Endocrine Surgery–Focussed to Thyroid & Thyroid Related Diseases M.Ch Question Bank : web.tnmgrmu.ac.in
Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : MASTER OF CHIRURGIAE (M.Ch.)
Branch : BRANCH IX – ENDOCRINE SURGERY
Subject Code/Name : 1903/ENDOCRINE SURGERY – FOCUSSED TO THYROID AND THYROID RELATED DISEASES
Paper : II
Document Type : Question Bank
Website : web.tnmgrmu.ac.in
Download Model/Sample Question Paper :
2012-2014 : https://www.pdfquestion.in/uploads/web.tnmgrmu.ac.in/4604-181903KU.pdf
Endocrine Surgery Question Bank :
AUGUST 2012 :
Sub. Code: 1903
M.Ch – ENDOCRINE SURGERY
Related : The Tamilnadu Dr. M.G.R. Medical University Recent Advances in Endocrine Surgery & Investigations for Endocrine Diseases M.Ch Question Bank : www.pdfquestion.in/4605.html
Paper – III : ENDOCRINE SURGERY – FOCUSSED TO THYROID AND THYROID RELATED DISEASES
Q.P. Code: 181903
Time : 3 hours
Maximum : 100 marks
(180 Min)
Answer ALL questions in the same order. :
I. Elaborate on :
1. Write in detail about lymphnode dissection in differentiated Thyroid cancer.
2. Thyroid hormone synthesis and management of Dyshormonogenic goitre
II. Write notes on :
1. Toxic nodule.
2. Management of thyroid storm after surgery for Grave’s disease.
3. Management of juvenile autoimmune thyroiditis.
4. Thyrotoxicosis in pregnancy
5. Radio iodine ablation in differentiated thyroid cancer
6. Role of thyroplasty in vocal cord palsy
7. Ectopic thyroid, its various locations and its mangement
8. Relevance of vocal cord assessment in thyroid surgery
9. TSHr antibodies in autoimmune thyroid disorders.
10. RET oncogene
AUGUST 2013 :
I. Elaborate on: (2X15=30)
1. Detail the synthesis of thyroid hormones. Discuss the clinical presentation and management of thyroid dysfunction.
2. Describe the clinico-pathological features of medullary carcinoma thyroid and its management.
II. Write notes on: (10X7=70)
1. Median ectopic thyroid.
2. Post operative treatment and follow up of well differentiated thyroid cancer.
3. Surgical handling of the recurrent laryngeal nerve.
4. Autoimmune thyroiditis.
5. Tubercle of Zuckerandl and its surgical importance.
6. Dyshormonogenetic goitre.
7. Thyrotoxicosis in pregnancy.
8. Management of eye disease in Graves’ disease.
9. Management of vertebral metastasis from thyroid cancer.
10. Radioisotope ablation in thyroid disease.
AUGUST 2014 :
I. Elaborate on: (2 x 15 = 30)
1. Molecular genetics of development of thyroid and its clinical implications and management of various thyroid dysgenesis.
2. Explain the Genetic and non iodine causes of Benign thyroid nodule and principles in the management of large and substernal goiter.
II. Write notes on: (10 x 7 = 70)
1. Follow up of patient with DTC with positive antithyroglobulin antibody
2. Werner`s test
3. Hashimotos encephalopathy and clinical importance of Ig G4 antibodies in Hashimotos thyroiditis
4. Thyroxine binding globulin and its clinical implications
5. Neuropsychiatric manifestations of thyroid diseases
6. TSH suppressing therapy for Benign thyroid nodule-Pros and Cons
7. 99m Tc MIBI scan in MNG
8. Factors influencing circulating thyroglobulin concentration and its clinical implications in non malignant thyroid conditions
9. Management of goiter related oesophageal compression and swallowing dysfunction
10. Apathetic hyperthyroidism and Takotsubocardiomyopathy.
Theory Syllabus :
Thyroid :
1. Demonstrate normal thyroid anatomy in a cadaver or in the operating room, including the thyroid gland, its vascular supply and venous drainage, the parathyroid glands, recurrent laryngeal nerves, strap muscles, and platysma.
2. Normal variants in recurrent laryngeal nerve anatomy including frequency
3. Normal thyroid embryogenesis and descent.
4. Normal thyroid hormone synthetic pathway including iodine metabolism and feedback mechanisms.
5. Impact of specific medications on the thyroid hormone synthetic pathway and thyroid function.
6. Impact of aging and various diseases ofthe thyroid hormone synthetic pathway and thyroid function.
7. Appropriate thyroid function testing for the following clinical scenarios, including interpretation of predicted test results :
** Thyroid nodule
** Goiter
** Hyperthyroidism
** Hypothyroidism
** An algorithm development that includes pertinent history, examination findings, and diagnostic evaluation of
** A palpable thyroid nodule
** A nodule discovered on ultrasound performed for thyroid pathology
8. Recognition, evaluation, and management of the following early postoperative complications :
** Hematoma
** Hypocalcaemia
9. Outpatient management of the following postoperative conditions
** Thyroid hormone replacement, postoperative
** Postoperative hypocalcaemia
** Postoperative voice changes
10. Algorithms for the evaluation and treatment of :
** Well-differentiated thyroid cancer
** Medullary thyroid cancer
** Thyroid lymphoma
** Anaplastic thyroid cancer
11. Risk factors for well-differentiated thyroid cancer, medullary thyroid cancer, and anaplastic thyroid cancer.
12. Algorithms for the evaluation and treatment of hyperthyroidism due to Graves’ disease, toxic nodule, medications, pregnancy.
13. Clinical presentation of thyroid storm and outline the treatment of thyroid storm.
14. Algorithm development for the evaluation and management of nontoxic multinodular goiter, including substernal goiter with and without airway involvement.
15. Pathophysiology of :
** Multinodular goiter
** Grave’s disease
** Thyroid cancer
16. Operative approaches to thyroid pathology
17. Staging and prognosis in thyroid cancer
18. Recognition and treatment of common postoperative complications
** Hematoma
** Hypocalcemia
** Thyroid storm
** Voice changes
19. Complete evaluation and management of patients with thyroid cancer (papillary, follicular, medullary, anaplastic lymphoma) including :
** Preoperative evaluation including radiographic studies
** Operative approaches including discussion of lobectomy vs. total thyroidectomy
** Indications for and extent of neck dissection
** Incidental finding of cancer in resected specimen
** Metastatic thyroid cancer
** Large remnant in patient with thyroid cancer
** Tracheal invasion
** Esophageal invasion
** Postoperative treatment, surveillance, and monitoring
20. Complete evaluation and management of nontoxic multinodular goiter and substernal goiter