Multinodular Goitre Questions With Answers

One of the most common disorders of the thyroid gland is the Multinodular goitre(MNG). It is a special condition of the thyroid glands where multiple nodules or lumps form. Goitre is the enlargement of the thyroid gland. Nodules are formed when there is a difference in the growth rate in various parts of the thyroid gland. Explore important MCQs here.

1. This disease is caused due to the deficiency of iodine

(a) Solitary throid nodules

(b) Goitre

(c) Thyroiditis

(d) Thyroid cancer

Answer: (b)

2. Goitre takes place in case of

(a) hypothyroidism

(b) hyperthyroidism

(c) cancer of thyroid gland

(d) all of the above

Answer: (d)

3. When the progressive enlargement of a multinodular goitre causes symptomatic tracheal compression, the typically preferred treatment management in otherwise good-risk patients is

(a) Radioactive iodine treatment

(b) thyroid hormone treatment

(c) iodine treatment

(d) surgical resection of abnormal thyroid

Answer: (d)

4. The most precise diagnostic screening procedure for differentiating benign thyroid nodules from malignant ones is

(a) Thyroid scintiscan

(b) throid ultrasonography

(c) thyroid hormone supression

(d) fine-needle-aspiration biopsy (FNAB)

Answer: (d)

5. The most common cause of goitrous hypothyroidism in adults is

(a) Hashimoto’s disease

(b) Grave’s disease

(c) Riedel’s thyroiditis

(d) de Quervain’s thyroiditis

Answer: (a)

6. A person with enlarged thyroid gland protruded eyeball, increased BMR and weight loss is suffering from

(a) Grave’s disease

(b) Exopthalmic goitre

(c) Both (a) and (b)

(d) Addison disease

Answer: (c)

7. This about thyroid hormones is incorrect

(a) Regulates BMR

(b) maintains water and electrolyte balance

(c) supports erythropoiesis

(d) controls blood phosphate level

Answer: (d)

8. This about thyroid swelling is true

(a) always elevates on swelling

(b) an ultrasound of the swelling is the best test to determine whether the nodule is

actively secreting hormone

(c) lymph node enlargement is a good prognostic sign

(d) a functional nodule on isotope scanning is unlikely to be due to cancer

Answer: (d)

9. For Grave’s disease of the thyroid, this statement is true

(a) it is the cause of ophthalmoplegia

(b) it causes a large multi-nodular goitre

(c) in the past, grave’s disease sometimes caused ‘Derbyshire Neck’

(d) it is commoner in males than in females

Answer: (a)

10. This is true regarding the complications of a large goitre

(a) dysphagia is an indication for surgery

(b) causes stridor due to compression of the oesophagus

(c) causes hoarseness due to compression of the trachea

(d) causes more florid thyrotoxicosis than a smaller goitre

Answer: (a)

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