Neck lumps

Question 1

Causes of smooth goitre?

Answer 1

Grave’s disease
Subacute thyroiditis
Hashimoto’s

Question 2

Causes of a solitary thyroid nodule?

Answer 2

Thyroid cyst
Adenoma
Carcinoma

Question 3

Treatment of thyroid cancer?

Answer 3

Thyroidectomy followed by radio-iodine ablation

Question 4

Causes of bilateral parotid swelling?

Answer 4

Alcohol

Acute viral/bacterial parotitis

Question 5

Causes of unilateral parotid swelling?

Answer 5

Pleomorphic adenoma (benign)
Parotid adenocarcinoma
Duct blockage

Question 6

Soft irregular neck swelling in young child

unilateral (usually left)

transilluminates brightly

enlarged during crying/Valsalva?

Answer 6

Cystic hygroma

Question 7

Unilateral/bilateral enlargement of parotid glands in a child, with constitutional symptoms?

Answer 7

Mumps

Question 8

Complications of mumps?

Answer 8

Orchitis

Encephalitis

Question 9

Older man with dysphagia, lump which gurgles when palpated?

Answer 9

Pharyngeal pouch

Question 10

Rubbery painless lymphadenopathy?

Answer 10

Lymphoma

Question 11

Midline lump which moves upwards with the protrusion of the tongue

Answer 11

Thyroglossal cyst

Question 12

Oval, mobile cystic mass which develops between sternocleidomastoid and the pharynx

Answer 12

Branchial cyst

Question 13

Pain and swelling in the submandibular region after eating?

Answer 13

Siololithiasis

Question 14

Firm pulsatile mass anterior to the upper 1/3 of sternomastoid?

Answer 14

Carotid body tumour

Question 15

How does carotid body tumour differ from carotid aneurysm?

Answer 15

Carotid anuerym usually fluctuant and has a bruit

Question 16

Commonest salivary gland tumour?

Answer 16

Pleomorphic adenoma of parotid gland (benign)

Question 17

How is pleomorphic adenoma differentiated from carcinoma of the salivary glands?

Answer 17

Carcinoma grows rapdily, is firm and may be associated with pain or nerve palsy