Pathology EMQ template.

Name: Anneka Rudra

Candidate number:

Theme: Thyroid

 

OPTION LIST

 

A	Anaplastic Carcinoma	I	Multinodular Goitre
B	Follicular Adenoma	J	Papillary Carcinoma
C	Follicular Carcinoma	K	Physiological Goitre
D	Giant Cell Thyroiditis	L	Riedel’s Thyroiditis
E	Graves’ Disease	M
F	Hashimoto’s Thyroiditis	N
G	Lymphoma	O
H	Medullary Carcinoma	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. Thyroid neoplasm with peak incidence in middle-age. This metastasizes by the vascular route, particularly to bone and lung.

 

2. Identified by nuclear features, including optically clear nuclei and intranuclear inclusions.

 

 

3. Most likely diagnosis in an anxious 24 year old woman, presenting with a goitre and exophthalmos.

 

 

4. Inherited as part of a group of endocrine disorders, which include pheochromocytomas.

 

 

5. Neoplasm originating in calcitonin-releasing C cells.

 

 

 

ANSWERS

1. C

2. J

3. E

4. H

5. H