MCQs on Diseases of Salivary Glands and Thyroid Glands - General Surgery MCQs Part 2

# What is Ranula ?
A. Retention cyst of sublingual gland
B. Retention cyst of submandibular gland
C. Extravasation cyst of sublingual glands
D. Extravasation cyst of submandibular glands

# The parotid duct is known as:
A. Wharton's duct
B. Stenson's duct
C. Duct of Santorini
D. Duct of Wirsung

# Nerve, which lies in association to Wharton's duct is:
A. Hypoglossal
B. Lingual
C. Facial
D. Spinal Accessory

# During parotid surgery, injury to the nerve, which results in Frey's syndrome is :
A. Auriculotemporal nerve
B. Great auricular nerve
C. Mandibular nerve
D. Buccal nerve

# The nerve sacrificed in parotid surgery is:
A. Auriculotemporal
B. Facial
C. Buccal
D. Cervicofacial

# In a 3 year old child, which of the following is the most common cyst located in the midline of the neck ?
A. Thyroglossal cyst
B. Bronchial cyst
C. Lymphangiocele
D. Cystic Hygroma

# Chronic lymphocytic thyroiditis refers to:
A. Tuberculous Thyroiditis
B. Hashimoto's thyroiditis
C. Dequervein's theme
D. Riedel's pharmoaclogy

# In Hashimoto's disease, serum antibodies are mainly against:
A. Thyroid Follicles
B. Thyronine
C. Thyroglobulin
D. Iodine

# Thyroglossal cyst may occasionally give rise to _________ carcinoma.
A. papillary
B. Medullary
C. Anaplastic
D. Follicular

# The folowing statements about thyroglossal cysts are true, EXCEPT :
A. Frequent cause of anterior midline neck masses in the first decade of life
B. The cyst is located within 2 cm of the midline
C. Incision and drainage is the treatment of choice
D. The swelling moves upwards on protrusion of the tongue

# Prophylactic thyroidectomy is indicated in:
A. Papillary carcinoma of thyroid
B. Follicular carcinoma of thyroid
C. Medullary carcinoma of thyroid
D. Malignant lymphoma
# A patient has wide eyes, nervousness, raised systolic BP and weight loss. Most probable diagnosis is:
A. Hypothyroidism
B. Hyperthyroidism
C. Hyperparathyroidism
D. Hypoparathyroidism

# Thyroglossal fistula is :
A. Congenital
B. Acquired
C. Hereditary
D. Discharges blood

# The most common cause of hypoparathroidism after thyroidectomy is :
A. Removal
B. Vascular injury
C. Hypertrophy
D. Malignancy

# The commonest cause of hypercalcemia in a patient with known cancer is:
A. Ectopic parathormone production
B. Direct destruction of the bone by tumor cells
C. High levels of vitamin D
D. Production of parathormone like substance

# A patient presents with swelling in the neck following a thyroidectomy. What is most likely resulting complication?
A. Respiratory obstruction
B. Recurrent laryngeal nerve palsy
C. Hypovolemia
D. Hypocalcemia

# In retrosternal goiter, the most common presenting feature is:
A. Dysphagia
B. Stridor
C. Dyspnoea
D. Superior venacaval syndrome

# Screening method for medullary carcinoma thyroid is:
A. Serum calcitonin
B. Serum calcium
C. Serum alkaline phosphatase
D. Serum acid phosphatase

# Carcinoma thyroid with blood borne metastasis is:
A. Follicular
B. Papillary
C. Mixed
D. Anaplastic

# Lateral aberrant thyroid refers to:
A. Congenital thyroid abnormality
B. Metastatic foci from primary in thyroid
C. Struma ovarii
D. Lingual thyroid

# A patient has pituitary tumor and pheochromocytoma and a thyroid nodule. Which carcinoma is most likely to occur ?
A. Follicular
B. Medullary
C. Papillary
D. Anaplastic

# NOT a feature of de Quervain's disease:
A. Autoimmune in etiology
B. Increased ESR
C. Tends to regress spontaneously
D. Painful and associated with enlargement of thyroid

# Treatment of thyroid storm includes all, EXCEPT :
A. Propranolol
B. Radioactive iodine
C. Hydrocortisone
D. Lugol's iodine

# In case of hypothyroidism, which investigation is most informative and most commonly used ?
A. Serum TSH level
B. Serum T3, T4 level
C. Serum Calcitonin assay
D. Serum TRH assay

# Patient after thyroid surgery presents with perioral paraesthesia, serum calcium level is 7 mg/dL. What will be the best management ?
A. Oral Vit D3
B. Oral vit D3 and Ca
C. IV calcium gluconate
D. Oral calcium
# 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

# What percentage of cold thyroid nodules are malignant ?
A. 70 - 80 %
B. 50 - 60 %
C. 40 - 50 %
D. 10 - 20 %

# Absolute indication for surgery in hyperparathyroidism is :
A. Serum calcium < 2.85 mmol/lit
B. Increased bone density
C. Urinary Tract calculi
D. Patient more than 50 years of age

# The commonest thyroid malignancy is:
A. Anaplastic
B. Follicular
C. Papillary
D. Medullary

# Treatment of choice for mixed parotid tumor is :
A. Enucleation
B. Superficial parotidectomy
C. Radical parotidectomy
D. Radiation

# Which of the following is the most common complication of radioiodine treatment of Grave's disease ?
A. Thyroid storm
B. Subacute thyroiditis
C. Thyroid cancer
D. Hypothyroidism

# Which one of the following nerves is not encountered during submandibular gland resection ?
A. Lingual nerve
B. Hypoglossal nerve
C. Accessory nerve
D. Marginal mandibular nerve

# First investigation for solitary thyroid nodules is:
A. Thyroid scan
B. CT scan

# A patient is wide eyed, very nervous with increased systolic pressure, increased pulse rate, fine skin and hair and loss of body weight. He is probably suffering from ?
A. Hypothyroidism
B. Hyperthyroidism
C. Hyperpituitarism
D. Hyperparathyroidism

# Which is more dangerous after a thyroidectomy resulting in acute respiratory distress ?
A. Damage to external laryngeal nerve
B. Unilateral complete damage to recurrent laryngeal nerve
C. Unilateral partial damage to recurrent laryngeal nerve
D. Bilateral partial section of recurrent laryngeal nerve
# Causes for primary hyperparathyroidism:
A. Parathyroid carcinoma
B. Renal failure
C. Rickets
D. Malabsorption

# All of the following are features of hyperthyroidism EXCEPT :
A. Thin person
B. Decreased waist:hip ratio
C. Excessive sleep
D. Increased muscular activity

# The following are true of primary thyrotoxicosis EXCEPT:
A. Tremors
B. Warm extremities
C. Diarrhea
D. Intolerance to cold

# Which one of the following feature is not associated with primary hyperparathyroidism ?
A. Giant cell tumor
B. Sharply defined radiolucencies of maxilla and mandible
C. Partial loss of lamina dura
D. Hypercementosis

# Treatment of choice in cold nodule of thyroid :
A. Subtotal thyroidectomy
B. I-131
C. Hemithyroidectomy
D. Excision of Nodule

# Thyroid carrcinoma with pulsating vascular skeletal metastasis is:
A. Follicular
B. Anaplastic
C. Medullary
D. Papillary

# Pleomorphic adenomas arising from the minor salivary glands can be treated with :
A. Local excision with 2 mm margin
B. Local excision with 5 mm margin
C. Radiotherapy
D. Chemotherapy

# Which of the following statements is true regarding thyroglobulin?
A. It is a specific marker for anaplastic carcinoma
B. Elevation after complete therapy suggests recurrence in well-differentiated thyroid malignancies
C. Preoperative elevation always suggests thyroidal disease
D. Intra operative estimation from thyroid veins is very useful for prognosis

# "Thyroid storm" is treated by following EXCEPT:
A. Aspirin for Hyperpyrexia
B. Propranolol
C. Dehydration is corrected
D. Sodium iodide

# Cricothyroidotomy is contraindicated in:
A. Age below 5 years
B. Age between 15-20 years
C. Age between 20-30 years
D. Age between 30-40 years


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