Pathology EMQ template.

Name: Haidy Tang

Candidate number:

Theme: Thyroid disease

OPTION LIST

A	Thyroid adenoma	I	Riedel thyroiditis
B	Graves disease	J	Papillary thyroid carcinoma
C	Medullary thyroid carcinoma	K	Iatrogenic hypothyroidism
D	Follicular thyroid carcinoma	L
E	Hashimoto thyroiditis	M
F	Anaplastic thyroid carcinoma	N
G	Subacute thyroiditis	O
H	Cretinism	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. A 43 year old woman presents with several painless solitary nodules in the neck. Thyroid iodine 131 scan shows “cold nodules”.

2. A 30 year old woman presents with a few enlarged cervical nodes. FNA results show the presence of psammoma bodies.

3. A 3 year old central African child presents with muscle spasticity and motor incoordination. You noticed his short stature and his inability to complete tasks a normal 3 year old is capable of. On examination a smooth goitre is found.

4. An 80 year old woman is found to have a palpable nodule in the neck and she appears cushingoid. Severe diarrhoea is reported. Laboratory investigation reveals high levels of ACTH and calcitonin. Histologically, amyloid is present in nodule biopsy.

5. A 40 year old woman presents with stridor, dyspnoea and dysphagia. On examination firm, a rock hard thyroid is found.

ANSWERS

1. A

2. J

3. H

4. C

5. I