MET3 Revision: Endocrine III Flashcards
Which of the following is the most appropriate antibiotic for this patient’s infected pressure ulcer?
Ceftriaxone
Ciprofloxacin
Clarithromycin
Flucloxacillin
Nitrofurantoin
Which of the following is the most appropriate antibiotic for this patient’s infected pressure ulcer?
Flucloxacillin
The patient has an infected sacral pressure sore. The infection is likely to be superficial with no extension to the underlying bone (which would be concerning for osteomyelitis). Along with cleaning and dressing the wound, culture swabs of the fluid should be taken so antibiotics can be tailored according to microbial sensitivities. Superficial infections are typically treated with oral antibiotics such as flucloxacillin as this is likely to provide coverage for gram-positive bacteria that reside on the skin surface, such as Staphylococcus aureus. As the patient is bed-bound, he should also be assessed for an air mattress.
A 37-year-old female patient presents with a swollen neck, and an abnormal neck mass raises suspicion of thyroid malignancy. Fine-needle aspiration (FNA) is arranged, and subsequent histology from a thyroid lobectomy reveals chromatin clearing, nuclear shape changes, and irregularity of the nuclear membrane. No evidence of C cell differentiation is observed, and the patient does not report any family history of cancer.
What is the most likely diagnosis?
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
A 37-year-old female patient presents with a swollen neck, and an abnormal neck mass raises suspicion of thyroid malignancy. Fine-needle aspiration (FNA) is arranged, and subsequent histology from a thyroid lobectomy reveals chromatin clearing, nuclear shape changes, and irregularity of the nuclear membrane. No evidence of C cell differentiation is observed, and the patient does not report any family history of cancer.
What is the most likely diagnosis?
Papillary carcinoma of the thyroid
Histological features are changes in nuclear shape and size and nuclear membrane irregularity
Which is the most common?
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
Which is the most common?
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
Which form of thyroid cancer shows vascular invasion and capsule invasion, and both can only be seen accurately on a full histological specimen?
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
Which form of thyroid cancer shows vascular invasion and capsule invasion, and both can only be seen accurately on a full histological specimen?
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
Which form of thyroid cancer peak incidence is between 60 and 70 years of age,
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
Which form of thyroid cancer peak incidence is between 60 and 70 years of age,
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
Which form of thyroid cancer often associated with Hashimoto’s thyroiditis?
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
Which form of thyroid cancer often associated with Hashimoto’s thyroiditis?
Papillary carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medullary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Lymphoma of the thyroid
