neck Flashcards

1
Q

when does the thyroid gland develop in utero

A

3rd week

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2
Q

location of the thyroid

A

ant. to trachea

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3
Q

superior extension of the ithmus is called

A

pyramidal lobe

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4
Q

the hypothalamus produces what

A

thyroid releasing hormone

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5
Q

the pituitary gland produces what

A

thyroid stimulating hormone

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6
Q

what is a colloid composed of

A

proteins and hormones

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7
Q

t4

A

thyroxine

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8
Q

t3

A

triiodothyronine

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9
Q

what does the thyroid utilize to produce t3 and t4

A

iodine

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10
Q

most abundant hormone produced by the thyroid

A

t4

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11
Q

strap muscles (sternohyoid, sternothyroid, omohyoid) relation to thyroid

A

ant to each lobe

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12
Q

sternocleidomastoid muscles relationship to thyroid

A

lateral to each lobe

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13
Q

longus colli muscles relationship to thyroid

A

post. to each lobe

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14
Q

esophagus most often seen

A

left side post.

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15
Q

most medial vessel to the thyroid

A

common carotid artery

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16
Q

first branch of the external carotid artery

A

sup. thyroid artery

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17
Q

normal thyroid length

A

4 to 6 cm

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18
Q

normal thyroid width

A

2 to 3 cm

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19
Q

normal ithmus

A

2 to 6mm

20
Q

goiter

A

enlargement of the thyroid gland

21
Q

causes of goiter

A

iodine deficiency
graves disease
thyroiditis

22
Q

what does the ithmus measure with goiter

A

> 10mm

23
Q

sono findings of goiter

A

heterogenous texture
multiple cystic nodules w/ solid components

24
Q

most common cause of hyperthyroid

A

graves disease

25
Q

clinical findings of graves disease

A

bulging eyes
heat intolerance
nervousness
weight loss
hair loss

26
Q

sono findings of graves disease

A

hetero texture
thyroid inferno (hypervascularity)
enlarged

27
Q

most common cause of HYPO thyroid

A

hashimotos

28
Q

clinical findings of hashimotos

A

depression
increased cold sensitivity
elevated cholesterol
weight gain

29
Q

sono of a hashimotos thyroid gland

A

mild enlargement
hetero
hypervascular

30
Q

most common form of thyroid cancer

A

papillary thyroid cancer

31
Q

most common benign thyroid nodule

A

adenoma

32
Q

malignant nodule characteristics

A

hypo mass
micro calcs
solitary mass
lymph enlargements
“cold nodule” on nuclear study

33
Q

benign nodule characteristics

A

cyst <5mm
cystic components
hyper mass
“hot nodule” on nuclear study

34
Q

parathyroid glands serve as …

A

calcium regulators

35
Q

elevated PTH and calcium levels is indicative of

A

parathyroid adenoma

36
Q

common locations of parathyroid glands

A

posterior aspect of mid lobes
inferior to each lobe

37
Q

normal measurement of lymph nodes

A

<1 cm

38
Q

normal sono appearance of a lymph node

A

echogenic center
oblonged shape

39
Q

abnormal lymph appearance

A

> 1 cm
calcs
loss of fatty hilum
rounded shape!!

40
Q

where are thyroglossal duct cyst located

A

superior to the thyroid, midline of the neck
near hyoid bone

41
Q

branchial cyst location

A

near angle of mandible

42
Q

how many parathyroid glands are involved in parathyroid hyperplasia

A

4

43
Q

hyperparathyroidism is caused by the enlargement of how many parathyroid glands

A

1

44
Q

what vessel is seen through the transverse foramina of the cervical spine

A

vertebral artery

45
Q

the thyrocervical trunk arises from what artery

A

subclavian

46
Q

Where do pheochrmocytomas arise from

A

The medulla