Test yourself on this quiz on neck lumps! Be sure to read the stem carefully
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Approach to the patient with lump in the neck
Stem 1, question 1 of 4
Martha, a 26 year old female, presents to GP with lump in her neck. She also has noticed other lumps around her shoulders, chest and her genitals. She has no other symptoms or PMH of note.What is the most likely diagnosis?
Thyroglossal duct cyst
Stem 1, question 2 of 4
The GP performs an examination of the neck lump.What is the likely examination finding?
Located in the posterior triangle of the neck
Palpable mass in the midline
Mass moves superiorly with protrusion of the tongue
A moveable, dome shaped, smooth surface mass
Small, firm non tender masses
Stem 1, question 3 of 4
Later the GP sees another patient with a neck lump. Ethan, an 18month male, is brought in by his Father as they are concerned about a large lump in the posterior aspect of his neck. The Father reports occasionally hearing high pitched noises when Ethan breathes. The lump is soft, fluctuant and transilluminates.What is the underlying pathology of this neck lump?
Failure of duct obliteration creating a cavity
Malformation of the lymphatic system
Remanent of embryological cervical sinus
A form of vasculitis
Thyroid parenchymal expansion
Stem 1, question 4 of 4How can a cystic hygroma be managed? Select all that apply
Stem 2, question 1 of 3
Amy, a 17 year old female, presents to GP with 3 small, firm and non-tender lumps in her neck, two on the left, one of the right. She has no other symptoms but says last week she had a cold.What structure separates the anterior and posterior triangles of the neck?
Omohyoid superior belly
Stem 2, question 2 of 3What is the most likely cause of Amy's neck lumps?
Stem 2, question 3 of 3
6 months later, Amy returns with another lump in her neck. This lump is in the midline and moves when she swallow or sticks her tongue outWhat is the most likely diagnosis?
Thyroglossal duct cyst
Upper GI endoscopy
Hard and fixed lump
Cranial nerve palsies
Associated otalgia, dysphagia and stridor
Epistaxis and unilateral nasal congestion
Unexplained weight loss
The thyroid gland can cause neck lumps and is found in the visceral compartment of the neck.Which of the following structure(s) are also found in the visceral compartment of the neck? Select all that apply