The thyroid gland should:
a. be slightly left of midline.
b. have a clear vascular sound.
c. move when the patient swallows.
d. tug with each heartbeat.
C
It is a normal finding for the thyroid gland to move with swallowing; however, being off center may indicate a nodular growth or enlargement. The thyroid gland should not be slightly left of midline. Vascular sounds indicate hypermetabolic states such as hyperthyroidism, and a tug with each heartbeat is a sign of an aortic aneurysm.
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