Neck lump

Question 1

Lumps found in the midline of the neck

Answer 1

thyroglossal cyst

goitre

Question 2

Lumps found in the lateral neck

Answer 2

lymph node
solitary thyroid nodule
lipoma
cystic hygroma / brachial cyst

Question 3

Midline neck lump

moves up on swallowing
moves up on sticking out tongue

Answer 3

1) goitre

2) thyroglossal cyst

Question 4

complications of a subtotal thyroidectomy

Answer 4

bleeding / infection
damage to recurrent laryngeal nerve
hypoparathyroidism
thyroid crisis - acute early and rare

late - hypothyroidism
or recurrent hyperT

Question 5

commonest type of large goitre

Answer 5

multinodular

Question 6

goitre in hashimotos

Answer 6

small and firm

Question 7

goutre in graves

Answer 7

smooth and soft +/- bruits

Question 8

Position of

1) Brachial cyst
2) Cystic hygroma

Answer 8

Both posterior triangle

1) High up behind SCM
2) Low down at the base of the posterior triangle

Question 9

when do cystic hygromas come about?

Answer 9

present from birth

Question 10

what local structure could be damaged if a cystic hygroma was removed?

Answer 10

accessory nerve