Clubbing

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Questions and Answers

What is the angle between the nail and nail bed in a normal condition?

  • Less than 160 degrees (correct)
  • More than 160 degrees
  • Around 180 degrees
  • Exactly 160 degrees

At what stage of clubbing is there a parrot beak appearance of the nail or drumstick appearance of the digit?

  • Grade III (correct)
  • Grade I
  • Grade IV
  • Grade II

What is the characteristic feature of Grade IV clubbing?

  • Softening of nail bed
  • Swelling of fingers in all dimensions associated with hypertrophic pulmonary osteo-arthropathy (correct)
  • Parrot beak appearance of the nail
  • Loss of angle between the nail and nail bed

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Study Notes

Nail Clubbing

  • In a normal condition, the angle between the nail and nail bed is around 160°.

Stages of Clubbing

  • At an advanced stage of clubbing, the nail assumes a parrot beak appearance, also known as a drumstick appearance of the digit.

Grade IV Clubbing

  • The characteristic feature of Grade IV clubbing is the maximalclubbing with marked increase in the periosteal new bone formation.

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