Exam (elaborations)
Abdominal Final Review WCUI Exam Questions and Answers
Abdominal Final Review WCUI Exam
Questions and Answers
Which structures lies medial to the left thyroid lobes - ANSWER-Larynx
Common cause of thyroid disorders worldwide - ANSWER-Graves disease, toxic adenoma, toxic
multinodular
Parathyroid glands produce hormone that affects which organs - AN...
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Abdominal Final Review WCUI Exam
Questions and Answers
Which structures lies medial to the left thyroid lobes - ANSWER✔✔-Larynx
Common cause of thyroid disorders worldwide - ANSWER✔✔-Graves disease, toxic adenoma, toxic
multinodular
Parathyroid glands produce hormone that affects which organs - ANSWER✔✔-kidneys, bones
gastrointinal bone
Thyroid hormones - ANSWER✔✔-Thyroxine (T4) and Triiodothyronine (T3), calcitonion
Multiple thyroid nodules are described as _________ - ANSWER✔✔-Multinodular goiter (MNG)
What is the thin bridge of thyroid tissue called that straddles the trachea anteriorly? - ANSWER✔✔-
Isthmus
The isthmus is the smallest portion of the gland with an AP diameter of ____ to ____ mm - ANSWER✔✔-
4 to 6
How many strap muscles lie along the anterior surface of the thyroid gland - ANSWER✔✔-three
The ______ muscle is posterior and lateral to each thyroid lobe along the anterior surface of the cervical
vertebrae - ANSWER✔✔-longus colli
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When thyroid hormones are needed in the body, they are released into the bloodstream by the action of
the ________ which is produced in the pituitary gland. - ANSWER✔✔-Thyroid stimulating hormone
(TSH)
Thyroid stimulating hormone is regulated by ___________ which is produced by the hypothalamus -
ANSWER✔✔-Thyrotropin-releasing hormone (TRH)
Normal parathyroid glands are located _______ to the surface of thyroid - ANSWER✔✔-posterior
______ decreases the concentration of calcium in the blood by first acting on bone to inhibit its
breakdown of calcium. - ANSWER✔✔-Calcitonin
When thyroid is producing the correct amount of thyroid hormone, it is considered to be normal, or
________________. - ANSWER✔✔-Euthyroid
Under secretion of thyroid hormones is called _________ and is the most commo thyroid disorder. -
ANSWER✔✔-Hypothyroidism
What are the clinical signs and symptoms of hypothyroidism? - ANSWER✔✔-weight gain, hair loss,
increased subcutaneous tissue around the eyes, lethargy, slowing motor, cold intolerance, constipation
Oversecretion of thyroid hormone results in _______. - ANSWER✔✔-Hyperthyroidism
_______ occurs when the entire thyroid gland is not functioning properly usually from diffuse
enlargement or localized nodule or adenoma causing an over-production of thyroid hormones. -
ANSWER✔✔-Grave's Disease
Clinical signs and symptoms of hyperthyroidism - ANSWER✔✔-weight loss, increased appetite, irritable,
tremor, excessive sweating, heat intolerance, palpitations, protruding eyes (exophthalmos)
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The most common laboratory test to evaluate thyroid function is ___________ - ANSWER✔✔-serum
thyroxine
______ is a thyroid test that can determine its function by combining iodine uptake scan and thyroid
scan - ANSWER✔✔-Scintigraphy
The _________ thyroid scan will detect the amount of radioactive tracer to image the thyroid glad and
demonstrate the thyroid size, shape & position - ANSWER✔✔-nuclear medicine
A concentrated amount of radioactivity in the thyroid will be imaged as a ______ (hyperfunction) nodule
and an lower concentration of radioactive tracer will demonstrated absence of uptake as _______
(nonfunctioning) nodule - ANSWER✔✔-hot, cold
Hot nodules are typically ______ and cold nodules have the potential to be ______ - ANSWER✔✔-
benign, malignant
Normal sonographic appearance of the thyroid gland is fine _______ echotexture that is slightly more
echogenic that the surrounding musculature - ANSWER✔✔-homogeneous
Approximately 80% of nodular thyroid disease is due to _________ or compensatory ______ forming
micronodules and micronodules of the gland - ANSWER✔✔-hyperplasia, hypertrophy
The most common cause of thyroid disorders worldwide is ______ deficiency, which leads to nodule and
goiter formation - ANSWER✔✔-iodine
An _______ goiter may affect large groups of people in a specific geographic area where iodine levels in
the soil, food and water are low - ANSWER✔✔-endemic
A _______ goiter is condition where nodular enlargement causes hyperactivity of the thyroid gland and
hyperthyroidism. - ANSWER✔✔-toxic
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________ goiter occurs when nodular enlargement is not associated with thyroid dysfunction. -
ANSWER✔✔-nontoxic
A __________ is a benign thyrid neoplasm that represents 5% to 10% of all nodular diseases of the
thyroid. - ANSWER✔✔-follicular adenoma
The _______ is often solitary and slow growing unless hemorrhage occurs that could cause sudden and
painful enlargement. - ANSWER✔✔-adenoma
A presence of a thin _______ ______ or halo due to compressed tissue surrounding the adenoma is
consistent finding with a benign adenoma. - ANSWER✔✔-hypoechoic rim
________ of the thyroid is rare - ANSWER✔✔-carcinoma
A solitary markedly hypoechoic thyroid nodule with the presence of cervical lymphadenopathy on the
same side suggest ________ - ANSWER✔✔-malignancy
The most common of thyroid malignancies is __________, which comprises approximately 70% of all
thyroid cancers. affects females 3 times more often at ages 20 to 40 years of age - ANSWER✔✔-papillary
carcinoma
________ is the second most common type of malignancy, affects females between the ages of 40 to 60
- ANSWER✔✔-Follicular carcinoma
Follicular carcinoma usually presents as a ______ thyroid mass and may not be differentiated
pathologically with FNA biopsy and may require surgical removal of the entire nodule to confirm
diagnosis. - ANSWER✔✔-solitary
Several diseases of the thyroid are characterized by _____________ of the gland causing enlargement
without palpable nodule. - ANSWER✔✔-diffuse involvement
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