Test: Parathyroid and Adrenal Glands - 2

Question 1

True about MEN-1:

Accepted Answer

Question 2

The most common organ involved in MEN-1 is:

Accepted Answer

Parathyroid

Answer

Thyroid

Answer

Adrenal

Answer

Testis

Question 3

True about MEN-2A (Sipple syndrome):

Accepted Answer

Question 4

Intestinal obstruction with jejunal neuromas are found in:

Accepted Answer

MEN-2B

Answer

MEN-1

Answer

MEN-2A

Answer

Familial intestinal polyposis

Question 5

An infant is diagnosed with MEN-2B trait. Which the following will be best line of management?

Accepted Answer

Prophylactic surgery

Answer

Clinical observation and follow up

Answer

Regular FNAC

Answer

All of the above

Question 6

Common feature to MEN1 and MEN2?

Accepted Answer

Hyperparathyroidism

Answer

Medullary carcinoma of thyroid

Answer

Pheochromocytoma

Answer

Carcinoids

Question 7

Primary hyperparathyroidism is caused by:

Accepted Answer

Question 8

Treatment for parathyroid hyperplasia is:

Accepted Answer

Removal of 3½ glands

Answer

Removal of all four glands

Answer

Calcitonin

Answer

Enlarged glands to be removed

Question 9

Parathyroid adenoma most commonly involves which of the following site:

Accepted Answer

Inferior parathyroid lobe

Answer

Thyroid substance

Answer

Superior parathyroid lobe

Answer

In the mediastinum

Question 10

Features to differentiate parathyroid adenoma from hyperplasia would include which of the following?

Accepted Answer

Identifying hyperplasia of all 4 glands at surgery in parathyroid hyperplasia

Answer

Presence of excess chief cells

Answer

High levels of parathormone

Answer

Infiltration of capsule

Question 11

True about parathyroid carcinoma:

Accepted Answer

All of the above

Answer

Parathyroid gland is palpable

Answer

High calcium lebel

Answer

Cinacalcet is used

Question 12

In case of parathyroid adenoma, treatment is:

Accepted Answer

Removal of adenoma

Answer

Calcitonin and steroid

Answer

Total parathyroidectomy and implantation in arm

Answer

Total parathyroidectomy

Question 13

Kamli Rani, 75-years old woman present with post myocardial infarction after 6 weeks mild CHF. There was past H/O neck surgery for parathyroid adenoma 5 years ago, ECG shows slow atrial fibrillation. Serum Ca²⁺ 13.0 mg/L and urinary Ca²⁺ is 300 mg/24 hr. On examination there is small mass in the Para tracheal position behind the right clavicle. Appropriate management at this time is:

Accepted Answer

Ultrasound-guided alcohol injection of the mass

Answer

Repeat neck surgery

Answer

Treatment with technetium-99

Answer

Observation and repeat serum Ca²⁺ in two months

Question 14

Commonest cause for hyperparathyroidism is:

Accepted Answer

Single adenoma

Answer

Multiple adenomas

Answer

Single gland hyperplasia

Answer

Multiple gland Hyperplasia

Question 15

Most common cause of hypercalcemic crisis is:

Accepted Answer

Carcinoma breast

Answer

Parathyroid adenoma

Answer

Parathyroid hyperplasia

Answer

Paget’s disease

Question 16

Hypoparathyroidism occurs as a result of:

Accepted Answer

Following surgery

Answer

Idiopathic atrophy of parathyroids

Answer

Thyroiditis with secondary atrophy of parathyroids

Answer

All of the above

Question 17

Hypocalcemia in immediate post-op period following excision of parathyroid adenoma is due to:

Accepted Answer

Increased uptake by bones

Answer

Stress

Answer

Hypercalciuria

Answer

Increased calcitonin

Question 18

In parathyroid crisis with sudden elevations of calcium over 16 mg/dl; the treatment consist of:

Accepted Answer

Question 19

Hyperparathyroidism is characterized by the following except:

Accepted Answer

Osteosclerosis

Answer

Generalized osteoporosis b. Renal calculi

Answer

Renal calculi

Answer

Hypercalcemia

Question 20

A patient has hypocalcaemia which was the result of a surgical complication. Which operation could it possibly have been?

Accepted Answer

Thyroidectomy

Answer

Nephrectomy

Answer

Gastrectomy

Answer

Vocal cord tumour biopsy

Parathyroid and Adrenal Glands - 2 - Free MCQ Practice Test with solutions,

MCQ Practice Test & Solutions: Test: Parathyroid and Adrenal Glands - 2 (20 Questions)

True about MEN-1:

The most common organ involved in MEN-1 is:

True about MEN-2A (Sipple syndrome):

Intestinal obstruction with jejunal neuromas are found in:

An infant is diagnosed with MEN-2B trait. Which the following will be best line of management?

Common feature to MEN1 and MEN2?

Primary hyperparathyroidism is caused by:

Treatment for parathyroid hyperplasia is:

Parathyroid adenoma most commonly involves which of the following site:

Features to differentiate parathyroid adenoma from hyperplasia would include which of the following?

True about parathyroid carcinoma:

In case of parathyroid adenoma, treatment is:

Commonest cause for hyperparathyroidism is:

Most common cause of hypercalcemic crisis is:

Hypoparathyroidism occurs as a result of:

Hypocalcemia in immediate post-op period following excision of parathyroid adenoma is due to:

In parathyroid crisis with sudden elevations of calcium over 16 mg/dl; the treatment consist of:

Hyperparathyroidism is characterized by the following except:

A patient has hypocalcaemia which was the result of a surgical complication. Which operation could it possibly have been?

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