Pathology EMQ template.

Name: Brendan Thoms

Theme: Thyroid

OPTION LIST

A	Grave’s disease	I	Thyroglossal cyst
B	Riedel thyroiditis	J	Primary hyperparathyroidism
C	Toxic multinodular goitre	K	Non-hodkgin’s lymphoma
D	De Quervain’s thyroiditis	L	Papillary thyroid carcinoma
E	Carotid body tumour	M	Medullary thyroid carcinoma
F	Hashimotos thyroiditis	N	Hodkgin’s lymphoma
G	Brachial cyst	O	Follicular carcinoma
H	Plummer’s disease	P	Anaplastic carcinoma

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. Fine needle aspirate of midline neck swelling reveals branching structures with concentric calcified rings (psammoma bodies).

2. Fine needle aspirate of midline neck swelling reveals diffuse mononuclear infiltration with formation of well-developed germinal centres.

3. Fine needle aspirate of midline neck swelling extensive stromal fibrosis extending beyond the thyroid capsule.

4. Fine needle aspirate of midline neck swelling nests of polygonal or spindle shaped cells which stain positive for calcitonin.

5. Fine needle aspirate of midline neck swelling sheets of large cells with eosonophilic cytoplasm (Hurthle cells).

ANSWERS

1. L

2. F

3. B

4. M

5. O