thyroid cancer

Question 1

ectopic thyroid tissue and/or cysts present along coarse of thyroglossal duct in the _____

Answer 1

midline

Question 2

superior thyroid artery is the first branch of the ______

Answer 2

external carotid

Question 3

inferior thyroid artery is a branch of the _______

Answer 3

thyrocervical trunk

Question 4

inferior thyroid vein drains into ______

Answer 4

bracheocephalic vnein

Question 5

superior thyroid vein drains _____of thyroid

Answer 5

superior pole

Question 6

middle thyroid vein drains _____of thyroid

Answer 6

lateral aspect

Question 7

does solitary nodule or multinodular goiter have a higher chance of malignancy?

Answer 7

solitary nodule

Question 8

what is the most reliable method of dx’ing thyroid nodules/

Answer 8

fine needle aspiration biopsy

Question 9

cold nodule on radionuclide scans indicates?

Answer 9

hypofunctioning

Question 10

hot nodule on radionuclide scans indicates?

Answer 10

hyperfunctioning

Question 11

is a cold or hot nodule more likely to be malignant?

Answer 11

cold nodule

Question 12

psammoma bodies

Answer 12

papillary carcinoma

Question 13

older patients, solitary mass, invasion into capsule, hematogenous spread

Answer 13

follicular carcinoma

Question 14

NCCN guidelines recommend ____for follicular carcinoma

Answer 14

lobectomy

Question 15

what test to do to determine if a hurthle cell carcinoma is malignant

Answer 15

resection

Question 16

which type of thyroid cancer is a neuroendocrine tumor?

Answer 16

medullary thyroid cancer

Question 17

markers to monitor for medullary thyroid cancer?

Answer 17

1. calcitonin

2. CEA

Question 18

what must you screen medullary thryoid cancer patients for b4 surgery (2)

Answer 18

1. pheochromocytoma

2. primary hyperparathyroidism

Question 19

dyspnea, dysphagia, hoarseness, 7th-8th decade - which thyroid cancer?

Answer 19

anaplastic carcinoma

Question 20

tx of lymphoma?

Answer 20

radiation + chemo

Question 21

what can you tx a person with after complete thyroidectomy?

Answer 21

post-op radioactive iodine tx to kill residual thyroid tissue

Question 22

does lymph node removal improve survival

Answer 22

nope

Question 23

what is the most common nerve injury in thyroidectomy?

Answer 23

external branch of superior laryngeal nerve

Question 24

the most dreaded nerve injury in thyroidectomy?

Answer 24

recurrent laryngeal

Question 25

can hyper or hypocalcemia result from thyroidectomy?

Answer 25

hypocalcemia

Question 26

why can hypocalcemia occur after thyroidectomy?

Answer 26

due to devascularization of parathyroids

Question 27

when is thyroid supplementation started after thyroidectomy?

Answer 27

after radioactive iodine tx (which occurs 1-3 months post surgery)

Question 28

when to do fine needle aspiration biopsy?

Answer 28

when ultrasound shows mass >1 cm