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Dermatology · Nail disorders
Sample itemWhat does clubbing of the nails represent?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Bulbous enlargement of distal fingers with curved nails
Clubbing is enlargement of distal phalanges with increased nail curvature and can be associated with pulmonary, cardiac, gastrointestinal, or other systemic disease.
Option by option
A. A bruised nail after trauma
Trauma causes localized subungual haemorrhage.
B. Bulbous enlargement of distal fingers with curved nails (correct)
Correct: distal phalangeal enlargement defines clubbing.
C. A fungal infection limited to toenails
Fungal infection causes dystrophic nail changes, not clubbing.
D. A superficial white scale on the nail
Superficial scale does not create finger enlargement.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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