Match List I with List II and select the correct answer using the code given below the lists:
List I (Clinical features) List II (Diagnosis) A. Osler's node 1. Patent ductus arteriosus with reversal of shunt B. Differential cyanosis 2. Aortic stenosis with aortic regurgitation C. Bisferiens pulse 3. Pulmonary hypertension D. Graham Steel murmur 4. Subacute bacterial endocarditis
A-4, B-1, C-2, D-3
Matching Clinical Features to Diagnoses
This question requires matching specific clinical signs (List I) with their corresponding diagnoses (List II) in cardiology.
- A. Osler's node is matched with 4. Subacute bacterial endocarditis. Osler's nodes are tender, palpable nodules on the pads of the fingers or toes that are characteristic of infective endocarditis.
- B. Differential cyanosis is matched with 1. Patent ductus arteriosus with reversal of shunt. This occurs when deoxygenated blood shunts from the pulmonary artery to the aorta distal to the left subclavian artery, causing cyanosis in the lower extremities only.
- C. Bisferiens pulse is matched with 2. Aortic stenosis with aortic regurgitation. This pulse is characterized by two distinct systolic peaks per cardiac cycle and is commonly associated with significant aortic valve disease.
- D. Graham Steel murmur is matched with 3. Pulmonary hypertension. This is a high-pitched, early diastolic murmur caused by functional pulmonic regurgitation secondary to severe pulmonary hypertension.
Correct Code Selection
Based on the established matches (A-4, B-1, C-2, D-3), the correct code is A/4 B/1 C/2 D/3.
Important Questions from General Clinical Conditions
- The height of the Jugular Venous Pulse is determined by :
- The SA node is situated at the junction of:
- Reverse splitting of second heart sound is most commonly seen in :
- A 70-year-old man with dyspnoea on exertion has been found to have a single second heart sound and a loud diamond-shaped, rough quality systolic murmur best heard at the right $2^{nd}$ intercostal space, radiating to the right carotid artery. Which one of the following is the likely diagnosis ?
Consider the following statements with regard to pulmonary embolism :
1. Unexplained breathlessness is the most common symptom.
2. When congestive heart failure or pneumonia fail to improve despite standard medical treatment, occult pulmonary embolism should be considered.
3. Patients with high clinical likelihood of venous thromboembolism should first undergo D-dimer testing alone without obligatory imaging tests.
Which of the statements given above are correct?
