MCQs on Diseases of Salivary Glands and Thyroid Glands - General Surgery MCQs

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# Which is the most common cause of hypothyroidism ?
A. Multinodular goitre
B. Lymphoma of thyroid
C. Autoimmune thyroiditis
D. Reidel's thyroiditis

# The treatment of anaplastic carcinoma of thyroid is :
A. Total thyroidectomy
B. Palliative radiotherapy
C. Radioactive idoine
D. Tracheostomy

# The histopathologic feature of medullary carcinoma of thyroid is :
A. Anaplasia
B. Mitotic figures
C. Psammoma bodies
D. Amyloid stroma

# The most common level of thyroglossal cyst is :
A. Lingual
B. Infra-lingual
C. Supra-hyoid
D. Infra-hyoid

# All the following are seen in thyrotoxicosis except:
A. Tremor
B. Increased temperature
C. Slow pulse rate
D. Exophthalmos

# The cyst that moves by protruding the tongue is:
A. Thyroglossal cyst
B. Median rhomboid cyst
C. Ranula
D. Tracheal cyst

# A 45 year old woman has a nodule in the neck which moves during swallowing. The nodule most probably is attached to :
A. Thyroid
B. Larynx
C. Oesophagus
D. Pharynx

# Thyroglossal fistula is :
A. Lined by squamous epithelium
B. Causes a bulge in the neck
C. Inflammatory lesion
D. Precancerous lesion

# Symptoms of hyperthyroidism include:
A. Intolerance to cold
B. Decreased appetite
C. Weight gain
D. Palpitations

# Symptoms of hypothyroidism include :
A. Intolerance to heat
B. Diarrhoea
C. Loss of weight
D. Menstrual disturbance

# FNAC (Fine needle aspiration cytology) can diagnose all the following except:
A. Papillary carcinoma of thyroid
B. Follicular carcinoma of thyroid
C. Anaplastic carcinoma of thyroid
D. Medullary carcinoma of thyroid

# Thyroglosal cyst is most often located:
A. Near hyoid bone
B. At the base of the tongue
C. Submandibular
D. Opposite cricoid cartilage
# Retrosternal goiter :
A. Causes stridor
B. Obtains its blood supply from thoracic vessels
C. Characteristically malignant
D. Must be removed by thoracotomy

# Hashimoto's disease is :
A. Agranulomatous thyroiditis
B. An autoimmune thyroiditis
C. Fibrous thytoiditis
D. A viral infection of the thyroid gland
E. None of the above

# A patient with increased metabolic rate, hyperthyroidism, goiter and have deposits of calcium in capsule of thyroid, It can be due to:
A. Follicular carcinoma of thyroid
B. Medullary carcinoma of thyroid
C. De Quervain's thyroiditis
D. Riedel's thyroiditis

# Tachycardia, nervousness, intolerance to heat and exophthalmos is seen in:
A. Hyperthyroidism
B. Hypothyroidism
C. Hyperparathyroidism
D. Hypoparathyroidism

# Sistrunk's operation is done for:
A. Thyroglossal cyst
B. Thyroglossal fistula
C. Both of the above
D. None of the above

# Follicular carcinoma of thyroid is best treated by :
A. Hemithyroidectomy
B. Near total thyroidectomy
C. Sub total thyroidectomy
D. Radiotherapy alone

# Which of the following is true for thyrotoxicosis ?
A. In Grave's disease, antibodies are formed to TSH receptors which results in excessive thyroxine secretion
B. Hashimoto's thyroiditis occurs in young males
C. In primary hypothyroidism, decreased TSH levels are seen.
D. In Grave's Disease, no antibodies are formed to TSH receptors which result in decreased thyroxine secretion

# The origin of thyroglossal duct is:
A. Foramen caceum
B. Tuburculum impar
C. Rathke's pouch
D. Rosenmiller's fossa

# A cold nodule in thyroid on thyroid scintiscan mean:
A. Nodule which is cold
B. Hyperactive nodule
C. Nodule which is nonfunctioning and malignant
D. Nodule which has no signs of inflammation

# The only reason for operating in case of thyroiditis is:
A. To prevent cancerous degeneration
B. For relief of pain in neck and ear
C. To overcome pressure on trachea or oesophagus
D. To cure the toxic reaction

# The carcinoma of thyroid associated with hypocalcemia is :
A. Papillary cancer
B. Medullary cancer
C. Follicular cancer
D. Anaplastic cancer

# Toxic adenoma on scanning appear as:
A. Hot nodule
B. cold nodule
C. Warm nodule
D. Neutral

# Thyroid carcinoma :
A. is often associated with hypothyroidism
B. often producess hyperthyroidism
C. is usually euthyroid
D. occurs in toxic nodules

# All of the following regarding papillary carcinoma thyroid are true except:
A. Multicentric origin
B. Secondary to lymph nodes
C. Slowly growing
D. Bony metastasis in early age

# Commonest thyroid malignancy is :
A. Medullary carcinoma
B. Follicular adenoma
C. Anaplastic carcinoma
D. Papillary carcinoma
# Lymph node metastasis is commonest in:
A. Follicular
B. Papillary
C. Anaplastic
D. Medullary

# Orphan Annie eyed nuclei is the characteristic histologic appearance seen in:
A. Papillary carcinoma thyroid
B. Follicular carcinoma thyroid
C. Medullary carcnoma thyroid
D. Hashimoto's thyroiditis

# Therapy of choice for diffuse toxic goiter in a patient over 45 years is :
A. Surgery
B. Antithyroid drugs
C. Radio iodine
D. Antithyroid drugs first followed by surgery

# Thyroglossal fistula develops due to:
A. Developmental anomaly
B. Injury
C. Incomplete removal of thyroglossal cyst
D. Inflammatory disorder

# Most common cause of Hypercalcemic crisis is:
A. Parathyroid adenoma
B. Parathyroid hyperplasia
C. Carcinoma breast
D. Paget's disease

# A patient has hypocalcemia which was the result of a surgical complication. Which operation could it possibly have been?
A. Nephrectomy
B. Thyroidectomy
C. Gastrectomy
D. Vocal cord tumor biopsy

# Hyperparathyroidism is characterized by the following except:
A. Generalised osteoporosis
B. Renal calculi
C. Hypercalcemia
D. Osteosclerosis

# After thyroidectomy, patient developed stridor within 2 hours. All are likely cause of stridor except:
A. Hypocalcemia
B. Recurrent laryngeal nerve palsy
C. Laryngomalacia
D. Wound hematoma

# A ranula is a :
A. type of epulis
B. Sublingual thyroid
C. Thyroglossal cyst
D. Cystic swelling in the floor of the mouth
# Mickulicz's disease is :
A. an inflammatory disease
B. neoplastic disease
C. an autoimmune disease
D. Viral infection

# A condition of the mouth which increases the caries activity in the oral cavity is :
A. Xerostomia
B. Hairy tongue
C. Fissured tongue
D. Watery saliva

# Reduction in flow of the saliva is not generally seen in:
A. elderly diabetics
B. patients undergoing radiation therapy
C. patients suffering from parkinsonism
D. patients on phenothiazine drugs

# Adenoid cystic carcinoma is also known as:
A. Cylindroma
B. Pindborg tumor
C. Warthins tumor
D. Pleomorphic adenoma

# Anatomical structure injured in excision of ranula is :
A. Lingual vein
B. Lingual artery
C. Submandibular duct
D. Parotid duct

# Stones are maximum in:
A. Parotid gland
B. Submandibular gland
C. Pancreas
D. Sublingual gland

# All are seen in Sjogren's syndrome except :
A. Positive antinuclear factor
B. Decreased immunoglobulins
C. Raised ESR
D. Positive Rheumatoid factor

# Parotid tumor which spreads perineurally is:
A. Mucoepidermoid carcinoma
B. Epidermoid carcinoma
C. Carcinoma in pleomorphic adenoma
D. Adenoid cystic carcinoma

# Treatment of submandibular salivary gland duct calculi is :
A. Excision of submandibular gland
B. Opening of the duct at the frenulum
C. Opening of the duct and removal of calculus
D. Excision of gland and duct

# Sjogren's syndrome is associated with:
A. Rheumatoid arthritis
C. Scleroderma
D. All of the above

# The commonest parotid tumor is :
A. Pleomorphic adenoma
B. Warthins tumor
C. Adenoid carcinoma
D. None of the above

# Adenolymphoma refers to :
A. Warthin's tumor
B. Pleomorphic adenoma
C. Adenocarcinoma
D. Adenocystic carcinoma

# In submandibular gland surgery, the nerve least likely to be injured is:
A. Inferior alveolar nerve
B. Lingual nerve
C. Hypoglossal nerve
D. Mandibular branch of facial nerve

# In case of parotid swelling, the diagnostic procedure of choice is:
B. Superficial Parotidectomy
C. Enucleation
D. Excision biopsy


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