Thyroid osce

1. A 40 years old lady presented with Right Cervical
lymphadenopathy. FNAC from the swelling revealed atypical
thyroid tissue with Psammoma bodies.
1. What is the probable diagnosis?
2. What are the predisposing factors
for this condition?
3. How will you treat this?

2. 1. What is the diagnosis?
2. What is Crile’s method for
palpation?
3. When will you use Pizillo’s
method for palpation?
4. What is Kocher’s test
A 38 years old lady presented with swelling over front of neck,
palpitations, diarrhoea and protrusion of eyeballs.

3. A 36 years old lady underwent total thyroidectomy for MNG thyroid. A
few hours after surgery she developed sudden respiratory distress with
stridor and swelling over surgical site.
1. What is the most likely cause?
2. How will you manage this condition?
3. What are the intraoperative and postoperative complications of
thyroid surgery?
4. What will you do if parathyroid gland is accidentally removed during
thyroid surgery?

4. A 46 years old lady had swelling over the front of neck for last 3
years. The swelling increased in size over last 2 weeks associated
with dyspnea, pain and stridor. FNAC from the swelling showed
multinucleated and giant cells.
1. What is the diagnosis?
2. What is the stage of this disease?
3. How will you manage this condition?

5. 1. What is this clinical sign?
2. What are the clinical tests for
retrosternal extension of goitre?
3. Classification of retrosternal goitre?

6. A 55 years old lady with MNG thyroid who is not on regular followup,
presented with a pulsatile swelling over Skull.
1. What is the likely diagnosis?
2. Can it be confirmed by FNAC? What
findings on histopathology are
diagnostic of this condition?
3. What are the ultrasound findings in a
malignant thyroid swelling?