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WorksheetsHead and Neck
Total questions: 3
Worksheet time: 5mins
A 67-year-old man presents with a painless mass of the face, just in front of his left ear. He first noticed this mass 8 months ago, and it has slightly grown in size since then. He is otherwise asymptomatic. Examination reveals a 2 cm non-tender, firm, mobile mass anterior and inferior to the tragus. What is the most appropriate next step in management?
CT scan of the head and neck
Flexible fiberoptic laryngoscopy
Sialography
Fine needle aspiration (FNA) biopsy
A 23-year-old woman presents with a history of neck mass she first noted 1 month ago. The mass is located low in her neck, just above her medial clavicle. The mass elevates when she swallows. Labs are drawn, and serum studies reveal a calcitonin level of 584 pg/mL (normal <10). You order an Ultrasound guided FNA biopsy. What is the most likely diagnosis?
Anaplastic thyroid carcinoma
Follicular thyroid carcinoma
Medullary thyroid carcinoma
Papillary thyroid carcinoma
A 72-year-old woman presents with a 1 year history of severe fatigue, myalgia, and bone pain. Labs are drawn, which demonstrate a serum calcium concentration of 14 mg/dL and urine calcium concentration of 400 mg/24 hours. What is the most likely diagnosis?
Hypercalcemia of malignancy
Milk alkali syndrome
Primary hyperparathyroidism
Sarcoidosis
