Quiz 3

Question 1

What is second only to the heart in number of errors in examination?

Answer 1

Thyroid gland

Question 2

What lobe of the thyroid gland is larger?

Answer 2

Right

Question 3

How is the patent seated during a tracheal tug exam?

Answer 3

Head extended

Question 4

What are some flags in the HPI?

Answer 4

Swelling or neck, change in bowels, menstrual flow, emotion, texture in hair skin nails

Question 5

The inferior margins of the thyroid lobes are located where?

Answer 5

Within the SCM

Question 6

What type of approach is most commonly used when palpating the thyroid gland?

Answer 6

Posterior (can do anterior tho)

Question 7

What is a palpable cystic mass in the neck?

Answer 7

Thyroglossal duct

Question 8

What is a skin and tissue disorder usually due to severe prolonged hypothyroidism ?

Answer 8

Myxedema

Question 9

What is a goiter called due to hyperthyroidism ?

Answer 9

Euthyroid

Question 10

What are 2 cause for a false positive thyroid exam?

Answer 10

Thin patients, long necks

Question 11

What is autoamminue antibodies to dyroid stimulating hormone receptor leading to overactive thyroid ?

Answer 11

Graves

Question 12

The superior margins of the thyroid lobes just touch what?

Answer 12

Thyroid cartilage

Question 13

What is a goiter called due to hypothyroidism

Answer 13

Dysthyroid

Question 14

What percent of people have a pyramidal lobe?

Answer 14

15%

Question 15

Is a goiter a neoplastic or inflammatory process?

Answer 15

No

Question 16

What is a congenital lesion formed by incomplete involution of brachial cleft

Answer 16

Brachial cleft cyst

Question 17

What is a chronic enlargement of the thyroid ?

Answer 17

Goiter

Question 18

What are some causes of bilateral swelling in the salivary glands?

Answer 18

Malnutrition, alcoholism, HIV

Question 19

Do men or woman have larger thyroid glands?

Answer 19

Women

Question 20

In iodine deflect areas what change do we see in the thyroid gland?

Answer 20

They are larger

Question 21

When examining the head what should one look for?

Answer 21

Symmetry, alignment of trachea, fullness, masses, webbing, skinfolds

Question 22

How do you decrease thyroid palpation errors?

Answer 22

Practice, cross lighting, categorize, small goiter may be overestimation, evaluate mass, refer them out.

Question 23

What is a downward displacement of the thyroid cartilage during inspiration ?

Answer 23

Campbells sign

Question 24

What is the specificity of detecting a goiter with physical exam?

Answer 24

82%

Question 25

What can be a tracheal tug reveal?

Answer 25

Aortic arch aneurysm

Question 26

A tracheal tug is a coward displament of the cricoid cartilage with each_________?

Answer 26

Ventricular contraction

Question 27

What is the sensitivity of detecting a goiter with physical exam?

Answer 27

70%

Question 28

Are goiters during pregnancy common?

Answer 28

No but hypertrophy is

Question 29

What Region tends to be iodine deficient

Answer 29

Mountainous regions

Question 30

What are the dementsions of the thyroid gland?

Answer 30

2 cm wide, 5 high, 2.5 thick

Question 31

What is a premature closure of one or more cranial sutures before brain growth is complete?

Answer 31

Craniosynostosis

Question 32

What kind of thyroid can extend into the mediastinum ?

Answer 32

Lingual

Question 33

How is the patient seated when evaluating the thyroid gland?

Answer 33

Slight extension

Question 34

As we age what happens to the thyroid gland?

Answer 34

Becomes more fibrotic (t4 decreases)

Question 35

In what percent of the population can an entire left lobe be absence in the the thyroid gland?

Answer 35

1%

Question 36

What is a cause for unilateral salivary gland swelling?

Answer 36

Ducati calculus

Question 37

A stronger macewen sign is found when what 2 things could be present?

Answer 37

Hydrocephalus, abscess

Question 38

What is a problem in the formation, flow, or absorption of cerebrospinal fluid that leads to an increase in volume of CSF?

Answer 38

Hydrocephalus

Question 39

What is autoimmune antibodies against thyroid gland, often causing hypothyroidism ?

Answer 39

Hasimotodisease

Question 40

In what condition is a bruit most commonly seen??

Answer 40

Grave throtoxemia

Question 41

What percent of people have a posterior extracapsular tissue on the thyroid bald?

Answer 41

5%

Question 42

What does the thyroid gland feel like?

Answer 42

An almond

Question 43

What is a neural tube defect with protrusions of brain and membranes that cover it through openings in the skull?

Answer 43

Encephalocele

Question 44

What are you checking for when palpating the thyroid gland?

Answer 44

Size, shape, configuration, consistency, tenderness, nodules.

Question 45

When examining children, percussion of the skull with one finger to dectect ______should be done?

Answer 45

Macewen sign

Question 46

What is the cause of campbells sign?

Answer 46

COPD

Question 47

For tracheal palpation how should the patient be seated?

Answer 47

With forward lean

Question 48

What is a mask of pregnancy that you should check for?

Answer 48

Chloasma/melasma

Question 49

What are some causes of false negatives for thyroid gland exams?

Answer 49

Bad skills, atypical placement of the thyroid gland, short shin necked patients

Question 50

How much do thyroid glands weigh?

Answer 50

15-20 grams

Question 51

Pseudogoiters have been termed what?

Answer 51

Modigliani

Question 52

What are some causes of torticollis?

Answer 52

Birth trauma, tumors, infection