Photographic Quiz In Medicine-2 By Dr. Zahoor

Question 1 What is the diagnosis?

Answers 1 Rheumatoid arthritis (Arthritis of proximal interphalangeal and metacarpal phalangeal joints and Vasculitis)

Question 2 What is the diagnosis?

Answers 2 Psoriasis (Distal interphalangeal joints are involved and there is nail pitting).

Question 3 What is the diagnosis?

Answers 3 Hypertensive retinopathy (narrowing of retinal arteries, arteriovenous nipping, flame shaped hemorrhages)

Question 4 What is the diagnosis?

Answers 4 Diabetic retinopathy (Dot and Blot hemorrhages and exudates)

Question 5 Name the physical sign.

Answers 5 Lupus pernio (Sarcoidosis)

Question 6 What is the diagnosis?

Answers 6 Vitiligo

Question 7 What are these lesions? Give one cause of this lesion.

Answers 7 Spider naevi Cirrhosis of liver Pregnancy

Question 8 1. What is the diagnosis?

Answers 8 Tendon xanthomas over the Achilles tendon. They occur in familial hypercholesterolemia.

Question 9 What is the physical sign? Give one condition, this sign is associated.

Answers 9 Pre-tibial myxoedema – red brown thickened skin Graves’ disease

Question 10 What is the diagnosis? Give one CVS associated abnormality.

Answers 10 Down’s syndrome – trisomy 21 ASD VSD

Question 11 1. What is the diagnosis?

Answer 11 Bronchiectasis Cluster of ring shadows in the right lower lobe

Question 12 What is the diagnosis?

Answers 12 Tension Pneumothorax

Question 13: What do you observe in this male patient? Give one cause.

Answers 13 Gynaecomastia Liver cirrhosis - Drugs – Spironolactone, Estrogen, Cemitidine

Question 14: What is the diagnosis? What test you will do to confirm the diagnosis?

Answers 14 Thyriotoxicosis T3, T4, TSH

Question 15 What is the diagnosis?

Answers 15 Hypothyroidism

Question 16 What is the diagnosis?

Answers 16 Angio oedema

Question 17 What do you observe in the picture? What is the cause?

Answers 17 Very tall female Gigantism

Question 18 What do you observe in the picture? What is the diagnosis?

Answers 18 Webbed neck Turner Syndrome – 45xo

Question 19 What is the diagnosis?

Answers 19 Marfan Syndrome

Question 20 1. What is seen in this gastric biopsy of a patient with peptic ulcer disease, H & E stained?

Answer 20 H pylori There is infiltration by mononuclear leukocytes

1. What this picture is showing ? This diabetic patient is using injection insulin in the abdomen. Question 21 1. What this picture is showing ?

Answer 21 1. Lipohypertrophy

1. What this X ray is showing? What is the diagnosis? Patient gave history of cough with sputum, fever, and hemoptysis Question 22 1. What this X ray is showing? What is the diagnosis?

Answer 22 1. Pulmonary Tuberculosis

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