Medical Post Graduation | ENT | Thyroid swelling & parathyroid disorders

In primary thryotoxicosis, features of raised thyroid hormone levels are

ক

Tachycardia

খ

Fine tremor

গ

Goitre

ঘ

Opthalmoplegia

ঙ

Pretibial myxoedema

A discret swelling of thyroid is a

ক

Carcinoma

খ

Follicular adenoma

গ

Cyst

ঘ

Colloid degeneration

ঙ

Thyroiditis

Thyroglossal cyst

ক

Is a midline neck swelling

খ

May contain thyroid tissue

গ

Is attached to the base of the tongue

ঘ

Is a remnant of the fifth pharyngeal arch mesoderm

ঙ

Does not move with deglutition

Followings are differentiated thyroid carcinoma

ক

Papillary

খ

Follicular

গ

Medullary

ঘ

Anaplastic

ঙ

Lymphoma

Followings are the differentiated thyroid carcinoma

ক

Follicular

খ

Papiilary

গ

Anaplastic

ঘ

Lymphoma

ঙ

Medullary

Psammoma bodies are seen in

ক

Meningioma

খ

Papillary carcinoma of thyroid

গ

Astrocytoma

ঘ

Glioblastoma multiforme

ঙ

Cranyopharyngioma

Carcinoma of Thyroid

ক

Papillary type carries the most favourable prognosis

খ

Medullary type may be inherited in an autosomal dominant fashion

গ

Follicular type is characterized by psammoma bodies

ঘ

Follicular type commonly metastasizes the regional lymph nodes

ঙ

Anaplastic type often secrets calcitonin

Indication for calcium supplementation in total thyroidectomy are

ক

Circumoral paresthesia

খ

Carpo-pedal spasm

গ

Stridor

ঘ

ECG abnormality

ঙ

Calcium level less than 9 mg/dL

Following immediate complications may happen after thyroid surgery

ক

Tension haematoma

খ

Respiratory obstruction

গ

Storm

ঘ

Thyroid insufficiency

ঙ

Parathyroid insufficiency

Immediate problems of post thyroidectomy include

ক

Wound haematoma

খ

Hypocalcaemia

গ

Thyroid crisis

ঘ

Laryngeal stridor

ঙ

Tracheal stenosis