Name: Sana Usman

Theme: Thyroid

 

OPTION LIST

 

A

Follicular Adenoma

I

Riedels Thyroiditis

B

Graves’ Disease

J

Giant Cell Thyroiditis

C

Functioning Adenoma

K

 

D

Toxic Nodular Goitre

L

 

E

Hashimoto’s Thyroiditis

M

 

F

Iatrogenic Hypothyroidism

N

 

G

Simple Colloid Goitre

O

 

H

Simple Parenchymal Goitre

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. 25 Year old female presents with recent weight loss despite increased appetite and irritability.  On examination, she was noted to have a tremor, exophthalmos and was tachycardic, a pretibial myxoedema and a beefy red tongue were noted.  A firm, moderately enlarged goitre was palpated.  Histologically, the gland showed hyperplasia of the acinar epithelium and infiltrated lymphocytes.

 

 

2. 32 year old female presented with weight loss and anxiety.  The thyroid gland was enlarged, firm, fleshy and pale, infiltrated by lymphocytes.  Askanazy cells were noted.

 

 

3. 48 year old diabetic female on metformin (sulphonylurea) presented with increased weight gain and dry skin

 

 

4. 22 yr old male presents with stridor.  On examination, a multi-nodular thyroid is noted.

 

 

5. A 12 yr old male presents with 1/7 of fever.  Thyroid swelling and tenderness on palpation was noted.  Histologically, the gland was infiltrated by neutrophils and lymphocytes.  This child had not been vaccinated against the MMR.

 

 

ANSWERS

1. B

2. E

3. F

4. G

5. J