1. Photographic Quiz In Medicine-2
By Dr. Zahoor

2. Question 1
What is the diagnosis?

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

4. Question 2
What is the diagnosis?

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

6. Question 3
What is the diagnosis?

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

8. Question 4
What is the diagnosis?

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

10. Question 5
Name the physical sign.

11. Answers 5
Lupus pernio (Sarcoidosis)

12. Question 6
What is the diagnosis?

13. Answers 6
Vitiligo

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

15. Answers 7
Spider naevi
Cirrhosis of liver
Pregnancy

16. Question 8
1. What is the diagnosis?

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

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

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

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

21. Answers 10
Down’s syndrome – trisomy 21
ASD
VSD

22. Question 11
1. What is the diagnosis?

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

24. Question 12
What is the diagnosis?

25. Answers 12
Tension Pneumothorax

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

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

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

29. Answers 14
Thyriotoxicosis
T3, T4, TSH

30. Question 15
What is the diagnosis?

31. Answers 15
Hypothyroidism

32. Question 16
What is the diagnosis?

33. Answers 16
Angio oedema

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

35. Answers 17
Very tall female
Gigantism

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

37. Answers 18
Webbed neck
Turner Syndrome – 45xo

38. Question 19
What is the diagnosis?

39. Answers 19
Marfan Syndrome

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

41. Answer 20
H pylori
There is infiltration by mononuclear leukocytes

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

43. Answer 21
1. Lipohypertrophy

44. 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?

45. Answer 22
1. Pulmonary Tuberculosis

46. THANK YOU