1- what is the vertical extension of the thyroid in relation to the vertebrae ?
a- C4 to T1
b- C5 to T1
c- C6 to T1
d- C3 to T1
answer : B
2- the thyroid develops from ?
a- ectoderm
b- mesoderm
c- dorsal pharyngeal gut endoderm
d- ventral pharyngeal gut endoderm
answer : D
3- screening method for medullary carcinoma of thyroid ?
a- serum calcitonin
b- serum calcium
c- serum ALP
d- serum acid phosphatase
answer : A
4- medullary carcinoma of thyroid arises from ?
a- parafollicular cells
b- cells lining the acini
c- capsule of thyroid
d- stroma of the gland
answer : A
5- which of the following is/are used in the management of thyroid malignancy?
a- Iodine 131
b- Iodine 125
c- Technitium 99
d- Phosphorus 32
e- strontium
answer is A
6- characteristic eye sign in dysthyroid status ?
a- exopthalmos
b- ptosis
c- optic neuropathy
d- myopathy
answer : A
7- hurthle cells are seen in ?
a- hashimoto's thyroiditis
b- follicular cell carcinoma
c- hurthle cell thyroid adenoma
d- all the above
answer is D
8- C cells populate which part of the lateral lobe of the thyroid ?
a- upper one-third of the lateral lobe of thyroid
b- middle one-third of the lateral lobe of thyroid
c- lower one-third of the lateral lobe of the thyroid
d- distributed equally all over the lateral lobe of the thyroid
answer :B
9- pick out the correct statements .
a- the external laryngeal nerve runs close to the superior thyroid artery .
b- the recurrent laryngeal nerve runs close to the inferior thyroid artery .
c- the external laryngeal nerve runs close to the inferior thyroid artery .
d- the recurrent laryngeal nerve runs close to the superior thyroid artery .
answer : both A and B are correct . ( so the surgeon has to be very careful while ligating those arteries, while performing thyroidectomy ).
10- treatment of medullary carcinoma of the thyroid with lymphnode metastasis?
a- subtotal thyroidectomy + radioiodine
b- subtotal thyroidectomy + radiotherapy
c- neartotal thyroidectomy + radioiodine
d- neartotal thyroidectomy + radiotherapy
e- total thyroidectomy + radiotherapy
answer : E
11- what is near total thyroidectomy ?
a- right lobectomy + isthmusectomy
b- left lobectomy + isthmusectomy
c- bilateral lobectomy with isthmusectomy
d- right lobectomy + isthmusectomy + left half lobectomy
e- right and left lobectomy
answer : D
12- papillary carcinoma of thyroid with bone metastasis is treated by?
a- subtotal thyroidectomy + radioiodine
b- subtotal thyroidectomy + radiotherapy
c- near total thyroidectomy + radioiodine
d- near total thyroidectomy + radiotherapy
e- total thyroidectomy + chemotherapy
answer : C and D
13- most common cause of thyroiditis is ?
a- hashimoto's thyroiditis
b- reidl's thyroiditis
c- subacute thyroiditis
d- viral thyroiditis
answer : A
14- thyroglossal cyst may occasionally give rise to which carcinoma ?
a- papillary
b- anaplastic
c- medullary
d- follicular
answer : A
15- a post-thyroidectomy patient develops signs and symptoms of tetany. The management is ?
a- I.V calcium gluconate
b- Bicarbonate
c- Calcitonin
d- Vitamin D
Answer : A
16- hypoparathyroidism following thyroid surgery occurs with in ?
a- 24 hours
b- 2-5 days
c- 7-14 days
d- 2-3 weeks
Answer : B
17- a patient undergoes thyroid surgery following which he develops perioral tingling . his blood calcium is 8.9 meq/l. next step in the management is ?
a- vitamin D orally
b- oral calcium and vitamin D
c- intravenous calcium gluconate and serial monitoring
d- wait for calcium to decrease to less than 7 meq/l before taking further action
answer : B
18- a patient after undergoing thyroid surgery presents with perioral paraesthesia . serum calcium level is 7 mg/dl . what will be the best management ?
a- oral vitamin D3
b- oral vitamin D3 and calcium
c- I.V calcium gluconate
d- Oral calcium
Answer : D
19- which of the following is not a complication of total thyroidectomy ?
a- bleeding
b- airway obstruction
c- hoarseness
d- hypercalcemia
answer : D
20- in post operative room after thyroid surgery , patient developed sudden respiratory distress , dressing was removed and it was found to be slightly blood stained and wound was bulging . what will be the first thing to be done ?
a- tracheostomy
b- cricothyroidectomy
c- laryngoscopy and intubation
d- remove the stitch and take the patient to O.T
answer : D
21- a patient presents with neck swelling and respiratory distress few hours after a thyroidectomy surgery. Next management would be ?
a- open immediately
b- tracheostomy
c- wait and watch
d- oxygen by mask
answer : A
22- after thyroidectomy patient developed stridor within 2 hours. All are likely causes of stridor except ?
a- hypocalcemia
b- recurrent laryngeal nerve palsy
c- laryngomalacia
d- wound hematoma
answer : A . hypocalcemia due to hypoparathyroidism after thyroid surgey normall results with in 2-5 days .
23- papillary carcinoma of the thyroid ( PCT ) patients are ?
a- euthyroid
b- hypothyroid
c- hyperthyroid
d- T3 thyrotoxicosis
Answer : A
24- HURTHLE cell carcinomas are derived from which cells ?
a- follicular cells
b- para follicular cells
c- oxyphilic cells
d- lymphocytes
answer : C
25- the malignancy which is common on long standing goiter ?
a- PCT
b- MCT
c- FCT
d- Anaplastic
Answer : C . Follicular carcinoma of the thyroid .
26- least malignant thyroid cancer ?
a- papillary
b- medullary
c- anaplastic
d- follicular
answer : a ( mean the more differentiation ) and the commonest tumor is it .
27- which of the following gene defects is associated with development of the medullary carcinoma of the thyroid ?
a- RET proto oncogene ( on chromosm 10 )
b- FAP gene
c- RB gene
d- BRCA 1 gene
Answer :A
RET proto gene : associated with medullary thyroid carcinoma, hirschsprung's disease and pheochromocytoma and rearrangement of RET gene leads to papillary thyroid carcinoma
28- psammoma bodies are seen in all of the following conditions except ?
a- serous cystadenoma of ovary
b- papillary carcinoma of thyroid
c- meningioma
d- mucinous cystadenoma of ovary
answer : D
29- all of the following are early life threatening complications of thyroid operation except ?
a- tracheomalacia and collapse of larynx
b- wound hematoma with compression of the trachea
c- hypocalcemia
d- thyroid storm
answer : C
30- in pregnancy ?
a- thiouracil is contraindicated
b- surgery is contraindicated
c- radioiodine is contraindicated
d- none
answer: C
31- lateral aberrant thyroid refers to ?
a- congenital thyroid abnormality
b- metastatic foci from primary in the thyroid
c- struma ovarii
d- lingual thyroid
answer : B
32- a patient presented with headache and flushing . he has a family history of his relative having died of a thyroid tumor. The investigation that would be required for this patient will be ?
a- chest x-ray
b- measurement of 5-HIAA
c- measurement of catecholamine
d- intravenous pyelography
answer : C . measurement of catecholamines . headache and flushing suggest symptoms of adrenal tumor and a history of thyroid tumor in the relative suggest the MEN syndrome type 2a or 2b . so the adrenal tumor is probably pheochromocytoma and so catecholamines have to be measured .
33- cancer that develops after irradiation ?
a- PCT
b- MCT
c- FCT
d- Anaplastic
Answer : A
34- mutated p53 gene is formed in most of ?
a- anaplastic carcinomas
b- PCT
c- MCT
d- FCT
Answer : A
35- treatment of choice for medullary carcinoma of thyroid is ?
a- total thyroidectomy
b- partial thyroidectomy
c- iodine 131 ablation
d- hemithyroidectomy
answer : A
thanks for these great MCQs
ReplyDeleteThere are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome life style Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and over all well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2000. Was at work feeling unusually tired and sleepy. I borrowed a glucometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescibtion like: Insulin ,Sulfonylureas,Thiazolidinediones but Icould not get the cure rather to reduce the pain abd brink back the pain again. I found a woman testimony name Comfort online how Dr Akhigbe cure her HIV and I aslo contacted the doctor and after I took his medication as instructed, I am now completely free from diabtes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email drrealakhigbe@gmail.com or his Number +2348142454860 He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, BODY PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, PROGERIA, EATING DISORDER, LOWER RESPIRATORY INFECTION, DIABETICS,HERPES,HIV/AIDS, ;ALS, CANCER , MENINGITIS,HEPATITIS A AND B, THYROID, ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE, WEAK ERECTION. EYE TWITCHING PAINFUL OR IRREGULAR MENSTRUATION.Dr Akhigbe is a good man and he heal any body that come to him. here is email drrealakhigbe@gmail.com and his Number +2349010754824
ReplyDeleteI want every herpes patient to please read my testimony, my name is SARAH MORGAN am from California in USA, I contacted genital herpes from my ex boyfriend who never had any symptoms. I have had it for 4 months now., and it has affected my life. I have told my boyfriends who I trusted about it and I have never had a bad reaction, it has affected my new relationships with Smith and people think herpes is really a minor skin irritation herpes has a long term effects on health. The stigma attached to this virus by ignorant people is ridiculous. Most people have herpes in one form or another. I would like to advise people on how I get rid of my herpes and I was reading a comment on the internet,and I saw a testimony posted by a woman from Germany that she get rid of her herpes with the help of DR AHKIGBE and so I was so happy when I saw that post, that his herbal medication is free and I quickly collected the herbal doctor email and I email him within 3 hr he respond to my email and I explain things to him he told me not to worry that he is going to cure me totally with his herbal medicine he only request for little money that he will use to buy the items for the preparation of the herbal medicine, wish I send to him because the pain was too much for me to bear and after some days he told me that he has prepare the herbal medicine, that I should send him my address that he want to sent it to me via DHL or FED-EX that was how I got the herbal medication and I use it as I was told and after few days I found out that my herpes was no more, i went to hospital for confirmation and it was true really that was how i got my cured. DR AKHIGBE also cure other deadly diseases like, HIV/AIDS, HERPES, DIABETES,CANCER, ALS, ASTHMA, THYROID, MENINGITIS ,LUPUS, EPILEPSY, CHRONIC DISEASE HEART DISEASE., JOINT PAIN, STOMACH PAIN, SCHIZOPHRENIA, POLIO,MULTIPLES SCLEROSIS, HIGH BLOOD PRESURE, TUBERCULOSIS, ALZHEIMER ,PARKINSON'S, to get your rid kindly via his email: drrealakhigbe@gmail.com contact his number: +2349010754824 website: https://drrealakhigbe.weebly.com you can still write me on Instagram to get more information. on Sarah Morgan.
ReplyDeleteFor years, I have read and seen the advertisements in the mass media about all of the penis enhancement pills and thought that they were all scams or gimmicks. All of the medical sites that I have visited stated that none of the herbal supplements would ever help increase the size of a penis. I got very depressed when I read this, because unfortunately I was not naturally blessed with a penis that was big enough to arouse my sexual partner or past partners. I am a man that is past my sexual prime time and my sexual performance has a lot to be desired. I decided to try Doctor Akhigbe herbal medicine after all the reading and researching that I have done.I saw a testimony " Joe" about doctor Akhigbe Herbal Medicine Since there is a Money Back Guarantee, I give him a trial what did I have to lose? I couldn't believe the results I was seeing after drinking the Natural Herbal Medicine and Herbal Soap to be Rubin my penis! he sent to me through DHL courier delivery service . Within about 2 weeks I had a noticeable increase in the girth of my penis. Then after a couple of additional week it started to grow in length and I was amazed and very excited.before I finish the drink and the soap my penis had grown an additional two inches. I've had a considerable improvement with my sex life and these pills are certainly worth every penny I spent on them! I want to thank Dr Akhigbe for the time and effort they have spent on helping people in my situation.I know many are out there who are suffering this problem and they need help, email him. drrealakhigbe@gmail.com. He also cure other diseases like: Painful or Irregular Menstruation. HIV/Aids. Breast Enlargement. Diabetics. Vaginal Infections. Vaginal Discharge. Itching Of the Private Part. Breast Infection. Discharge from Breast. Breast Pain & Itching. Lower Abdominal Pain. No Periods or Periods Suddenly Stop. Women Sexual Problems. High Blood Pressure Chronic Disease. Pain during Sex inside the Pelvis. Pain during Urination. Pelvic Inflammatory Disease, (PID). Dripping Of Sperm from the Vagina As Well As for Low sperm count. Parkinson disease. Lupus. Cancer. Tuberculosis. Zero sperm count. Asthma. Quick Ejaculation. Corneal Ulcer, Gallstone, Terminal Illnesses, Premature Ejaculation. Herpes. Joint Pain. Stroke. Weak Erection. Erysipelas, Thyroid, Discharge from Penis. HPV. Impotence Effection, Hepatitis A and B. STD. Staphylococcus + Gonorrhea + Syphilis. Heart Disease. Pile-Hemorrhoid.rheumatism, thyroid, Autism, Penis enlargement, Waist & Back Pain. Male Infertility and Female Infertility. For your cure email him now: drrealakhigbe@gmail.com or Contact his number: +2349010754824.
ReplyDeleteI am BOBBIE MARTIN from USA i was tested positive of Copd disease, and there was no remedy, my younger sister told me that she has been reading about DR_anuge healing people with his herbal medicine then she introduce him to me and he agreed to help me. he only ask for my medical report and he send me some medication and i used it as instructed and now my medical report show negative all thanks to dr_anuge. if you have fall a victim of this deadly virus you should contact him via.. dranuge@gmail.com or WhatsApp him +2348164866838
ReplyDeleteDissertation Writing Help
ReplyDeleteMost enticing blogs I’ve ever read and this is what it should. Must be shared as well. I was really bored but your blog lightened up my day
Best Thyroid Doctor in Chennai
I'm writing from kansas city USA I want use this opportunity to share a useful to anyone here and to also thank Dr Jekawo about his great help of providing me a herbal medicines that cure my herpes and thyroid disease after drinking his herbal medicines that he prepare for me to drink for 21 days and I'm completely cured with no more outbreak for 2 years now free from this deadly disease,Dr Jekawo is a traditional herbal doctor that whom my college friend recommended to me and e's very honest man with a lot of great ancestral gift. Dr Jekawo cures herpes,diabetes,hepatitis,lupus,hpv,cancer his contact details is drjekawo@gmail.com
ReplyDelete