Can I get a health certificate after being told that five items are unqualified in the physical examination?

You can't. Physical examination items of health certificate include blood routine, blood pressure, chest imaging examination, liver and kidney function, etc. If one item fails, you can't issue a health certificate. Therefore, it is impossible to obtain a health certificate if the five items are unqualified. The five tests of thyroid function include thyroxine, triiodothyronine, thyrotropin, free triiodothyronine and free thyroxine.