Q:

A patient presents with a lid lag, bulging eyes, opthalmoplegia and thyroid bruit. What investigation will you do?

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46. A patient presents with a lid lag, bulging eyes, opthalmoplegia and thyroid bruit. What

investigation will you do?


  1. TFT (thyroid function test)
  2. Eye sight
  3. Tensilon test
  4. US (ultrasound)
  5. FNAC (fine needle aspiration cytology)

All Answers

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The key is TFT. [Diagnosis is Grave’s disease. TFT should be done. Why not FNAC? Thyrotoxicosis is

benign and not malignant].

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