Thyroid

Question 1

Weight

Answer 1

20grams

Question 2

Describe ligament of berry

Answer 2

Pre-tracheal fascia that attaches the thyroid to the cricoid cartilage (?)

Question 3

Used for monitoring of differentiated thyroid CA recurrence after total thyroidectomy and RAI ablation

Answer 3

Serum thyroglobulin

Question 4

Sensitive marker for medullary thyroid CA

Answer 4

Serum calcitonin

Normal: 0-4 pg/mL

Question 5

Iodin for scan

Answer 5

Iodine 123

Question 6

Iodine for RAI

Answer 6

Iodine 131
Oral dose of 8-12mCi
Euthyroid in 2 months

Question 7

Indications of thyroid surgery

Answer 7

Young
Desire to conceive son
Large goiters with compressive symptoms
Mod-to-severe ophthlamopathy

Question 8

Eponym for sub-total thyroidectomy

Answer 8

Hartley-dunhill procedure

Question 9

Most common malignancy that metstasize to the thyroid

Answer 9

Renal cell CA

Question 10

R-CHOP

Answer 10

Rituximab
Cyclophosphamide
Hydroxydaunomycin (doxorubicin)
Oncovin (Vincristine)
Prednisone

Question 11

This thyroid cancer is more common in iodine deficient areas

Answer 11

Follicular thyroide CA (25-40%)

Question 12

Contains sheets of polygonal cells in an amyloid stroma

Answer 12

Medullary thyroid carcinoma

*stais with congo red

Question 13

Eponym for oxyphil

Answer 13

Hurthle cells

Question 14

Disease with hurthle cells

Answer 14

Hashimoto thyroiditis
Follicular adenoma
Follicular thyroid carcinoma