THYROID GLAND

01.Primary hyperthyroidism
a)Common in females
b)Increase gland vascularity
c)Radioactive iodine contraindicated for females
d)Present TSH receptor antibody
e)Carbimazole reduce the size of goiter
02.Both benign and malignant retrosternal goiter features
a)Supraclavicular and cervical hard painful lymphadenopathy
b)Stridor
c)Restriction of movement with swallowing
d)Engorged neck veins
e) Normal findings in laryngoscope
03.Thyroglossal cyst
a)Common in infants
b)Prone to infect
c)Sugical excision include total hyoid bone
d)Remnant of thyroglossal tract
04.Which of the following are true regaring the swelling of the neck
a)Cystic hygroma are bilaterally transilluminated
b)Thyroglossal cyst commiunicate with tonsillar fossa
c)Branchial cyst contains cholesterol
d)Carotid body tumors are common in the young
e)Enlarged submandibular lymh nodes are easily palpable bi manually
05.When progressive enlargement of a multinodular goiter causes
symptomatic tracheal compression, the preferred management in otherwise
good-risk patients is:
a) Iodine treatment.
b) Thyroid hormone treatment.
c) Surgical resection of the abnormal thyroid.
d) Radioactive iodine treatment.
06) The most precise diagnostic screening procedure for differentiating
benign thyroid nodules from malignant ones is:
a) Thyroid ultrasonography.
b) Thyroid scintiscan.
c) Fine-needle-aspiration biopsy (FNAB).
d) Thyroid hormone suppression.
07.The preferred operation for initial management of a thyroid nodule that is
considered suspicious for malignancy by FNAB is:
a) Excision.

b) Partial lobectomy.
c) Total lobectomy and isthmusectomy.
d) Total thyroidectomy.
08. A familial form of medullary thyroid carcinoma (MTC) should be suspected
whenever:
a) The tumor is multifocal.
b) The tumor is bilateral (foci of tumor are present in both thyroid lobes).
c) Pathologic examination of the resected thyroid gland reveals the presence
of C-cell hyperplasia in areas of the gland adjacent to foci of MTC.
d) All of the above.
09. All of the following are components of the MEN type 2B syndrome except:
a) Multiple neuromas on the lips, tongue, and oral mucosa.
b) Hyperparathyroidism.
c) MTC.
d) Pheochromocytoma.
10.Advantages of total thyroidectomy for management of papillary carcinomas
of the thyroid larger than 1.5 cm. include:
a) Possibility of using radioactive iodine postoperatively to identify and treat
metastases.
b) The ability to use thyroglobulin levels as a marker for recurrence.
c) Lower overall recurrence rate.
d) Lower risk of hypoparathyroidism.
11.MEN 2A and MEN 2B syndromes are associated with germline mutations in:
a) The p53 tumor suppressor gene.
b) The H-ras gene.
c) The N-myc gene.
d) The RET proto-oncogene
12.Which of the following statements about follicular carcinoma is/are true?
a) It presents at a later age than papillary carcinoma.
b) It disseminates via hematogenous routes.
c) It is the most common type of well-differentiated thyroid carcinoma.
d) Extensive angioinvasion portends a poor prognosis.
e) Follicular carcinomas are frequently multicentric
13.T/F regarding swelling in the neck
a)An enlarged submandibular lymph node palpable bi manually
b)Thyroglossal cyst give rise to a thyroglossal fistula
c)Cystic hygroma is transilluminate
d)Sternomastoid tumor is pre malignant
14.Management options in patient with hyperthyroidism
a)Carbimazole
b)immediate surgery

c)Radioactive iodine
d)Propanalol
e) Ca gluconate
15.Indication for surgery in solitary multi nodular goiter
a)Thyroiditis confirmed by FNAC
b)Features of air way obstruction
c)Retrosternal extension
d)Relapses of toxic symptoms
e)Cosmetic appearance
16.Possible feature of malignancy in a16 yr old girl presented with solitary
nodule
a)Cold nodule in tecnicium scan
b)Rapid recent enlargement
c)Recent voice change
d)Ipsilateral cervical node enlargement
e)Marked elevated TSH level
17.T/F regarding thyroid cancers
a)Papillary thyroid carcinoma is dignosed with needle aspiration cytology
b)Follicular thyroid carcinoma is diagnosed with FNAC
c)Hurthle cell carcinoma is dignosed with FNAC
d)Serum thyroglobulin used as a screening tool for the identification of thyroid
cancers in patients who had not undergone thyroidectomy
e)Serum thyroglobulin has high sensitivity and specificity in the detection of
the recurrence of thyroid cancer
18.45 yr old woman having MNG for 8 yr duration with increasing swelling
of neck and difficulty in breathing of 40 hrs duration.She was started on
carbimazole 3 months ago due to mild decrease in TSH but normal thyroxine
and T3.She was euthyroid at the time.She is on clopidogrel and aspirin for
IHD.Immediate treatment option for her condition is,
a)Stopping carbimazole
b)Stop clopi and aspirin
c)Immediately tracheostomy indicated
d)Immediate CT chest and neck indicate
e) Core biopsy is indicated
19)Possible causes for stridor within 4 hours after total thyroidectomy for
thyroid malignancy include
a) Hypocalcaemia
b)Neuropraxia of recurrent laryngeal nerve
c)Pethidine over dose
d)Haematoma
e)Tracheomalacia

20.In a patient with hyperthyroidism and goiter surgery is preferred over

radioactive iodine ,if
a)The patient is 40 years old and having a small diffuse goiter (WHO grade 1)
b)The patient 25 yrs old with a large MNG(grade 2)
c)There is a solitary thyroid nodule which is hot on radio isotope scan
d)There is a MNG with retrosternal extension
e)There is follicular proliferation on FNAC
21.After thyroidectomy
a)stridor indicates post op bleeding
b)Should prop up the patient while recovery
c)Should due to hypocalcaemia occur in 1st 24 hours
d)Oral fluids started on 1st post op day
e)Suture removal on 7th post op day
22)T/F of thyroid
a)Carcinoma cannot occur in multi nodular goiter
b)Papillary CA more common in elderly
c)Hashimotos predisposes to lymphoma
d)FNAC is highly sensitive in diagnosing follicular carcinoma
e)Radiotherapy is used to treat medullary CA
23.Features of post thyroidectomy hypothyroidism
a)Circum oral numbness
b)Frank tetanus
c)Positive chvosteks sign
d)Parasthesia of fingers and toes
e)Laryngospasm
24.Manifestations of graves disease are
a)Lid lag
b)Lid retraction
c)Nystagmus
d)Corneal ulcer
e)Squint
25.T/F regarding thyroid
a)Thyroglobulin is tumor marker in follicular CA
b)Medullary CA is familial inheritance
c)Amyloid present in medullary CA
d)Anaplastic CA can be primarilymanaged by excision by surgery
e)Follicular Ca can be diagnosed by FNAC
26.The following suggest that a solitary nodule in the thyroid is malignant,
a)Bruit over the nodule
b)Exopthalmos
c)Recent change in voice

d)Rapid enlargement of nodule in 24 hours

e)A coldnodule in isotope scanning
27.Following thyroid surgery
a)Secondary haemorrage is well known complication
b)Pressure dressing should be applied haematoma develop in neck
c)Breathlessness is a feature of airway compression
d)Positive chvosteks sign indicates recurrent laryngeal nerve palsy
e)Damage to external branches of superior laryngeal nerve is a complication