MCQs
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