Photographic Quiz In Medicine-2 By Dr. Zahoor

Question 1: What do you observe in this male patient? Give one cause.

Answers 1 Gynaecomastia Liver cirrhosis - Drugs – Spironolactone, Estrogen, Cemitidine

Question 2: What is the diagnosis? What test you will do to confirm the diagnosis?

Answers 2 Thyriotoxicosis T3, T4, TSH

Question 3 What is the diagnosis?

Answers 3 Hypothyroidism

Question 4 What is the diagnosis? Patient has H/O taking drug penicillin

Answers 4 Angio oedema

Question 5 What do you observe in the picture? What is the cause?

Answers 5 Very tall female Gigantism

Question 6 What do you observe in the picture? What is the diagnosis?

Answers 6 Webbed neck Turner Syndrome – 45xo

Question 7 What is the diagnosis?

Answers 7 Marfan Syndrome

Which cranial nerve palsy is shown? Patient gives history of diplopia when she looks down. Question 8 Which cranial nerve palsy is shown?

Answers 8 Left Fourth cranial nerve palsy

Question 9 Which cranial nerve palsy is shown?

Answers 9 Right 12th cranial nerve palsy

Question 10 Which cranial nerve palsy is shown?

Answers 10 Right 7th cranial nerve palsy

Which cranial nerve palsy is shown? Patient is asked to look straight Question 11 Which cranial nerve palsy is shown?

Answers 11 Right 3rd never palsy

Which cranial nerve palsy is shown? Patient is asked to look straight Question 12 Which cranial nerve palsy is shown?

Answers 12 Left 6th nerve palsy

Question 13 What is the diagnosis?

Answers 13 Horner left eye (Ptosis, small pupil)

Question 14 What is the diagnosis? Patient complains of diplopia when she is tired. Question 14 What is the diagnosis?

Answers 14 Myasthenia Gravis

Question 15 What is the diagnosis? Patient expression looks like this all the time Question 15 What is the diagnosis?

Answers 15 Myopathy

Question 16 What do you observe? Give one cause.

Answers 16 Wasting of small muscles of hand Syringomylia - Motor neuron disease

Question 17 This is EEG of a patient who had seizure. What this EEG is showing?

Answers 17 Grandmal seizure (generalized)

Question 18 This is an EEG of a 10 year old boy. What it is showing?

Answers 18 Petitmal Epilepsy (spike and wave pattern)

Question 19 This patient presented with severe headache and right hemiplegia. What is seen in the CT?

Answers 19 Left side intracranial hemorrhage

Question 20 Read the ECG. What is the diagnosis?

Answers 20 There is A:V dissociation, heart rate is about 38/minute. 3rd degree heart block

Question 21 Read the ECG. What is the diagnosis?

Answers 21 There is prolongation of PR interval and then there is drop beat after 3rd impulse. 2nd degree heart block Mobitz type I

Question 22 This is X-ray skull lateral view. Patient had hypercalcemia. What is the diagnosis?

Answers 22 X-ray skull, showing lytic lesions “punched out lesions” Diagnosis: Multiple myeloma -Secondaries in skull

Question 23 This is X-ray skull lateral view, patient had hypercalcemia What is the diagnosis?

Answers 23 X-ray skull, showing reduced mineralization “salt and pepper” appearance Diagnosis: Hyperparathyrodism

Question 24 Patient had HIV infection, he presented with skin lesions. What is the diagnosis?

Answers 24 Kaposi's Sarcoma

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