1.
35 yo male presented with chest pain in the ED. His fingers look like above. What would be the suspicion of diagnosis?
Correct Answer
B. Subacute Bacterial Endocarditis
Explanation
It's splinter hemorrhage, found in Subacute Bacterial Endocarditis.
2.
What is the diagnosis of this condition?
Correct Answer
A. Mallet finger
Explanation
The diagnosis is Mallet Finger, caused by injury of the extensor digitorum of the finger at the DIP. Treatment by using finger splint.
3.
A 24-year old female patient presents at the Outpatient Department with this hand. Which nerve is affected?
Correct Answer
D. Radial Nerve
Explanation
The feature above is wirst drop, found in patient with Radial Nerve palsy.
4.
Which of the laboratories below affected the patient presented with this elbow?
Correct Answer
D. Cholesterol
Explanation
The above image is Eruptive xanthoma found in patients with derangement of Lipid metabolism.
5.
The patient presented above will have other features below, EXCEPT :
Correct Answer
C. Hyperglycemia
Explanation
The mouth presented above is a feature of Addison's disease. The other features are hypotension, hyperkalemia, hypercalcemia, and HYPOGLYCEMIA.
6.
60 yo female presented in the Emergency Department with the above findings. What is it?
Correct Answer
B. Erythema Ab Igne
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".
7.
Which statement below in association with the image above is NOT true ?
Correct Answer
D. A skin biopsy is needed to confirm the diagnosis
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.
8.
70 yo male was presented at the Outpatient Department. Maneuver above was performed. What would be the suspected problem?
Correct Answer
A. Retrosternal Goitre
Explanation
Above maneuver is Pemberton signs, a test to be performed if patient has suspicion of Retrosternal goitre.
9.
Which one of the conditions below, is NOT a result of autoimmune disorder?
Correct Answer
D.
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.
10.
Which of the condition below is NOT a finding of Liver Cirrhosis?
Correct Answer
A.
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.