Papillary carcinoma thyroid

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Q) 40yr old lady 2X 2 Solitarty thyroid nodule left lobe. FNAC shows  classic type of papillary  carcinoma . Usg no neck nodes. Management    

Medullary carcinoma thyroid

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Q) Medullary carcinoma thyroid, what test is not done (NEET 2019)  a) Calcitonin b) Glucagon c) VMA d)

Radio active Iodine in Thyroid Cancer

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Q) Which of the following is not true about Radioactive Iodine (RAI) use in thyroid cancer? (Thyroid onco)  a) Screening with RAI  is less sensitive than Thyroglobulin estimation in most differentiated thyroid cancers for detecting metastasis b) Metastatic differentiated thyroid carcinoma can be detected by  131I in about 50% of patients c) Current guidelines s recommend RAI after total thyroidectomy only for patients with known distant metastases d) Hurthle cell cancer des not take up RAI  

Prophylactic Thyroidectomy

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Q) Prophylactic thyroidectomy is done for  a) Medullary Carcinoma thyroid b) Anaplastic c) Lymphoma d) Papillary Ca thyroid

Genes in Thyroid Cancer

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Q.Tumor suppressor gene involved in thyroid tumorigenesis A. Braf B. NTRK1 C.PTEN 4. RET Other Thyroid MCQs

Thyroid cancer USG

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Q)  Feature on USG that  has the highest sensitivity to predict thyroid carcinoma consistently across studies a)Microcalcifications b)More tall than wide c)Solid hypoechoic nodule d)Intranodular vascularity Answer be logged in 

Carcinoma thyroid

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Q) Not an important prognostic factor in Carcinoma thyroid (JIPMER)  A. Age B. Completeness of resection C. Multicentricity D. Extra thyroid extension Answer

Thyroid Questions

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Q) Which of the following thyroid cancers do not take up radio active iodine a) Medullary carcinoma thyroid b) Papillary  carcinoma c) Follicular carcinoma d) Hurthle cell carcinoma Free Answer a – Medullary carcinoma Medullary carcinoma of the thyroid is a tumor that arises from the C cells ie the parafollicular cells and not from cells of thyroid follicles. These are not TSH dependent and hence do not take up radioactive iodine Hurthle cell carcinoma is a variation of follicular carcinoma only. In these tumors lymph node involvement is about 60% Bailey page 769