Question

the normal thyroid gland should: have a nodular consistency upon palpation have a bruit when auscultated move when the patient swallows tug with each heartbeat question 14 (mandatory) (2 points) listen which of the following conditions is most likely to occur bilaterally? serous otitis media referred otalgia otitis externa acute otitis media

Explanation:

• The thyroid gland is attached to the trachea by the pretracheal fascia and moves with swallowing. A normal thyroid gland should move when the patient swallows. A nodular consistency (could indicate a thyroid nodule), a bruit (suggests increased vascularity like in hyperthyroidism), and tugging with each heartbeat (carotid artery pulsation confusion, thyroid doesn't do this) are abnormal.
• Serous otitis media (glue ear) often occurs bilaterally as it can be due to eustachian tube dysfunction which can affect both ears (e.g., in children with adenoid hypertrophy affecting both sides' eustachian tube openings). Referred otalgia (ear pain from another source) is usually unilateral based on the source. Otitis externa (swimmer's ear) is typically unilateral as it's an external ear canal infection often from local trauma (e.g., scratching one ear). Acute otitis media can be unilateral or bilateral but serous is more commonly bilateral in certain etiologies.

Answer:

• For the thyroid gland question: C. move when the patient swallows
• For the otitis question: A. Serous otitis media