Visual Diagnosis: Physical Examination Quiz!

1. Which one of the conditions below, is NOT a result of autoimmune disorder?

Option A is Malar rash, due to SLE. Option B is psoriasis. Option C is gottron papule due to Dermatomyositis. All of the above options are due to autoimmune disorder. However option D, Macroglossia, is due to excess of growth hormone.

Explanation

Option A is Malar rash, due to SLE. Option B is psoriasis. Option C is gottron papule due to Dermatomyositis. All of the above options are due to autoimmune disorder. However option D, Macroglossia, is due to excess of growth hormone.

2.

35 yo male presented with chest pain in the ED. His fingers look like above. What would be the suspicion of diagnosis?

Iron Deficiency Anemia

Subacute Bacterial Endocarditis

Pulmonary Embolism

Rheumatic Fever

It's splinter hemorrhage, found in Subacute Bacterial Endocarditis.

Explanation

It's splinter hemorrhage, found in Subacute Bacterial Endocarditis.

3.

A 24-year old female patient presents at the Outpatient Department with this hand. Which nerve is affected?

Median Nerve

Ulnar Nerve

Brachial Plexus

Radial Nerve

The feature above is wirst drop, found in patient with Radial Nerve palsy.

Explanation

The feature above is wirst drop, found in patient with Radial Nerve palsy.

4.

What is the diagnosis of this condition?

Mallet finger

Swan neck deformity

Bouchard nodes

Z-finger

The diagnosis is Mallet Finger, caused by injury of the extensor digitorum of the finger at the DIP. Treatment by using finger splint.

Explanation

The diagnosis is Mallet Finger, caused by injury of the extensor digitorum of the finger at the DIP. Treatment by using finger splint.

5. Which of the condition below is NOT a finding of Liver Cirrhosis?

Options B, C, and D are findings of Liver Cirrhosis. They are palmar erythema, spider nevie, and caput medusae. Option A is Necrobiosis Lipoidica, found in patient with Diabetes mellitus.

Explanation

Options B, C, and D are findings of Liver Cirrhosis. They are palmar erythema, spider nevie, and caput medusae. Option A is Necrobiosis Lipoidica, found in patient with Diabetes mellitus.

6.

Which statement below in association with the image above is NOT true ?

It is a birthmark in which swollen blood vessels create a reddish-purplish discoloration of the skin

Maybe found in Sturge-Weber Syndrome and Klippel-Trenaunay-Weber Syndrome

There is a rare risk of epilepsy or eye problem

A skin biopsy is needed to confirm the diagnosis

The above image is the Port WIne Stain. all the above statements are true, except that skin biopsy is rarely needed to confirm the diagnosis as visual diagnosis alone is enough.

Explanation

The above image is the Port WIne Stain. all the above statements are true, except that skin biopsy is rarely needed to confirm the diagnosis as visual diagnosis alone is enough.

7.

Which of the laboratories below affected the patient presented with this elbow?

Uric Acid

Calcium

Rheumatoid Factor

Cholesterol

The above image is Eruptive xanthoma found in patients with derangement of Lipid metabolism.

Explanation

The above image is Eruptive xanthoma found in patients with derangement of Lipid metabolism.

8.

60 yo female presented in the Emergency Department with the above findings. What is it?

Levido Reticularis

Erythema Ab Igne

Pityriasis alba

Vitiligo

The above image is Erythema ab Igne. Erythema ab igne (also known as hot water bottle rash, fire stains, laptop leg, and toasted skin syndrome refers to skin that is reddened due to long-term exposure to infrared radiation. The term is derived from Latin and means "redness from fire".

Explanation

The above image is Erythema ab Igne. Erythema ab igne (also known as hot water bottle rash, fire stains, laptop leg, and toasted skin syndrome refers to skin that is reddened due to long-term exposure to infrared radiation. The term is derived from Latin and means "redness from fire".

9.

The patient presented above will have other features below, EXCEPT :

Low Blood pressure

Hyperkalemia

Hyperglycemia

Hypercalcemia

The mouth presented above is a feature of Addison's disease. The other features are hypotension, hyperkalemia, hypercalcemia, and HYPOGLYCEMIA.

Explanation

The mouth presented above is a feature of Addison's disease. The other features are hypotension, hyperkalemia, hypercalcemia, and HYPOGLYCEMIA.

10.

70 yo male was presented at the Outpatient Department. Maneuver above was performed. What would be the suspected problem?

Retrosternal Goitre

Superior Vena Cava Syndrome

Carotid Stenosis

Congestive Heart Failure

Above maneuver is Pemberton signs, a test to be performed if patient has suspicion of Retrosternal goitre.

Explanation

Above maneuver is Pemberton signs, a test to be performed if patient has suspicion of Retrosternal goitre.