1. By Dr. Zahoor 1

2. Question 1: 1.What do you observe in this male patient? 2.Give one cause. 2

3. Answers 1 1.Gynaecomastia 2.Liver cirrhosis - Drugs – Spironolactone, Estrogen, Cemitidine 3

4. Question 2: 1.What is the diagnosis? 2.What test you will do to confirm the diagnosis? 4

5. Answers 2 1.Thyriotoxicosis 2.T3, T4, TSH 5

6. Question 3 1.What is the diagnosis? 6

7. Answers 3 1.Hypothyroidism 7

8. Question 4 1.What is the diagnosis? 8

9. Answers 4 1.Angio oedema 9

10. Question 5 1.What do you observe in the picture? 2. What is the cause? 10

11. Answers 5 1. Very tall female 2.Gigantism 11

12. Question 6 1.What do you observe in the picture? 2.What is the diagnosis? 12

13. Answers 6 1.Webbed neck 2.Turner Syndrome – 45xo 13

14. Question 7 1.What is the diagnosis? 14

15. Answers 7 1.Marfan Syndrome 15

16. Question 8 1.Which cranial nerve palsy is shown? 16 Patient gives history of diplopia when she looks down.

17. Answers 8 1.Left Fourth cranial nerve palsy 17

18. Question 9 1.Which cranial nerve palsy is shown? 18

19. Answers 9 1. Right 12 th cranial nerve palsy 19

20. Question 10 1.Which cranial nerve palsy is shown? 20

21. Answers 10 1.Right 7 th cranial nerve palsy 21

22. Question 11 1.Which cranial nerve palsy is shown? 22 Patient is asked to look straight

23. Answers 11 1.Right 3 rd never palsy 23

24. Question 12 1.Which cranial nerve palsy is shown? 24 Patient is asked to look straight

25. Answers 12 1.Left 6 th nerve palsy 25

26. Question 13 1.What is the diagnosis? 26

27. Answers 13 1. Horner left eye (Ptosis, small pupil) 27

28. Question 14 1.What is the diagnosis? 28 Patient complains of diplopia when she is tired.

29. Answers 14 1.Myasthenia Gravis 29

30. Question 15 1.What is the diagnosis? 30 Patient expression looks like this all the time

31. Answers 15 1.Myopathy 31

32. Question 16 1.What do you observe? 2.Give one cause. 32

33. Answers 16 1.Wasting of small muscles of hand 2. Syringomylia - Motor neuron disease 33

34. Question 17 1.This is EEG of a patient who had seizure. What this EEG is showing? 34

35. Answers 17 1.Grandmal seizure (generalized) 35

36. Question 18 1.This is an EEG of a 10 year old boy. What it is showing? 36

37. Answers 18 1.Petitmal Epilepsy (spike and wave pattern) 37

38. Question 19 1.This patient presented with severe headache and right hemiplegia. What is seen in the CT? 38

39. Answers 19 1.Left side intracranial hemorrhage 39

40. Thank you 40