Test your Clinical Acumen -8

(1)A patient of hiccough is there in the medical ward he has smell of ammonia in his breath

(2) You have been shown an x-ray in which there is sunrays appearance and codman's triangle.

(3) You have been shown an x-ray chest P.A view of a patient of chronic bronchitis of an old man in which there is a coin like opacity in the left apex .

(4) There is a sinus on the tibia and the skin of the sinus is adhered to the bone

(5) You have been shown an x-ray. There is a cyst like cavity in the metaphysis of the bone the margin of the cavity is densely sclerosed .

Test your Clinical Acumen -7

1) You have been shown an X-ray of hip joint. There is haziness in the Babecocks triangle.what is your diagnosis?

2)You have been shown an X-ray of tibia of a boy of twelve years.There is rarefication of bone with subperiosteal deposits of bone longitudinally likened an onion.

3)what is the disease where there is neurolipomatosis?

4) what is proud flesh and what does it indicate?

5) A patient has  a swelling on the back likened an abscess but the swelling is not tender and the periphery feels wooden. Local temperature is doubtful.

Test your clinical acumen -6

1) A lady patient of  twenty seven came with complaints of pain in her left breast. She gives the history of ulcer breast some months ago.On examination of the breast every thing is okay. On auscultation of her heart accentuation of first heart sound with diastolic murmur. On enquiry she gives the history of palpitation and repeated epistaxis.
2) A lady patient of thirty has come with punched out and painless ulcer on the upper lip.
3) A child of fifteen has come with a painful ulcer margin of which is undermined.
4) A lady patient of fifty has an ulcer on lower lip whose margin is raised and everted.
5) A patient has ulcer on the left maxillary prominence whose margin is raised and beaded.

Test your clinical acumen-5

(1) A patient of forty has a lump in abdomen . The consistency of the lump is variable .
(2) A patient has a swelling which Pitts on pressure associated with brawny induration  .
(3) What is the test known as when a small, solid swelling feels firmer at the centre than the periphery and a small cystic swelling feels softer at the centre than in the periphery .
(4) A patient has multiple painful lipoma . What is this condition known as and which disease is associated with it ?
(5) A patient has multiple neurofibroma with patchy pigmentation of skin . What is this condition known as?

Test your clinical acumen -4

1) A patient has come with bagginess under eyes,dryness of skin and hoarseness of voice.
2) A patient has come with bagginess under eyes, frequency and disurea.
3) A patient has come with anasarca. He has raised blood pressure and microscopical haematuria.
4) In children cellulitis occurring near a joint signifies what disease?
5) A patient having cellulitis has developed throbbing pain. What does it indicate?
6) A patient has come with parotitis.,there is brawny  induration but no fluctuations.
7) A patient of pyemic abscess is having rigor and profound sweating. Now he has developed severe headache, vomiting and became comatosed.
8) A hard,painless lump  was present in the breast of a female aged forty years. Now pain has developed on the painless growth.

Test your clinical acumen-3

1) The tumour has become fixed and irregular involving the skin and neighbouring tissue.
2) A patient of old parotid tumour has come with facial nerve palsy.
3) A patient has come with a tumour with variable in consistency.
4) A patient has come with a tumour. He gives history that the size of the tumour reduces in size at times.
5) A patient has a swelling beside the sternum which is hard and yielding in nature.
6) A patient has come with a swelling in the breast . She has a stony hard gland in the axilla.
7) A patient has enlarged lymph gland in the neck. He has evening rise of temperature.
8) A patient has come with a bulldog jaw,heavy features and spade like fingers.

Test your clinical acumen -2

1) Pitting on pressure associated with browny induration.
2) which are the swellings which are translucent.
3) A patient was diagnosed sarcoma but his regional lymph nodes are enlarged and tender.
4) A patient was diagnosed sarcoma but he has hectic fever and leucocytosis.
5) A patient has come with a swelling with fixity, local heat, indefined margin and raised body temperature. His biopsy report goes in favour of malignancy. Do you think the report is correct?
6) A patient has come with a static and painless growth.Now pain has developed in the painless and static growth.
7) The size of the growth has increased very recently in a long static growth.
8) Local rise of temperature and presence of subcutaneous veins over the long static growth.