One learner performs. One learner checks the key steps and gives feedback. Then swap roles. This is a practice aid, not an official mark scheme.
Candidate
FRCEM · Paired examination practice
Examine this patient for signs of thyroid disease. Summarise the findings and explain your working differential.
Suggested practice time: 5–7 minutes. This is a practice suggestion, not an official examination timing.
Examiner / observer
Tick the actions you observe. Discuss any step that was not needed for this examination; unchecked boxes are not a score.
Examiner / observer · 1 of 3
Preparation
Provide a chair or couch, stethoscope, tendon hammer and water for swallowing if appropriate. Use actual signs only; no neck lump or thyroid status is pre-assigned.
Examiner / observer · 2 of 3
History and first observations · Face and neck
Examiner / observer · 3 of 3
Completion · Finish
Do the findings suggest a thyroid state or a structural neck problem? Separates observed systemic signs from the description of any swelling and states an appropriate working differential. Chooses further tests according to the findings; does not infer a laboratory diagnosis from one sign.
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