Question

Match List I (Respiratory sign) with List II (Clinical condition) and select the correct answer using the codes given below the Lists:
List I (Respiratory sign)
A. Localized wheeze
B. Shifting dullness
C. Ellis curve
D. Intercostal tenderness
List II (Clinical condition)
1. Pleural effusion
2. Empyema
3. Hydropneumothorax
4. Bronchial tumour

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

Hint:

Match each classical chest sign to its single best known clinical association.

Answer 1

The Correct Option is B

This question tests the classical clinical association of four chest examination signs.

1. Localized wheeze: A wheeze confined to one area suggests a local airway narrowing, classically from a bronchial tumour.
2. Shifting dullness: A dullness level on percussion that shifts with position change happens when air and fluid coexist in the pleural space, as in hydropneumothorax.
3. Ellis curve: This curved line of dullness, higher in the axilla, is the classic sign of a pleural effusion.
4. Intercostal tenderness: Tenderness over the intercostal spaces from underlying pus points to an empyema.

Putting these together gives A-4, B-3, C-1, D-2.

Let's summarize:

• Each chest sign here has one specific classical disease association.
• Localized wheeze-tumour, shifting dullness-hydropneumothorax, Ellis curve-effusion, intercostal tenderness-empyema.

So the correct match is A-4, B-3, C-1, D-2.