These questions are designed to be a brief active review of the previous article. If for some reason something doesn’t make sense or you want to go back and check something click here for that article.
1. Which of the following forms of thyroid cancer is the most aggressive and least common?
- Papillary
- Medullary
- Follicular
- Anaplastic
2. An elderly woman presents to the ER complaining of unusual anxiety, as well as being extremely warm and jittery. On physical exam you notice a single thyroid nodule. An astute physician assistant would include thyroid storm in their differential as it may be the most threatening diagnosis. Since you can feel a nodule you are also concerned about which type of thyroid cancer?
- Papillary
- Medullary
- Follicular
- Anaplastic
3. A middle agesd female patient presents to your office complaining of redness and warmth in her face and neck over the past few days. She has also had some diarrhea in the that same time frame. Over all she feels alright, but she was also concerned as she could feel some swelling in her neck. What discussion should you have with the patient’s family?
- Since we are in the thyroid cancer section and the patient has flushing and diarrhea it is the diagnosis is probably Medullary cancer. Medullary cancer has a significant genetic component so a good physician assistant would make certain that the family is aware of this.
- Since we are in the thyroid cancer section and the patient has flushing and diarrhea it is the diagnosis is probably Anaplastic cancer. The patient will need surgery as soon as possible and this should be discussed with the family.
- Since we are in the thyroid cancer section and the patient has flushing and diarrhea it is the diagnosis is probably Follicular cancer. Follicular cancer has a significant genetic component so a good physician assistant would make certain that the family is aware of this.
- Since we are in the thyroid cancer section and the patient has flushing and diarrhea it is the diagnosis is probably Papillary cancer. The patient will need surgery as soon as possible and this should be discussed with the family.
4. True or False – Three clean whole body radioisotopes scans over a period of 18 months constitute a diagnosis of remission.
5. Which thyroid cancer is are you most likely to see in your office due to mass affect issues?
- Papillary
- Medullary
- Follicular
- Anaplastic
