Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:

Correct Answer: D

Rationale: A mid-diastolic rumble at the lower left sternal border is characteristic of a large atrial septal defect (ASD) due to increased flow across the tricuspid valve.

Correct Answer: D

Rationale: Postauricular, occipital, and cervical lymphadenopathy are characteristic signs of rubella, often preceding the rash.

Correct Answer: D

Rationale: Around 48% of allergic rhinitis patients also have asthma, showing the strong link between the two conditions, as allergic inflammation can affect both the upper and lower airways.

Correct Answer: D

Rationale: The major objective of therapy in cystic fibrosis (CF) is to promote the removal of secretions from the lungs. Chest physiotherapy, which involves postural drainage, vibration, and percussion, has been the mainstay of treatment for CF patients. This technique helps loosen and clear mucus from the airways, reducing the risk of lung infections and improving respiratory function. Aerobic exercise is also effective in clearing the airways and is an essential part of the treatment plan for CF patients. While prophylactic antibiotics may be used for early signs of infection, they are not the most effective treatment for CF. Nebulized bronchodilators do not provide long-term benefits for CF patients. Heart-lung transplant may be considered for some CF patients, but it is not a suitable option for most individuals due to various limitations and availability issues. Therefore, the most effective treatment for cystic fibrosis is

Correct Answer: D

Rationale: Primary ciliary dyskinesia is associated with nasal polyps and recurrent respiratory infections.