Question

Match List I (Clinical signs) with List II (Clinical description) and select the correct answer using the codes given below the lists.

List I (Clinical signs)	List II (Clinical description)
A. Balance's sign	1. Supraclavicular node in visceral malignancy
B. Kehr's sign	2. Referred pain in left shoulder in splenic trauma
C. Cullen's sign	3. Shifting dullness in flanks in splenic trauma
D. Trosier's sign	4. Periumbilical discoloration in acute pancreatitis

• A. A-3, B-2, C-1, D-4
• B. A-2, B-3, C-4, D-1
• C. A-2, B-3, C-1, D-4
• D. A-3, B-2, C-4, D-1

Hint:

Kehr's sign is shoulder pain, Cullen's sign is a belly button bruise, and Trosier's sign is a neck node from a hidden cancer.

Answer 1

The Correct Option is D

This question is a straight recall of four named clinical signs used in surgery, then asks for the code that pairs each sign with its correct description.

1. Balance's sign: A fixed area of dullness in the left flank from a clotted blood collection around a damaged spleen, so it pairs with the flank finding, item 3.
2. Kehr's sign: Shoulder tip pain from diaphragmatic irritation when the spleen bleeds, so it pairs with the shoulder pain description, item 2.
3. Cullen's sign: A bruise like discoloration around the navel from blood tracking under the skin, seen in severe pancreatitis, so it pairs with item 4.
4. Trosier's sign: A hard node above the collar bone that warns of an internal cancer, so it pairs with item 1.

Putting these four pairs together gives A-3, B-2, C-4, D-1, which is exactly code (d).

Let's summarize:

• Kehr's sign and Balance's sign both come from splenic trauma, but one is shoulder pain and the other is flank dullness.
• Cullen's sign is a skin sign of internal bleeding, while Trosier's sign points to malignancy, not trauma.

So the matching code that fits is (d), A-3, B-2, C-4, D-1.