer 9

single adenoma in 85%

10%
MEN 1 and 2

Question 10

3 causes pf secondary hyperPTH

Answer 10

renal
vit D
GI mal

Question 11

s/s of hyperca

Answer 11

Stones
Bones
groans
moans
pysch overtones

Question 12

Indications for PT removal

Answer 12

DEXA < -2.5

Question 13

thyroid t staging
Overall staging

Answer 13

Question 14

Medullary thyroid cancer operation

Answer 14

total with b/l central neck

Question 15

bethesda 3 name and management

Answer 15

FCUS – repeat vs lobe

get molecular testing, if negative treat as benign

Question 16

Bethesda 4 mng?

Answer 16

Molecular testing
Lobectomy

Question 17

features on CT for adrenal ca concern

Answer 17

4cm, 20 or greater HU, less than 50% washout

Question 18

8 tests for adrenal mass work up

Answer 18

K, Na, DHEA, dex 1mg, 24h cortisol, free mets, aldost/renin, ACTH

Question 19

special pheo scan for familial

Answer 19

MIBG

Question 20

unresectable adrenal cancer?

Answer 20

mitotane