I. ABDOMINAL REVIEW - 12. The Face & Neck

11. All of the following are sonographic findings of malignant thyroid nodules except: a. Internal Calcifications b. Hyperechoic Mass c. Cervical Node Involvement d. Solitary Mass

B

14. What is the most common cause of hypothyroidism? a. Graves Disease b. Hashimoto Thyroiditis c. Papillary Carcinoma d. Parathyroid Adenoma

B

15. All of the following are sonographic findings of an abnormal lymph node except: a. Rounded Shape b. Echogenic Hilum c. Calcifications d. Enlargement

B

19. A 30-year-old patient presents to the sonography department for a thyroid sonogram with a history of weight loss, hair loss, and hyperthyroidism. You note that the patient has bulging eyes. What is the most likely diagnosis? a. Hashimoto Thyroiditis b. Graves Disease c. Hyperparathyroidism d. Cervical Lymphadenopathy

B

22. A 45-year-old female patient presents to the sonography department with a palpable neck mass 6 months following a thyroidectomy for papillary carcinoma. Which of the following would be the most likely etiology of the palpable mass? a. Torticollis b. Lymphadenopathy c. Sialadenitis d. Graves Disease

B

23. Which of the following is the duct that drains the submandibular gland? a. Stensen Duct b. Wharton Duct c. Seigel Duct d. Partridge Duct

B

24. Which of the following does the thyroid gland utilize to produce its hormones? a. Colloid b. Iodine c. Iron d. Calcium

B

25. Which muscles are located posterior to each thyroid lobe? a. SternocIeidomastoid b. Longus colli c. Sternohyoid d. Omohyoid

B

3. Normally, how many parathyroid glands are found within the adult neck? a. 3 b. 4 c. 6 d. 8

B

35. All of the following are hormones produced by the thyroid except: a. Thyroxine b. Iodine c. Triiodothyronine d. Calcitonin

B

37. Which of the following is an autoimmune disease that affects the glands that produce moisture, leading to dysfunction of the salivary glands, and dryness of the eyes, nose, skin, and mouth? a. Wharton Syndrome b. Sjögren Syndrome c. Stenson Syndrome d. Sialadenosis Syndrome

B

6. Parathyroid Glands control the release and absorption of which nutrient? a. Thyroxine (T4) b. Triiodothyronine (T3) c. Calcitonin d. Calcium

D

7. A normal lymph node will not measure greater than: a. 8mm b. 5mm c. 12mm d. 10mm

D

32. Which muscles are located anterior to the thyroid gland? a. Sternocleidomastoid b. Longus Colli c. Thyrocervical Trunk d. Strap

D

1. A patient with hypercalcemia presents to the sonography department for a neck sonogram. What abnormality in the neck should be suspected? a. Parathyroid Adenoma b. Parotid Gland Enlargement c. Thyroid Papillary Carcinoma d. Hashimoto Thyroiditis

A

16. What is the most common cause of hyperthyroidism? a. Graves Disease b. Hashimoto Thyroiditis c. Papillary Carcinoma d. Parathyroid Adenoma

A

26. Which muscles are located lateral to each thyroid lobe? ​

A

27. Which of the following is associated with congenital muscular torticollis? a. Fibromatosis colli b. Branchial Cleft Cyst c. Pleomorphic Adenoma d. Sialadenosis

A

28. What structure may be confused for a thyroid or parathyroid mass because of its relationship to the trachea and the posterior aspect of the left thyroid gland? a. Esophagus b. Common Carotid Artery c. Internal Jugular Vein d. Common Carotid Artery

A

36. Which of the following is the hormone that is the most abundantly produced by the thyroid? a. Thyroxine b. Iodine c. Triiodothyronine d. Calcitonin

A

38. What type of gland is the thyroid gland? a. Endocrine b. Exocrine c. Both A & B d. Neither A nor B

A

4. A cystic mass noted at the mandibular angle is most likely a: a. Branchial Cleft Cyst b. Follicular Adenoma c. Thyroglossal Duct Cyst d. Parathyroid Adenoma

A

40. Which of the following is the most common form of salivary gland cancer? a. Mucoepidermoid Carcinoma b. Papillary Carcinoma c. Ancillary Carcinoma d. Medullary Carcinoma

A

5. Which of the following would more likely be a malignant thyroid nodule? a. Cold Nodule b. Hot Nodule

A

9. Which of the following best describes the normal appearance of a cervical lymph node? a. A hypoechoic, oblong structure with a distinct, echogenic hilum b. A rounded, echogenic structure with small calcifications c. A solid, hypoechoic mass that measures greater than 1cm d. A solid, echogenic mass that measures less than 1cm

A

10. Which abnormality is associated with the sonographic findings of a thyroid inferno? a. Hashimoto Thyroiditis b. Graves Disease c. Hyperparathyroidism d. Cervical Lymphadenopathy

B

39. The superior extension of the thyroid isthmus is referred to as the: a. Thyroglossal Duct b. Branchial Cleft c. Yodeler's Lobe d. Pyramidal Lobe

D

18. Which muscle does fibromatosis colli mostly affect? a. Omohyoid b. Longus colli c. Sternocleidomastoid d. Infrahyoid

C

2. Benign congenital cysts located superior to the thyroid gland near the hyoid bone are referred to as: a. Branchial Cleft Cysts b. Follicular Adenomas c. Thyroglossal Duct Cysts d. Parathyroid Adenomas

C

20. The fluid produced by the thyroid gland that contains thyroid hormones is referred to as: a. Thyroxine b. Calcitonin c. Colloid d. Triiodothyronine

C

21. In the presence of Hashimoto Thyroiditis, the thyroid produces: a. Too many thyroid hormones b. Too much calcium c. Too few thyroid hormones d. Too much iodine

C

33. What is the first branch of the external carotid artery? a. Internal Carotid Artery b. Optic Artery c. Superior Thyroid Artery d. Inferior Thyroid Artery

C

34. Psammoma bodies are: a. Hypoechoic Structures b. Comet-tail Artifacts emanating from inside a Colloid Mass c. Punctate Calcific Deposits d. Mural or Wall Nodules within a solid mass

C

8. With which of the following, is elevated serum calcium associated? a. Graves Disease b. Thyroglossal Duct Cyst c. Parathyroid Adenoma d. Thyroid Adenoma

C

12. All of the following are diagnostic findings of a likely benign thyroid nodule except: a. Anechoic Nodule b. Eggshell Calcification c. Hyperechoic Nodule d. Cold Nodule

D

13. Which of the following is the most common form of thyroid cancer? a. Follicular b. Anaplastic c. Lymphoma d. Papillary

D

17. Which gland is located immediately anterior to the ear? a. Submandibular Gland b. Sublingual Gland c. Thyroid Gland d. Parotid Gland

D

29. Which vascular structure is located closest to the thyroid lobes? a. External Carotid Vein b. External Carotid Artery c. Internal Jugular Vein d. Common Carotid Artery

D

30. A thyroid isthmus that measures greater than _____________ is indicative of thyroid enlargement. a. 8mm b. 5mm c. 12mm d. 10mm

D

31. Which of the following is the term for stones within the salivary duct? a. Sjögren Syndrome b. Torticollis c. Cervical Lymphadenopathy d. Sialolithiasis

D