IR - Fine Needle Aspiration Biopsy (Thyroid)

Question 1

It is a butterfly-shaped organ located in the base of the neck which releases hormones that control metabolism

Answer 1

Thyroid Gland

Question 2

The Thyroid Gland is about _______ long and lies in ____ of the throat below the prominence of the thyroid cartilage

Answer 2

1. 2 Inches
2. Front

Question 2

FNAB is commonly associated with the use of which imaging modality ______

Answer 2

Ultrasound

Question 2

It is a process where the food you take into your body is transformed into energy.

Answer 2

Metabolism

Question 2

The prominence of the Thyroid Cartilage is sometimes called the _______

Answer 2

Adam’s Apple

Question 3

A general term for a medical condition that keeps the thyroid from making the right number of hormones

Answer 3

Thyroid Disease

Question 3

This pertains to the condition wherein the thyroid deficiently makes less thyroid hormones

Answer 3

Hypothyroidism

Question 4

This pertains to the condition wherein the thyroid makes too much thyroid hormone and the body uses energy too quickly.

Answer 4

Hyperthyroidism

Question 5

It is a test wherein samples from a small amount of tissue from the thyroid is excised with a very thin or fine needle for evaluation.

Answer 5

Fine Needle Aspiration

Question 6

The most common reason for people to have thyroid FNA is to ___________

Answer 6

Find out the Cause of a Thyroid Lump

Question 7

A Thyroid Lump is simply called as a ______

Answer 7

Nodule

Question 8

The most common tests that show thyroid nodules are (3):

Answer 8

1. Ultrasound of the Neck
2. Computed Tomography (CT) Scanning that Includes the Neck or PET CT Scanning of the whole body
3. Nuclear Medicine Scanning of the Thyroid

Question 9

How does a patient prepare for a Thyroid FNAB (3 Steps):

Answer 9

1. Blood Test
2. Stop Medication for Blood Thinning
3. Advise the Patient to Bring Previous Scan or Images

Question 10

The ultrasound will be carried out by a _______ or _____ or a _______

Answer 10

1. Ultrasonographer
2. Sonographer
3. Radiologist

Question 11

An _____ may be put on the neck to help reduce swelling and bleeding

Answer 11

Ice Pack

Question 12

TRUE OR FALSE

It is common to have some pain, swelling, and even a little bruise where the needle was inserted into the neck.

Answer 12

TRUE

Question 13

What are the two simple pain medications available from the pharmacy to relieve FNAB pain ?

Answer 13

1. Panadol
2. Panadeine

(PP)

Question 14

Pain and swelling after Thyroid FNAB should be minimal after _______

Answer 14

48 Hours

Question 15

TRUE OR FALSE

It is common to have any change in the voice,
severe pain, general neck swelling, or difficulty breathing or swallowing after a thyroid FNAB

Answer 15

FALSE

It is UNCOMMON to have any change in the voice, severe pain, general neck swelling, or difficulty breathing or swallowing after a thyroid FNAB.

Question 16

The most common risk of a Thyroid FNAB is an ________, even after the tissue sample is looked at thoroughly by the pathologist.

Answer 16

Uncertain Diagnosis

Question 17

Uncertain Diagnosis risk happens up to _____ of the time

Answer 17

20 %

Question 17

This risk happens to approximately 1 in 10 people, and generally produces some local pain, tenderness, and a lump.

Answer 17

Bleeding at the site of the FNAB

Question 17

This medication is generally sufficient to help ease the pain and it settles with the swelling over a few days.

Answer 17

Paracetamol

Question 18

What are the two (2) common reasonable risks of Thyroid FNAB ?

Answer 18

1. Uncertain Diagnosis
2. Bleeding at the Site of the FNAB

Question 19

TRUE OR FALSE FNAB is a high-risk procedure that can be carried out an otherwise healthy person in a short time as a day procedure.

Answer 19

FALSE FNAB is a LOW-RISK procedure that can be carried out an otherwise healthy person in a short time as a day procedure.

Question 20

Name three (3) suspicious ultrasound features that can be precursor to a Thyroid Nodule/CA.

Answer 20

1. Irregular Shape/Borders 2. Presence of Microcalcifications 3. Increased Blood Flow

Question 21

Nodules sized _______ are precursor and serve as an indication for Thyroid FNAB

Answer 21

More than 1 cm

Question 21

Hypothyroidism is also known as ________whereas Hyperthyroidism is also known as _______

Answer 21

Hypothyroidism = Underactive Thyroid Hyperthyroidism = Overactive Thyroid

Question 22

The Thyroid FNAB procedure only takes approximately ____ - ____

Answer 22

10-15 Minutes

Question 23

The Thyroid is capable of producing hormones, namely ______ and _____

Answer 23

T3 and T4