Basic Physician Training MCQs
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Examination of the thyroid


  1. Wash hands
  2. Introduce yourself to the patient and thank them
  3. Position patient adequately
  4. Expose patient's chest by removing the hospital gown
  5. Place pillow underneath hands
  6. Examine nails
  7. Test for fine tremor by asking patient to bring hands up and then place a sheet of paper suspended on their hands
  8. Ask patient to turn hands over
  9. Palpate palms for diaphoresis and examine for palmar erythema
  10. Take pulse
  11. Note rhythm of pulse
  12. Test reflexes
  13. Check blood pressure
  14. Check for proximal myopathy
  15. Perform Pemberton's sign whilst looking into eyes and examining tongue
  16. Inspect eyes for lid retraction and from side for exopthalmos
  17. Check for chemosis of conjunctiva
  18. Check visual fields by confrontation
  19. Check for lid lag using the red hat pin
  20. Check for diplopia
  21. Observe neck from front
  22. Ask patient to swallow a sip of water and examine neck mass
  23. Palpate thyroid gland from behind
  24. Assess cervical, supraclavicular, tonsillar, submandibular lymphadenopathy
  25. Palpate from the front for a throid bruit
  26. Palpate for carotid pulse
  27. Auscultate for a thyroid bruit
  28. Check for tracheal deviation
  29. Percuss underneath the sternum for retrosternal extension
  30. Palpate and test strength of steromastoid muscles as malignant disease may infiltrate this muscle
  31. Percuss for pleural effusion
  32. Auscultate for pleural effusion
  33. Palpate legs for pretibial myxoedema
  34. Assess ankle reflexes
  35. If there is time assess for signs of heart failure
    1. JVP
    2. Note sand paper dry, rough skin of hypothyroidism
    3. apex beat
    4. auscultation​
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  • About
  • Written
    • Respiratory Medicine
    • Medical Oncology >
      • Colorectal Cancer
      • Lung Cancer
      • Urogenital Cancers
      • Emergencies
      • Melanoma
      • Breast
    • Haematology >
      • Anaemia
      • Coagulation
      • Malignancy
    • Cardiology >
      • General Cardiology
      • Coronary Artery Disease
      • Heart Failure
      • Valvular Heart Disease
      • Arrhythmia
    • Endocrinology >
      • General Endocrinology
      • Reproduction
      • Pituitary
      • Diabetes
    • Clinical Immunology
    • Clinical Toxicology
    • Genetics
    • Geriatrics
    • General Medicine
    • Statistics
    • Gastroenterology >
      • Pancreas
      • Inflammatory Bowel Disease
      • Oesophageal Diseases
      • Stomach and Small Intestine
      • Liver
    • Infectious Diseases >
      • Viruses
      • Bacteria
      • Parasites
      • Fungus
    • Neurology >
      • Anatomy
      • Nystagmus
      • Myopathies
      • Stroke
      • Neurodegenerative Disorders
      • Neuropathy
    • Nephrology >
      • Glomerulonephritis
      • General Nephrology
      • Chronic Kidney Disease
    • Psychiatry
    • Palliative Care
    • Pharmacology
    • Rheumatology >
      • Rheumatoid Arthritis
      • Connective Tissue Diseases
      • Spondyloarthropathies
      • Crystal Arthropathy
  • Clinical
    • Short Cases >
      • Haematology
      • Endocrine
      • Neurology
      • Rheumatology
      • Renal
      • Gastroenterology
      • Cardiology
      • Respiratory
    • Long Cases >
      • Addiction & Psychiatry
      • Cardiology
      • Endocrinology
      • Geriatrics
      • Gastroenterology
      • Renal
      • Haematology
      • Infectious Diseases
      • Oncology
      • Rheumatology
      • Respiratory
      • Neurology
      • Set pieces
  • Medical Students
  • Respiratory
    • Asthma >
      • Acute Exacerbation
    • COPD >
      • Exacerbations
    • Lung Cancer >
      • Targeted therapy
    • Tobacco
    • Questionnaires