Thyroid Disorders to include Thyroid Nodule

Question 1

Most small ________ are asymptomatic and discovered incidentally on physical or radiologic examination

Answer 1

thyroid nodules

Question 2

Although 90% of thyroid nodules are benign, the presence of a thyroid nodule warrants referral to_______ by an IDC.

Answer 2

endocrinology

Question 3

Causes of solitary thyroid nodule include what?

Answer 3

1) Benign adenoma
2) Colloid nodule
3) Cyst
4) Primary thyroid malignancy or (less frequently) metastatic neoplasm

Question 4

THYROID NODULE
These issues are higher risk of what?
1) History of head-neck radiation in childhood
2) Family history of thyroid cancer
3) Personal history of another malignancy

Answer 4

malignancy

Question 5

Most of the time the only signs and symptoms of thyroid nodule is…

Answer 5

the nodule…..

Question 6

What is suggested by these S/s
1) Hoarseness or vocal cord paralysis
2) Nodules in men or young women
3) Nodule that is solitary, firm, large, or adherent to trachea or strap muscles
4) Vocal cord paralysis
5) Enlarged lymph node(s)
6) Distant metastatic lesions

Answer 6

Malignancy

Question 7

Large retrosternal multinodular goiters can cause dyspnea due to

Answer 7

tracheal
compression

Question 8

Labs/rads for thyroid nodule

Answer 8

-Thyroid-stimulating hormone (TSH) and free thyroxine (FT4) can exclude hypothyroidism or hyperthyroidism
-Neck ultrasound indicated for all palpable nodules

Question 9

Thyroid nodule
_______ is preferred over CT and MRI because of its accuracy

Answer 9

Ultrasound

Question 10

Solid nodules often ______
cystic nodules usually_____

Answer 10

Solid nodules often malignant
cystic nodules usually benign

Question 11

Treatment thyroid nodule

Answer 11

(a) Refer to endocrinology (thyroid biopsies typically performed by an endocrinologist or interventional radiologist)
(b) Ultrasound guided fine-needle aspiration (FNA) biopsy of suspicious nodules (thyroiditis may coexist with malignancy)

Question 12

Disposition if nodule is suspected to be malignant

Answer 12

MEDEVAC

Question 13

Disposition if nodule is suspected to be benign.

Answer 13

referral to Endocrinology

Question 14

Toxic multinodular goiter and hyperfunctioning nodules can cause __________

Answer 14

hyperthyroidism

Question 15

PT with nodule has these S/s what would you suspect?
1) Sweating
2) Weight loss
3) Anxiety
4) Loose stools
5) Heat intolerance
6) Tachycardia
7) Tremor

Answer 15

hyperthyroidism
(caused by Toxic multinodular goiter and hyperfunctioning nodules)