Thyroid Examination Quiz

When inspecting a neck mass, which finding suggests a thyroglossal cyst?

• Moves with swallowing

• Moves with tongue protrusion

• Pulsatile on palpation

• Associated with bruit

Pemberton's sign is performed to assess for:

• Thyroid bruit

• Retrosternal goiter

• Ophthalmoplegia

• Lid lag

Which maneuver is essential to palpate the thyroid isthmus?

• Ask the patient to tilt their head forward

• Identify the cricoid cartilage and slide fingers downward

• Percuss the supraclavicular fossa

• Auscultate with the bell of the stethoscope

A thyroid bruit suggests:

• Hypothyroidism

• Hyperthyroidism

• Thyroid cancer

• Thyroglossal cyst

A thrill over an enlarged thyroid lobe during palpation most strongly suggests:

• Thyroid lymphoma

• Graves' disease with hypervascularity

• Subacute thyroiditis

• Metastatic thyroid cancer

Case: A 45-year-old woman has a painless, fixed thyroid nodule that does not move with swallowing. The most likely diagnosis is:

• Lymphadenopathy

• Thyroid Cancer

• Submandibular gland enlargement

• Thyroglossal cyst

Case: A 30-year-old man presents with proptosis, lid retraction, and diplopia on upward gaze. The most likely diagnosis is:

• Hashimoto's thyroiditis

• Graves' disease

• Subacute thyroiditis

• Thyroglossal cyst

During thyroid palpation, failure to get below a mass suggests:

• Benign goiter

• Retrosternal extension

• Thyroglossal cyst

• Lymphadenopathy

Which finding is a red flag?

• Smooth, mobile nodule

• Associated bruit

• Hard, fixed nodule

• Retrosternal extension

When palpating the thyroid from behind, you should:

• Push the larynx toward the side you are examining

• Ask the patient to hold their breath

• Use the bell of the stethoscope

• Percuss the sternal notch