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GS 💉 > Thyroid 🦋 > Flashcards

Thyroid 🦋 Flashcards

1
Q

Q: 57-A patient post-thyroidectomy was unable to maintain a high
Pitched voice. Which nerve was injured?
A:
1. Superior laryngeal
2. Inferior laryngeal
3. Recurrent laryngeal

A
  1. Superior laryngeal ✅💛
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2
Q

Q: A post left thyroid lobectomy female patient complaining of sever shortness of
breath after the surgery and pointing to her neck, what is next step?
A:
1. Take her back to OR
2. Bedside tracheostomy
3. Nasal cannula

A
  1. Bedside tracheostomy ✅💛

Note :
- Airway obstructed > open it bedside
- Airway is not obstructed > go to OR

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3
Q

Q: Patient post thyroidectomy had arm spasm during blood pressure measurement, what is your next step?
A:
1. Give analgesia
2. Take blood pressure again
3. Check calcium level .

A

Check calcium level ✅💛

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4
Q

Q: Long case of a medullary thyroid cancer (diagnosis given) what is the appropriate
management?
A:
1. Sub total thyroidectomy
2. Total thyroidectomy
3. Hemithyroidectomy

A

Total thyroidectomy ✅💛

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5
Q

Q: Hypothyroidism in thyroxin, need to elective surgery
A:
1. Stop thyroxin than do surgery
2. Thyroxin proceed surgery
3. Delay until Euthyroid

A

Delay until Euthyroid ✅💛

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6
Q

Q: Cold thyroid 3x3 mass was removed by thyroid lobectomy. there was a 8 mm solid mass showed papillary thyroid nodule. What should you do next?
A:
1. A. Chemotherapy
2. B. RAI
3. C. Total thyroidectomy
4. D. Follow-up 3months

A

Total thyroidectomy ✅💛

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7
Q

Q: Pt with right thyroid nodule it hot and the rest of gland cold treatment:
A:
1. Rt lobectomy
2. Total thyroidectomy
3. Thyrotoxic drugs

A

Thyrotoxic drugs ✅💛

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8
Q

Q: Female with thyroid mass asymptomatic us shows hard nodule what are the next steps ?
A:
1. Thyroid scan with iron
2. FNA
3. Ct
4. Mri

A

FNA ✅💛

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9
Q

Q: A lump in the neck move with tongue protrusion 😝

A

A: Thyroglossal cyst ✅💛

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10
Q

Q: Thyroid mass no mention of thyroid profile US showed large cystic mass
with small solid mass
A:
1. FNA from cystic
2. FNA from solid
3. US
4. Thyroid scan

A

FNA from solid ✅💛

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11
Q

Q: Case of diffuse thyroid scan show nodular appearance high T4
low TSH with negative anti-thyroid antibody. diagnose ?
A:
1. Toxic multinodular goiter
2. Gravis
3. Hashimotos

A

Toxic multinodular goiter : if multiple nodules. ✅💛

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12
Q

Q: A post left thyroid lobectomy female patient complaining of sever shortness of
breath after the surgery and pointing to her neck, what is next step?
A:
1. Take her back to OR
2. Bedside tracheostomy
3. Nasal cannula

A

Bedside tracheostomy ✅💛

Note :
- Airway obstructed > open it bedside
- Airway is not obstructed > go to OR.

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13
Q

Q: 57-A patient post-thyroidectomy was unable to maintain a high
Pitched voice. Which nerve was injured?
A:
1. Superior laryngeal
2. Inferior laryngeal
3. Recurrent laryngeal

A

Superior laryngeal ✅💛

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14
Q

Post thyroidectomy patient c/o hoarseness of voice and shocking which
laryngeal nerve was injured ?
A) Internal
B) External
C) Superior Recurrent
D) Recurrent laryngeal

A

Recurrent laryngeal ✅💛

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15
Q

solitary thyroid nodule 4 mm with neck pain ,TSH and T4 normal ,the next
step?
A) FNA
B) Flow up with images

A

Flow up with images ✅💛

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16
Q

Progressively enlarged Thyroid mass. Labs increased calcitonin. What is the
type of thyroid cancer?
A) Papillary
B) Medullary
C) Follicular
D) Anaplastic

A

Medullary ✅💛

17
Q

Pt post thyroidectomy had hypercalcemia didn’t improve even after iv and oral calcium.
What is ur management:
1. A-diuretic
2. B- Recombinant PTH
3. C- Check magnesium level
4. D-Iv potassium gluconate

A

Check magnesium level ✅💛

18
Q

Indications for FNAC of thyroid nodules

A

1️⃣ Solid hypoechoic nodules ≥ 1 cm with/without additional sonographic signs of thyroid cancer

2️⃣ Consider for solid hypoechoic nodules < 1 cm if any of the following are present:
- Extrathyroidal growth
- Cervical lymphadenopathy
- Symptoms suggestive of distant metastases
- Patient preference for FNAC over observation

3️⃣ Partly cystic, isoechoic, and hyperechoic nodules ≥ 1.5 cm (low-risk pattern)

4️⃣ Consider in spongiform or partly cystic nodule ≥ 2 cm (very low-risk pattern).

19
Q

36 years old patient with left neck mass, 2x2xm in posterior angle of mandible US: normal thyroid, left large LN with cystic component FNA: all smear shows follicular thyroid, what is the diagnosis?
A. Metastatic thyroid cancer
B. Apparent thyroid
C. Ectopic thyroid
D. Thyroglossal cyst

A

Metastatic thyroid cancer ✅💛

20
Q

Middle age Pt with papillary thyroid cancer , planned for total
thyroidectomy how to follow up ?
1- serial post op US
2- calcitonin
3- TSH , T3 , T4
4- Thyroglobulin

A

Thyroglobulin ✅💛

21
Q

48 yo lady with diffuse goiter, high T4 low TSH, US show bilateral thyroid nodules , right 3x4 in size , left is 1x2 size what to do?
A. FNA both
B. FNA the larger one
C. total thyroidectomy

A

FNA both 💛✅

Note :
Both above 1cm

22
Q

28 year old female presented following radiation of neck with neck swelling. Ultrasound showed swelling in the left lobe of the thyroid of 3x4cm of papillary thyroid cancer. Which of the following is the best management?
A) Left Lobectomy
B) Left Lobectomy with Isthmusectomy
C) Subtotal Thyroidectomy
D) Total Thyroidectomy

A

Total Thyroidectomy ✅💛
Note :
Not all papillary goes with total unless indicated
1. Size 1cm and above
2. Bilateral
3. Extra thyroid
4. Radiation

23
Q

2 weeks post thyroidectomy came with high tsh how to manage?
A. reevaluate after 2-3 months
B. Increase or decrease the dose

A

Note :
Pt post thyroidectomy should take thyroxine and after 6wk re evaluate and adjust the dose

24
Q

Cervical LN swelling, FNA revealed follicular cells:
A- Reassure
B- Refer to surgery
C- Excision of LN
D- Follow up in 3 months and US

A

Refer to surgery 💛✅

25
Q

Patient was extubated after thyroid surgery and immediately developed shortness of breath and
respiratory distress; Examination reveals that both vocal cords are in a semi-closed position. How will
you secure the airway?
A. Re intubate the patient
B. Tracheostomy tube
C. Cricothyroidotomy

A

Re intubate the patient ✅💛

GS 💉 (13 decks)

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