Thyroid MCQ

 1)    to prove a thyroid cyst is benign:

a)     CT neck

b)    cytology and FNA

c)     US

d)    thyroid scan

2)    the best treatment for a women with a thyroid nodule which is hot on thyroid scanning and decreased TSH and increased free T4 is:

a)     radioactive iodine

b)    thyroid suppression

c)     operation

d)    FNAB to R/O malignancy

e)     Observation

3)    thyroid nodule 4cms in size:

a)     observe

b)    suppress

c)     resect

4)    what is the best initial investigation for a solid mass in the thyroid:

a)     US

b)    Thryroid function test

c)     FNA

d)    Scan

e)     serial physical exam

5)    10 yo seen by school nurse, found 3cm mass non-tender inferior aspect of the thyroid:

a)     observe and reasses in 6 months

b)    thryroid suppression

c)     radioactive iodine

d)    operate

e)     wait until puberty

6)    with regards to thyroid ca:

a)     lymphatic spread

b)    hematogenous spread

c)     may be multinodular and encapsulated

d)    mets may look normal