Thursday, April 27, 2006

Pulmonology: Clubbing

1.Lovibond’s sign is:
a) Cyanosis
b) Clubbing
c) Edema
d) Crepitations

2. Angle beyond which you will say there is definite clubbing:
a) 160
b) 180
c) 200
d) 210

3. Pachydermatoperiosteitis (Congenital/Touraine solente gole syndrome) is known to spare:
a) Index finger
b) Thumb
c) Little finger
d) Big toe

4. Pseudoclubbing is seen in all except:
a) Hansens disease
b) Vinyl chloride workers
c) Hyperparathyroidism
d) Leukaemia
e) Mesothelioma

5. Which of the following is not a suspected cause for clubbing:
a) Neurogenic
b) PTH
c) PG
d) PDGEF
e) GH
f) Insulin
g) Hypoxia
h) Ferrirtin

6. Unilateral clubbing is seen n all except:
a) Hemiplegia
b) Pancoast syndrome
c) Brachial AV fistulas
d) PDA
e) Anuerysms of subclavian artery

7. In which finger does clubbing occurs first:
a) Index finger
b) Thumb
c) Bigtoe
d) Little finger

8.Unidigital clubbing is seen in:
a) Trauma
b) Gout
c) Sarcoidosis
d) All of the above

9. Acute clubbing is clubbing occurring in:
a) 1-7 days
b) 7-10 days
c) 10-14 days
d) 21-30 days

10. In Parrot beaking or Gr III clubbing there is :
a) Increase in both AP and Transverse diameter
b) Increase in AP diamter alone
c) Increase in transverse diameter alone
d) Whole distal phalanx is enlarged

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