Thyroid Status OSCE Examination Quiz

A 29-year-old woman has signs of an overactive thyroid: a fine tremor, warm hands, lid lag and a diffuse goitre. Her pulse is irregularly irregular. You have thanked her, made her comfortable, washed your hands and summarised that she appears clinically hyperthyroid with possible Graves' disease. Which further action is most directly indicated to complete the examination?

A young woman with features of an overactive thyroid has both eyes bulging forward and reports double vision when looking to the side. Which mechanism best explains these eye findings?

At the start of a thyroid examination, you observe a patient from the end of the bed. She is restless and fidgety, is dressed lightly despite a cool room, and reports recent weight loss despite a good appetite. Which mechanism best explains these findings?