Answer 50

50.  Choice D is the correct answer.  Hepatocellular carcinoma arise to anaplastic thyroid cancer.  Colon cancer, renal cancer, thyroid lymphoma, melanoma, multiple endocrine neoplasia type 2, and family medullary cancer are all cancer that can arise to be anaplastic thyroid cancer.  

Question 50

50.  All of the following cancers can present as anaplastic thyroid cancer except:

A.  Colon cancer
B.  Renal Cancer
C.  Lymphoma
D.  Hepatocellular carcinoma

Answer 49

49.  Choice B is the correct answer.  Subacute thyroiditis present with neck pain and a painful goiter.  Post partum thyroiditis is the main thyroiditis that presents as painless goiter.  There is a hyperthyroidism stage followed by hypothyroidism.  Patients can present with hoarseness because of the goiter and inflammation of the recurrent laryngeal nerve that runs adjacent to the thyroid gland itself.

Question 49

49.  All of the following are true regarding subacute thyroiditis except:

A.  Usually has a hyperthyroidism stage followed by hypothyroidism
B.  Is characterized by a painless goiter
C.  Has elevated T4 and T3 in the hyperthyroidism stage
D.  Patients can present with hoarseness

Answer 48

48.  Choice A is the correct answer.  Interferon Alpha, amiodarone, lithium, and interleukin 2 have been known to cause drug induced thyroiditis.

Question 48

48.  Which of the following medications have been known to cause thyroiditis?

A.  Interferon Alpha
B.  Propranolol
C.  Maxzide
D.  Desmopressin

Answer 47

47.  Choice C is the correct answer.  Urine cortisol needs to be 3 times the upper limit of normal to rule in Cushing syndrome.  The remainder of the answers are correct.

Question 47

47.  Which of the following are necessary regarding confirming Cushing Syndrome?

A.  Need two first line tests to confirm the presence of Cushing Syndrome
B.  Late night salivary cortisol and urinary cortisol, and low dose dexamethasone suppression test are first line tests
C.  Urine cortisol should be twice the upper limit of normal to rule in Cushing Syndrome
D.  Need to rule out other causes that could represent pseudo Cushing Syndrome

Answer 46

46.  Choice C is the correct answer.  Incidentalomas are silent, benign tumors.  They are non functional tumors.  Pheochromocytomas, adrenocortical adenomas, and adrenal carcinomas are functional tumors.  

Question 46

46.  Which of the following is the most common type of benign silent adrenal tumors?

A.  Pheochromocytoma
B.  Adrenocortical Adenomas
C.  Incidentalomas
D.  Adrenocortical Carcinomas