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28 June 2012

MCQ 61

You arranged FNAC for patient in question 58. Showed degenerative colloid nodule with carcinomatous changes. You refer patient to Endocrine surgeon for review and further management. What is not true about Thyroid surgery from following?

  1. If there are pressure symptoms due to multinodulat goitre with a dominant nodule, total thyroidectomy is recommended choice
  2. In a patient with a thyroid nodule and Graves' disease, anaesthesia and surgery must be deferred until TSH has normalized
  3. If there is a definite diagnose of malignancy, hemithyroidectomy is appropriate
  4. The major risks of total thyroidecomy are hoarseness of the voice and permanent hypothyroidecomy
  5. Surgery should be done if there is clinical suspicion about malignancy or concern about growth of nodule even if investigations are unremarkable. 

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