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Dermatology · Leprosy: disability grading
Sample itemAccording to the WHO disability grading, which finding corresponds to grade 2 disability in the hand?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Visible deformity or damage such as claw hand or ulcer
Grade 0 means no impairment, grade 1 means loss of protective sensation, and grade 2 means visible deformity, damage or lagophthalmos. Grade 2 disability at diagnosis indicates delayed detection.
Option by option
A. Visible deformity or damage such as claw hand or ulcer (correct)
Correct. Visible deformity or damage is grade 2.
B. Mild thickening of a nerve only
Nerve thickening alone does not define a disability grade.
C. Normal hands with no sensory loss
Normal hands are grade 0.
D. Loss of sensation only
Loss of sensation alone is grade 1.
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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