Match List I with List IIList I (Clinical Features) List II (Diagnosis) A. Osler's node 1. Patent ductus arteriosus witd reversal of shunt B. Differential cyanosis 2. Aortic stenosis witd aortic regurgitation C. Bisferiens pulse 3. Pulmonary hypertension D. Graham Steell murmur 4. Subacute bacterial endocarditis
Matching Clinical Features to Diagnoses
This solution details the matching of clinical features presented in List I with their corresponding diagnoses from List II, based on established medical knowledge.
Clinical Feature Diagnosis Matching
- A. Osler's node corresponds to 4. Subacute bacterial endocarditis. Osler's nodes are tender, erythematous, subcutaneous nodules found on the palms or soles, characteristic of infective endocarditis.
- B. Differential cyanosis corresponds to 1. Patent ductus arteriosus with reversal of shunt. This finding indicates cyanosis varying between the upper and lower extremities, often seen in conditions like PDA with pulmonary hypertension causing shunt reversal.
- C. Bisferiens pulse corresponds to 2. Aortic stenosis with aortic regurgitation. A bisferiens pulse, characterized by two systolic peaks, is typically associated with significant aortic valve disease.
- D. Graham Steell murmur corresponds to 3. Pulmonary hypertension. This high-pitched, early diastolic murmur is heard best at the left sternal border and signifies pulmonary regurgitation, usually secondary to severe pulmonary hypertension.
Final Match Summary
The correct pairings derived from the analysis are: 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?
