This episode provides a detailed step-by-step guide to performing an examination of the neck. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"
This episode provides a detailed step-by-step guide to performing an examination of the neck. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-763","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435755321\/ef8286309b","question1":"A thyroid bruit may be heard over a goitre in cases of hyperthyroidism.","answers1":"True | False","correctAnswer1":"0","correctAnswerText1":"A bruit may be heard over the thyroid gland in hyperthyroidism, although care should be taken to rule out radiation from another structure e.g. carotid artery, jugular vein.","question2":"Most parotid lumps are benign.","answers2":"True | False","correctAnswer2":"0","correctAnswerText2":"80% of parotid tumours are benign, and are most commonly pleomorphic adenomas. Other causes of parotid enlargement include mumps, salivary duct stone (sialolithiasis), bacterial parotitis and Sj\u00f6gren\u2019s syndrome.","question3":"Which one of the following does not usually cause gross cervical lymphadenopathy?","answers3":"Blocked submandibular gland duct | Tuberculosis | Non-Hodgkin\u2019s lymphoma | Mumps","correctAnswerText3":"TB, mumps and non-Hodgkin\u2019s lymphoma can all cause significant cervical lymphadenopathy. A blocked salivary gland duct commonly causes unilateral swelling of the salivary gland and pain worsened by eating.","correctAnswer3":"0","question4":"The majority of thyroid lumps are malignant.","answers4":"True | False","correctAnswer4":"1","correctAnswerText4":"Only around 5% of thyroid lumps are malignant. Benign causes include thyroid adenoma, thyroid cysts, thyroiditis and hyperplastic thyroid nodules.","question5":"A neck lump with a central punctum is likely to be a lipoma.","answers5":"True | False","correctAnswer5":"1","correctAnswerText5":"A central punctum normally indicates a sebaceous cyst. These are firm, round, mobile lumps of variable size, and may discharge cheese-like material. Lipomas tend to be larger and are softer in consistency.","question6":"The isthmus of the thyroid lies over the fourth or fifth tracheal ring in the midline of the neck.","answers6":"True | False","correctAnswer6":"1","correctAnswerText6":"The isthmus of the thyroid lies over the second or third tracheal ring.","question7":"What is the first line investigation for a midline neck lump?","answers7":"Ultrasound guided fine needle aspiration | Barium swallow| CT scan | Chest x-ray","correctAnswer7":"0","correctAnswerText7":"All of these investigations may be required at times for investigation of midline neck lumps. Ultrasound-guided fine needle aspiration is the gold standard first line investigation.","question8":"Cervical ribs are palpated in the supraclavicular fossa.","answers8":"True | False","correctAnswer8":"0","correctAnswerText8":"Patients with a cervical rib may develop thoracic outlet syndrome. Symptoms may include painless wasting of the hand muscles, paraesthesia, neck pain and headache.","question9":"Malignant cells are more likely to be found within a solitary thyroid nodule than within a multinodular goitre.","answers9":"True | False","correctAnswer9":"0","correctAnswerText9":"5-10% of solitary thyroid nodules prove to be malignant. The vast majority of multinodular thyroid goitre is benign disease.","question10":"A diagnosis of lymphoma is confirmed by fine needle aspiration.","answers10":"True | False","correctAnswer10":"1","correctAnswerText10":"A diagnosis of lymphoma requires an excision biopsy of an entire lymph node. This allows the pathologist to look for changes in the morphology of the lymph node specific to certain types of lymphoma.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"head","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/763"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=763"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/763\/revisions"}],"predecessor-version":[{"id":765,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/763\/revisions\/765"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=763"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=763"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=763"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}