Neck Lumps/ Solitary Thyroid Nodule

Question 1

What are the borders of the anterior triangle?

Answer 1

Mandible
Sternocleidomastoid (medial border)
Midline

Question 2

Name the borders of the posterior triangle

Answer 2

Sternocleidomastoid
Trapezius
Clavicle

Question 3

Name 3 midline swellings

Answer 3

Thyroid
Thyroglossal duct
Dermoid cyst

Question 4

Name 3 anterior triangle swellings

Answer 4

Lymph nodes
Brachial cyst
Salivatory glands

Question 5

Name 2 posterior triangle swellings

Answer 5

Lymph nodes

Cystic Hygroma

Question 6

What is the main cause of neck lumps?

Answer 6

Lymph nodes

Question 7

What is cervical lymphadenopathy?

Answer 7

Swelling or disease of the lymph nodes

Question 8

3 causes of lymphadenopathy?

Answer 8

Infection
Malignancy
Haemotoogical i.e leukaemic/lymphoma

Question 9

What 2 investigations could you do for cervical lymphadenopathy

Answer 9

CXR

Fine Needle Aspiration

Question 10

What are the 2 types of thyroid nodule?

Answer 10

Solitary Thyroid Nodule

Multinodular Goitre

Question 11

Where do thyroglossal cysts form?

Answer 11

Anywhere along the thyroglossal duct

Question 12

True/ False

Thyroglossal cysts move with your tongue?

Answer 12

True

Question 13

Name the other midline swelling that isn’t your thyroid or a thyroglossal cyst?

Answer 13

Dermoid cyst

Question 14

Where are branchial cysts found?

Answer 14

Anterior triangle (upper part)

Question 15

Where are cystic hygromas found?

Answer 15

Posterior triangle

Question 16

When do the majority of cystic hygromas form?

Answer 16

First year

Question 17

Cystic Hygroma’s are transilluminate. What does that mean?

Answer 17

You can pass light through them to detect abnormalities

Question 18

Where should you not forget when thinking about neck nodules?

Answer 18

Salivatory glands!

Parotid and Submandibular

Question 19

What 3 investigations are useful when looking at a solitary thyroid nodule?

Answer 19

USS - Fine Needle Aspiration
TSH levels
Isotope scan