Anaplastic carcinoma thyroid

1. All of the following are true about anaplastic carcinoma thyroid except:

a. Women are more commonly affected.
b. It is painful.
c. Ulcerations are seen.
d. Lymph node involvement not seen.

2. All of the following are true about anaplastic carcinoma thyroid except:

a. Giant cells are present.
b. Anaplastic tumours arise from well-differentiated tumours.
c. Tracheostomy should be routinely performed.
d. Neoadjuvant chemotherapy prolongs survival.

medullary thyroid cancer

1. All of the following are true about medullary thyroid cancer except:

a. bilateral tumours appear in 90% of sporadic cases.

b. MTC is typically unilateral in 80 % of cases.

c. C cell hyperplasia is a premalignant lesion.

d.Tumours stain positive for calcitonin gene-related peptide.

2. All of the following are false about medullary thyroid cancer except:

a. FNAB cytology is contraindicated.

b. 50% of patients with MTC have familial disease.

c. All new patients with MTC should be screened for RET point mutations.

d. Calcitonin is a better predictor of prognosis, as compared to CEA.

3. All of the following are true about medullary thyroid cancer except:

a. MTC is operated before pheochromocytoma.

b. pheochromocytoma is operated before MTC.

c. I 131 is ineffective.

d. Total thyroidectomy is recommended for MTC.

4.  All of the following are true about medullary thyroid cancer except:

a. Bilateral central node dissection should be routinely performed.

b. Triple phase liver CT is indicated if palpable lymph nodes are present.

c. Liver metastasis is amenable to resection.

d. Prophylactic thyroidectomy is indicated in RET mutation carrier.

5. All of the following are true about medullary thyroid cancer except:

a. MEN 2A patients with MTC has a better prognosis than sporadic cases.

b. Sporadic cases of MTC has a better prognosis than MEN 2A patients.

c. Prognosis is the worst in patients of MEN 2B.

d. Those with MEN 2B mutation should undergo prophylactic thyroidectomy before 1 year of age.

solitary thyroid nodule

All of the following are true about solitary thyroid nodule except:
a.  unilateral cord palsy coexisting with an ipsilateral thyroid nodule is usually diagnostic of malignant disease.
b. Deep cervical lymphadenopathy along the internal jugular vein in association with a clinically suspicious swelling is almost diagnostic of papillary carcinoma.
c. The incidence of thyroid carcinoma in men is about three times that in women.
d. Papillary carcinoma is often associated with cyst formation.

solitary thyroid nodule

All of the following are true about solitary thyroid nodule except:

a. Presence of a toxic solitary nodule is an indication for isotope scanning. 

b. Autoantibody status helps us to rule out chronic lymphocytic thyroiditis.

c. An isolated thyroid swelling which is cystic has an increased risk of malignancy compared to its solid counterpart. 

d.An isolated thyroid swelling which is solid has an increased risk of malignancy compared to its cystic counterpart.

e. A male having a solid isolated thyroid swelling has an increased risk of developing malignancy compared to females.

f. Microcalcifications in thyroid swelling are associated with neoplasia.   

g. In a partly solid and partly cystic nodule, cystic areas are targetted for FNAC.

Total Thyroidectomy

Which of the following is not an indication for Total Thyroidectomy?

a. Total thyroidectomy is recommended for Hurthle cell neoplasms larger than 4 cm.
b. Total thyroidectomy is recommended for Papillary thyroid cancer exceeding 1 cm.
c. For patients with hyperthyroidism due to a single hot nodule, total thyroidectomy
    is the best operation.
d. Total thyroidectomy is advocated in a patient of a thyroid nodule with a history of head and neck irradiation.

follicular neoplasm

All of the following statements are true about follicular neoplasms except:

a. 20% of follicular neoplasms are cancer.
b. Initially, diagnostic thyroid lobectomy without frozen section is performed.
c. Intraoperative frozen section is misleading.
d. A contralateral nodular disease is an indication for total thyroidectomy.
e. Hashimoto thyroiditis is not an indication for total thyroidectomy.