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

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

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

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

5. Answers 2
Thyriotoxicosis
T3, T4, TSH

6. Question 3
What is the diagnosis?

7. Answers 3
Hypothyroidism

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

9. Answers 4
Angio oedema

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

11. Answers 5
Very tall female
Gigantism

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

13. Answers 6
Webbed neck
Turner Syndrome – 45xo

14. Question 7
What is the diagnosis?

15. Answers 7
Marfan Syndrome

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

17. Answers 8
Left Fourth cranial nerve palsy

18. Question 9
Which cranial nerve palsy is shown?

19. Answers 9
Right 12th cranial nerve palsy

20. Question 10
Which cranial nerve palsy is shown?

21. Answers 10
Right 7th cranial nerve palsy

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

23. Answers 11
Right 3rd never palsy

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

25. Answers 12
Left 6th nerve palsy

26. Question 13
What is the diagnosis?

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

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

29. Answers 14
Myasthenia Gravis

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

31. Answers 15
Myopathy

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

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

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

35. Answers 17
Grandmal seizure (generalized)

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

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

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

39. Answers 19
Left side intracranial hemorrhage

40. Question 20
Read the ECG.
What is the diagnosis?

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

42. Question 21
Read the ECG.
What is the diagnosis?

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

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

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

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

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

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

49. Answers 24
Kaposi's Sarcoma

50. Thank you