Physical Exam of the Thyroid gland Flashcards
Which of the following muscles might need to be retracted to palpate the thyroid lobes? A. sternohyoid B. sternothyroid C. thyrohyoid D. sternocleidomastoid
D.
Which of the following PE findings is compatible with hyperthyroidism? A. BMI of 17.4 B. thinning of lateral eyebrows C. body temp. of 35.2 degrees celsius D. dry skin
A.
Which of the following PE findings is compatible with hypothyroidism? A. pulse pressure of 60 mmHg B. moist, velvety skin C. hung-up deep tendon reflex D.presence of thyroid bruit
C.
What are the hormones secreted by the thyroid gland?
triiodothyronine (T3), tetraiodothyronine (T4)
What are the symptoms of a patient with thyrotoxicosis?
heat intolerance, weakness, shortness of breath, dysphagia, nervousness, weight loss, hair changes
A hung-up deep tendon reflex can usually be observed in a patient with hypothyroidism. (T/F)
T
What is “Hamburger Thyrotoxicosis”?
abnormal elevation of thyroid hormones observed in people who frequently ate beef which included the thyroid glands of cows
What is the difference between a sign and a symptom?
symptom - subjective manifestation of a disease described by the patient
sign - physical manifestation of a disease observed during a physical examination
Is heavy menstrual bleeding is associated with hyperthyroidism or hypothyroidism?
hypothyroidism
A patient with wide pulse pressure most likely has hypothyroidism. (T/F)
F
Which of the following is not included in the thyroid physical exam? A. inspection B. palpation C. percussion D. auscultation
C.
What is lagopthalmos?
inability to completely close the eyelids
What should be the position of the patient during the anterior approach of inspection?
seated or standing in a comfortable position with the neck in a neutral position or slightly extended
What is goiter?
any visible enlargement of the thyroid gland
What should be the position of the patient during the anterior approach of inspection?
seated or standing in a comfortable position with the neck in a neutral position or slightly extended
What should be observed during the lateral approach of inspection?
contour from the cricoid cartilage to the suprasternal notch (normally should be straight and smooth)
What should be the position of the patient’s neck during the anterior approach of palpation?
slightly flexed forward to relax the SCM
Is heavy menstrual bleeding is associated with hyperthyroidism or hypothyroidism?
hypothyroidism
What is the general consistency of the thyroid in Graves’ disease upon palpation?
soft and doughy
Based on the WHO revised classification of Goiter, a thyroid gland that is palpable but not visible when the neck is in the normal position is given what grade?
Grade 1
What is Plummer’s disease?
multinodular toxic goiter with symptoms of hyperthyroidism
Is Hashimoto’s thyroiditis characterized as solitary, multinodular, or diffuse?
can be any of the above
