2026 Clinical Skills ENT and Neck Practice Test – Complete Prep

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Which structure is used as a landmark for assessing thyroid enlargement?

Thyroid cartilage

The thyroid cartilage serves as a pivotal landmark for assessing thyroid enlargement due to its anatomical relationship with the thyroid gland. Located in the anterior portion of the neck, the thyroid cartilage is positioned just above the thyroid gland itself. When examining a patient for signs of thyroid enlargement or goiter, clinicians can palpate the thyroid cartilage, which helps to determine the size and position of the thyroid gland relative to this structure.

In practical terms, when the thyroid is enlarged, it will often protrude superiorly from the level of the thyroid cartilage, making it an effective reference point. This anatomical landmark aids in both clinical assessment and surgical planning, as it gives a consistent point of reference for the location of the thyroid gland in relation to other surrounding structures in the neck.

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Clavicle

Hyoid bone

The base of the skull

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