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Question

Match List I with List II

List I (Clinical Features)List II (Diagnosis)
A. Osler's node 1. Patent ductus arteriosus witd reversal of shunt
B. Differential cyanosis2. Aortic stenosis witd aortic regurgitation
C. Bisferiens pulse3. Pulmonary hypertension
D. Graham Steell murmur 4. Subacute bacterial endocarditis

The correct answer is
A-4, B-1, C-2, D-3

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.

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