Parathyroid And Adrenal Multiple-Choice Questions

Parathyroid And Adrenal Multiple-Choice Questions

Question: 1. Superior parathyroids derive blood supply from:

1. Common Carotid Artery
2. Internal Carotid Artery
3. Inferior Thyroid Artery
4. Superior Thyroid Artery

Answer: 3. Inferior Thyroid Artery

Question: 2. Superior parathyroids are found:

1. Above Inferior Thyroid Artery
2. Below Inferior Thyroid Artery
3. Above Superior Thyroid Artery
4. Below Superior Thyroid Artery

Answer: 1. Above Inferior Thyroid Artery

Question: 3. Following are true for primary hyperparathyroidism except:

1. Majority Are Due To A Single Adenoma
2. Majority Are Sporadic
3. Hypercalcaemia With Decreased Pth Levels Are Often Seen
4. Rarely It Can Be Due To Carcinoma Also

Answer: 3. Hypercalcaemia With Decreased Pth Levels Are Often Seen

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Question: 4. Following are true for inferior parathyroid glands
except:

1. Derived From 3rd Pharyngeal Pouch
2. It Is Inferior To Inferior Parathyroid Artery
3. It Is Superior To Inferior Parathyroid Artery
4. Inferior Parathyroids Are Less Constant In Position

Answer: 2. It Is Inferior To Inferior Parathyroid Artery

Question: 5. Following are functions of parathyroid gland except:

1. Activates Osteoclasts To Resorb Bone
2. Increased Calcium Reabsorption From Urine
3. Renal Activation Of Vitamin D
4. Decrease Renal Excretion Of Phosphate

Answer: 4. Decrease Renal Excretion Of Phosphate

Question: 6. Following is not the feature of primary hyperparathyroidism:

1. Hypercalcaemia
2. Most Common Manifestation Of Men Type I
3. Band Keratopathy In Cornea
4. Dystrophic Calcification

Answer: 4. Dystrophic Calcification

Parathyroid Glands

Question: 7. The best investigation of choice to localise parathyroid gland is:

1. ^99mTc-Labelled Sestamibi Scan
2. Ct Scan
3. Mri
4. Ultrasound

Answer: 1. ^99mTc-Labelled Sestamibi Scan

Question: 8. Which one of the following is not the site of inferior
parathyroid gland?

1. Thyrothymic Axis
2. Mediastinum
3. Within Carotid Sheath
4. Cricothyroid Articulation

Answer: 4. Cricothyroid Articulation

Question: 9. Following are true for parathyroid hyperplasia except:

1. It Affects All 4 Glands
2. It Is Not The Common Cause Of Hyperparathyroidism
3. Total Parathyroidectomy Is The Treatment Of Choice
4. Thymectomy Need Not Be Done

Answer: 4. Thymectomy Need Not Be Done

Question: 10. Which one of the following is the treatment of choice
for acute hypercalcaemic crisis?

1. Steroids
2. Diuretics
3. Vasopressors
4. Bisphosphonates

Answer: 4. Bisphosphonates

Question: 11. Which is the first drug to be used in the preoperative preparation of a patient with phaeochromocytoma?

1. Steroids
2. Noradrenaline
3. Propranolol
4. Phenylbenzamine

Answer: 4. Phenylbenzamine

Question: 12. Which one of these operative steps is done first in
excision of phaeochromocytoma?

1. Ligation Of Adrenal Vein
2. Ligation Of Inferior Phrenic Artery
3. Ligation Of Branch Of Renal Artery
4. Isolation From Kidney

Answer: 1. Ligation Of Adrenal Vein

Question: 13. A few landmarks for identification of ectopic sites
of phaeochromocytoma include following except:

1. Urinary Bladder
2. Along 5th Cranial Nerve
3. Organ Of Zuckerkandl
4. Superior Para-Aortic Region—Below The Diaphragm And Renal Poles

Answer: 2. Along 5th Cranial Nerve

Question: 14. Following are true for management of phaeochromocytoma except

1. Phenoxybenzamine Is Given Prior To Propranolol
2. Intra-Arterial Monitoring Is A Must
3. It Is Dangerous To Infuse Large Volumes Of Fluid After Ligation Of Adrenal Vein
4. Laparoscopic Resection Is The Gold Standard

Answer: 3. It Is Dangerous To Infuse Large Volumes Of Fluid After

Question: 15. Following are true for right adrenal gland except:

1. Right Adrenal Gland Drains Into Renal Vein
2. Right Adrenal Gland Is Partly Behind Inferior Vena Cava
3. Right Adrenal Gland Is Pyramidal In Shape
4. Right Adrenal Gland Is Anterolateral To The Right Crus

Answer: 1. Right Adrenal Gland Drains Into Renal Vein

Question: 16. The majority of the sporadic primary hyperparathyroidism is due to:

1. Hyperplasia
2. Adenoma
3. Carcinoma
4. Cystic Degeneration

Answer: 2. Adenoma

Question: 17. Severe bone disease due to primary hyperparathyroidism is called:

1. Sipple Syndrome
2. Werner Syndrome
3. Von Recklinghausen’S Disease
4. Paget’S Disease

Answer: 3. Von Recklinghausen’S Disease

Question: 18. Superior parathyroid gland can be found by:

1. Ligating The Middle Thyroid Vein And Dividing The Lobe
2. Ligating Inferior Thyroid Artery And Mobilising The Gland
3. Ligating Superior Thyroid Pedicle And Mobilising The Gland Anteriorly
4. Ligating Inferior Thyroid Veins And Diving Isthmus

Answer: 3. Ligating Superior Thyroid Pedicle And Mobilising The Gland Anteriorly

Question: 19. Following are locations of inferior parathyroid gland except:

1. Upper Horn Of Thymus
2. Within Carotid Sheath
3. Within Thyroid Lobe
4. Behind Superior Thyroid Pedicle

Answer: 4. Behind Superior Thyroid Pedicle

Question: 20. Following are causes of secondary hyperparathyroidism except: 

1. Malabsorption
2. Vitamin D-Deficient Rickets
3. Pseudohypoparathyroidism
4. Acute Renal Failure

Answer: 4. Acute Renal Failure

Question: 21. Parathyroids can be autotransplanted to:

1. Brachioradialis Muscle
2. Biceps
3. Coracobrachialis
4. Flexor Digitorum Superficialis

Answer: 1. Brachioradialis Muscle

Question: 22. Which of the following drugs is not used in treating acute hypercalcaemic crisis due to primary hyperparathyroidism (benign)?

1. Mithramycin
2. Bisphosphonates
3. Furosemide
4. Normal Saline

Answer: 1. Mithramyci