Condition what result of picture come up, what key press to do (CTR + ...)

I have a computer app is running with the result come up every 42-47 seconds. the result showing pictures of item (Carrot, Corn,...) as show on the picture. Need an small app to count the new result come out and make what key presses to do (mainly is the make another auto clicker to pick what to bet in the actual game on the desktop screen. new result pop up at the left and push all the rest to the right.