Thyroid

Question 1

Thyroglossal cysts (2)

Answer 1

• Rises on swallow (but so does thyroid nodules)
• Move on protrusion of tongue

Question 2

Neck lump DDx (4)

Answer 2

• Goitre
• MNG
• Thyroglossal cyst
• LN

Question 3

Investigations (3)

Answer 3

• TFT, T3, T4
• Thyroid USS - ? lump is thyroid in origin, TIRADS score
• NM thyroid uptake scan

Question 4

Graves Exam (12)

Answer 4

• Flow murmur
• Pemberton’s sign
• Thyroid bruit
• Pretibial myxoedema
• Tremor
• Tachycardia (AF)
• Ophthalmoplegia
• Lid lad
• Proptosis
• Onycholysis
• Goitre
• Acropachy