TOXIC MULTI NODULAR GOITRE-MCQS
1.Thyroid gland with at least 2 autonomously functioning nodules that secretes excess thyroid hormones.
2.Symptoms include dysphagia, dyspnoea dizziness and /or neck discomfort.
3.Tc -99 scan shows a homogeneous pattern.
4. Non contrast CT scan along with spirometry is useful to evaluate when there is a suspected tracheal compression.
5. Pemberton's sign is used to evaluate venous obstruction in patients with goitre
Answers
1. TRUE
2. TRUE-retrosternal goitre may cause dizziness when raising arms above the head.
3. FALSE-Heterogeneous pattern with many areas with hyperactivity and hypo-activity throughout the gland.
4. TRUE- Non contrast CT scan and inspiratory flow volume loop obtained during the spirometry manoeuvre may be helpful for functional evaluation of tracheal compromise.
5. TRUE-The sign is positive when bilateral arm elevation causes facial plethora
