Surgery Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 14 — Breast, Thyroid & Neck Lumps

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Question 01 • Single best answer

What is the best approach to a persistent discrete breast lump?

A. Reassurance based only on tenderness B. Assume cancer without evaluation C. Ignore it in younger patients D. Appropriate clinical, imaging and sampling assessment

Question 02 • Single best answer

A benign biopsy result conflicts with a highly suspicious breast examination. What is appropriate?

A. End all follow-up automatically B. Review the discordance with the specialist team C. Alter the examination record D. Assume pathology can never be limited

Question 03 • Single best answer

Which features influence breast cancer planning after diagnosis?

A. Histology, receptor status, extent and patient factors B. Only the size of the dressing C. Only the clinic day D. Only whether the lesion hurts

Question 04 • Single best answer

What does a thyroid function test primarily assess?

A. Complete structural malignancy risk B. Exact nodule histology C. Every cervical lymph node D. Hormonal function

Question 05 • Single best answer

Can thyroid malignancy occur with normal TSH?

A. Yes B. No, normal TSH excludes it C. Only if there is no nodule D. Never in adults

Question 06 • Single best answer

What helps guide thyroid nodule sampling decisions?

A. Shoe size B. Hair length C. Ultrasound risk features and the clinical pathway D. Pain score alone

Question 07 • Single best answer

Which neck-lump pattern warrants further evaluation?

A. Persistent progressive swelling with concerning associated symptoms B. A known resolving minor swelling with a review plan C. A normal symmetrical gland D. An unchanged superficial freckle

Question 08 • Single best answer

Why avoid unplanned excision of an unexplained neck mass?

A. It may complicate definitive diagnosis and treatment B. It always cures every malignancy C. It replaces all imaging D. It removes the need for consent

Question 09 • Single best answer

Rapid neck swelling and breathing difficulty after thyroid surgery suggest what urgent concern?

A. A routine harmless recovery feature B. Expanding hematoma threatening the airway C. A delayed cataract D. An isolated ankle sprain

Question 10 • Single best answer

Perioral tingling and muscle spasm after thyroid surgery may indicate what?

A. Hypocalcemia B. Isolated hypercholesterolemia C. A healed wound alone D. Normal calcium by definition

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