"docdoc" wrote:
1) A 53 years old pt with hyperthyroidism and multinodular enlargement of gland on physical examination most probably has:

a) grave's dis
b) hashimoto's
c) papillary ca
d) plummers disease
e) a follicular adenoma

:arrow: Answer plummers disease

2) A 48 year old woman with parathyroid adenoma and pheochromocytoma has a mass in thryroid. The best screening test for this mass is:

a) Radiolabelled iodine scan
b) Serum thyroxine levels
c) Serum calcitonin screening
d) Serum TSH levels

:arrow: C ?

3) 9 yr old present with complaint of difficulty swallowing. A mid-line mass in noted at the base of tougue. There is no cervical adenopathy. Which of following test would be most useful in confirming diagnosis:

a) Needle biopsy
b) Radio-iodine scan
c) excision biopsy
d) Throat culture
e) physical examination

:arrow: B

"docdoc" wrote:
1) A 53 years old pt with hyperthyroidism and multinodular enlargement of gland on physical examination most probably has:

a) grave's dis
b) hashimoto's
c) papillary ca
d) plummers disease
e) a follicular adenoma

:arrow: Yeah, D

2) A 48 year old woman with parathyroid adenoma and pheochromocytoma has a mass in thryroid. The best screening test for this mass is:

a) Radiolabelled iodine scan
b) Serum thyroxine levels
c) Serum calcitonin screening
d) Serum TSH levels

:arrow: This is MEN IIa, so we're suspecting a medullary cancer, so C

3) 9 yr old present with complaint of difficulty swallowing. A mid-line mass in noted at the base of tougue. There is no cervical adenopathy. Which of following test would be most useful in confirming diagnosis:

a) Needle biopsy
b) Radio-iodine scan
c) excision biopsy
d) Throat culture
e) physical examination

:arrow: This is ectopic thyroid, so B