This quiz is just for fun. Test your diagnostic skills with the dermatological photos, then separate truth from fiction in the statements about myasthenia gravis and dizziness. Any of these statements below might be true… and any might be pulling your leg. Answers are below.

1. Lumps, bumps and lesions. Match these photos to the following conditions:

a) Chondrodermatitis
b) Incisional hernia
c) Ganglion cyst
d) Keloids
e) Parotitis
f) Popliteal cyst (Baker’s cyst)
g) Pyogenic granuloma
h) Sebaceous cyst
i) Xanthelasma

3. Myasthenia gravis: (true or false)

a) affects both men and women, but tends to strike women younger

b) is associated with an abnormal thyroid gland

c) can be inherited by neonates from their mothers

d) the commonest first symptom is ptosis (drooping eyelid)

e) is typically associated with reduced life expectancy

 

4. Dizziness: (true or false)

a) is likely to have a central cause (i.e. TIA, stroke) if accompanied by ataxia or diplopia

b) is likely to have a peripheral cause (i.e. inner ear) if accompanied by tinnitus or hearing impairment

c) is likely to have a peripheral cause if accompanied by vertical nystagmus

d) if due to benign positional vertigo, can often be cured outright in the office by a simple head-turning manoeuvre (the Epley manoeuvre)

e) patients should try to remain upright or nearly so for 24 hours after a successful Epley manoeuvre