GMDC MOCK 2 34 ALL THE BEST THANK YOU Quiz 1 / 40 The risk of acute bilirubin encephalopathy in a newborn is increased with the use of Ampicillin Phenytoin Ceftriaxone Phenobarbitone Gentamycin 2 / 40 Which of the following diseases is caused by a virus? Histoplasmosis Diphtheria Lassa fever Amyloidosis Pneumocystis jirovecii pneumonia 3 / 40 A child with severe haemophilia A would have an abnormal Platelet count None of the above Blood film morphology Prothrombin time All of the above 4 / 40 Haemorrhagic cystitis is a recognized complication of Cyclophosphamide Adriamycin Methotrexate VIncristine Cisplatin 5 / 40 Which of the following drugs IS NOT used to inhibit premature labour? Magnesium sulfate. Indomethacin. Nifedipine. Ritodrine Phenobarbital. 6 / 40 What is wrong about vaginal hematoma after delivery? An incision on the site if pain is severe and hematoma enlarges Pressure dressing should be applied on the hematoma bed for 12-24 hours Observation if hematoma is small Mattress suturing the bed of hematoma Vulvar hematoma can occur after improper episiotomy repair 7 / 40 What is your management of a 32 years old woman G1P0, GA of 6 weeks with an empty gestational sac, no heart beat and empty uterus on Ultrasound? Laparotomy and salpingectomy and follow up Methotrexate and leukovorin Hysteroscopy Evacuation of the uterus by a specialist Methotrexate and folic acid and iron supplement 8 / 40 During a sharp curettage of an incomplete abortion, the uterine was perforated. What is the first step of management? Curettage should be continued by a specialist only Administration of antibiotic If there is no hemorrhage in the first 24 hours after operation, the patient can be discharged Curettage should be completed and patient should remain under observation Laparotomy 9 / 40 Which of the following would be most appropriate in the immediate management of a 10-month-old infant with diarrhea and severe dehydration Immediate intraosseous access for rehydration Intravenous Dextrose saline Oral rehydration solution if the child can drink Stat dose of broad spectrum intravenous antibiotics Intravenous Ringer's lactate 10 / 40 What is the diagnosis and treatment of a non-tender mass near the urethral opening in a 4 year old girl? Muluscum - analgesics and steroids Bartholin's gland abscess - gland excision Prolapse of the urethra - topical estrogen Skene gland abscess - antibiotic and evacuation Condylomata acuminate - TCA acid 11 / 40 In the diagnosis of minimal change nephrotic syndrome, the following tests would be useful except Doppler ultrasound of the lower limbs Liver function tests Fasting lipid profile Serum complement levels Urinalysis 12 / 40 In Preeclampsia all are correct EXCEPT: It is a significant cause of maternal mortality. Development of epigastric pain is a serious sign. Is more common with women with a first degree relative who has preeclampsia. Regular full blood count are helpful in monitoring the progress of the condition. The condition is more common in women who smoke cigarettes. 13 / 40 An innocent murmur is likely to be Non-radiating Associated with a thrill Loudest at the left sternal border Persistent into early adulthood Diastolic 14 / 40 A 33-year-old nulligravid woman with primary infertility comes for a follow-up examination. She has been unable to conceive for 5 years; analysis of her husband's semen showed normal sperm counts. Menses occur at regular 28-day intervals and last 5 to 6 days. She is asymptomatic except for severe dysmenorrhea. An endometrial biopsy specimen 5 days before menses shows secretory endometrium. Hysterosalpingography 6 months ago showed normal findings. Pelvic examination shows a normal vagina and cervix. Bimanual examination shows a normal-sized uterus and no palpable adnexal masses. Rectal examination is unremarkable. Which of the following is the most likely diagnosis? Tubal obstruction Male factor Anovulation Intrauterine synechiae Endometriosis 15 / 40 Which is true about placental abruption? There is no means to predict abruption Abruption occurs after placental delivery The chance of repeated abruption is twice Fetal assessment techniques can predict abruption with good precision The chance of repeated abruption is not different 16 / 40 In determining the Apgar score of a newborn, the following would be assessed except Skin colour Oxygen saturation Muscle tone Respiratory effort Response to stimulation 17 / 40 In the fetal circulation, the INCORRECT statement is: There are two umbilical veins and one umbilical artery. Prostaglandins maintain patency of ductus arteriosus. The inferior vena cava contains both oxygenated and deoxygenated blood. The ductus venous connects the umbilical vein with inferior vena cava. The blood is shifted from the right atrium to the left atrium via the foramen ovale. 18 / 40 A 9-month-old girl may Build a tower of four or more blocks Stand on tiptoe Know the names of items in a picture book Be afraid of strangers Have temper tantrums 19 / 40 The most likely finding in the initial stages of septic shock is Absent femoral pulses Abnormally low blood pressure Delayed capillary refill Tachypnoea Hyperpnoea 20 / 40 Acetaminophen-induced toxicity most commonly affects the Liver Kidneys Heart Lungs Bone marrow 21 / 40 The following are features of prematurity in a neonate except Flat areola Thick ear cartilage Abundant lanugo No creases on sole Empty scrotum 22 / 40 A 34-year-old G4P4 woman is immediately postpartum from delivery of a 4.0kg baby girl at 39 weeks' gestation. Time elapsed from the onset of labor to delivery of the placenta was 6 hours. Delivery was complicated by a second-degree perineal tear. Postpartum vital signs are within normal limits when the patient begins to hemorrhage vaginally. Estimated blood loss is 300 mL so far. Bimanual examination reveals a soft, enlarged, "boggy" uterus. Which of the following is the most appropriate first step in treatment? Speculum examination Oxytocin infusion Bimanual uterine massage Hysterectomy Ergot 23 / 40 The following diseases are associated with the Epstein Barr virus except Wilm's tumour Hodgkin's lymphoma Burkitt's lymhpoma Nasopharyngeal carcinoma Post-transplant lymphoproliferative disease 24 / 40 A pregnant woman G2P1, GA of 39 weeks has the chief complaint of vaginal spotting. There is no sign of abruption or previa by ultrasound. What is the best management? Blood transfusion is a must Tranexamic acid to control bleeding Termination of pregnancy Discharge home Observation 25 / 40 A 42-year-old woman comes to the physician because of increasingly heavy menstrual periods during the past 2 years. Menses occur at regular intervals and last 8 days with heavy flow during the first 3 days. She takes no medications. She is sexually active with one partner and uses a diaphragm consistently. Pelvic examination shows a uterus consistent in size with a 14- week gestation. Examination of an endometrial biopsy specimen obtained 5 days before her last menstrual period shows secretory endometrium. Which of the following is the most likely diagnosis? Endometrial polyps Anovulatory bleeding Pregnancy Leiomyomata uteri Endometritis 26 / 40 ECG changes associated with hypokalemia include Appearance of a U wave ST segment elevation Upright T wave Right axis deviation Shortened PR interval 27 / 40 Low birth weight is defined as Below -2 z-score for gestational age None of the above Below the 10th percentile for gestational age Below 2500g Below the average weight for the age and parity of the mother 28 / 40 A child born in Ghana in 2016 will routinely receive the following vaccinations except Rubella Pneumococcus Meningococcus Rotavirus Mumps 29 / 40 Which is not among pathophysiological changes of preeclampsia? Platelet dysfunction Reduction in prostacyclin Increased thromboxane A2 DIC Increased resistance to angiotensin 30 / 40 Clinical features of childhood acute lymphoblastic leukaemia include Gum hyperplasia Chloromas Bone pain Dental anarchy Proptosis 31 / 40 A low weight for height in a three-year-old child indicates Wasting Marasmus Kwashiorkor Underweight Stunting 32 / 40 A 19 year old woman is hospitalized for abdominal pain. Serum progesterone is 15ng/mL. Which is a true statement about her illness? Ectopic pregnancy and intrauterine pregnancy are ruled out Ectopic pregnancy and intrauterine pregnancy cannot be ruled out Ectopic can be ruled out by careful physical examination Ectopic pregnancy is ruled out Ectopic pregnancy risk is about 90% 33 / 40 A 30year old woman G3P2, gestational age of 35 weeks and BP of 190/110 is in seizure. What is the best way to control her seizure? MgSO4 Diazepam Phenytoin Phenobarbital Labetalol IV 34 / 40 A 2-year-old presents with a three day history of refusal to bear weight on the left leg. The temperature on admission is 39°C. Initial blood work shows Haemoglobin 9.6g/dl, WBC 15 x 109/l, platelets 470 x 109/L and ESR 60mm/hr. The most likely diagnosis is Fracture of the left femur None of the above Tuberculosis of the bone Septic arthritis of the left hip joint Multiple myeloma 35 / 40 A 20-year-old primigravida, 32 weeks gestation, presents with profuse vaginal bleeding with pain and tenderness per abdomen. The most probable diagnosis: Abruptio placenta. Uterine rupture. Vaginitis. Placenta praevia. Marginal sinus bleed. 36 / 40 This is false about diabetic ketoacidosis blood glucose is usually greater than 11.0 mmol/l ketonemia and ketonuria are characteristic blood ph is less than 7.3 serum bicarbonate level is more than 18mEq/l deep sighing respiration is present 37 / 40 The following are characteristics of simple febrile seizures Occur only once or twice in a twenty-four-hour period Last for thirty minutes or less Initially focal with secondary generalization Commonly caused by cerebral malaria Rate of epilepsy is higher than in the general population 38 / 40 Non-steroidal anti-inflammatory drugs are not generally used for long term tocolysis because they: Are associated with lactic acidosis. May cause premature closure of fetal ductus arteriosus. Produce marked hypertension. Are ineffective Are too expensive. 39 / 40 Contraindication to medical therapy (Methotrexate) in tubal pregnancy is Desire for future fertility. Size of the ectopic gestational sac is 3cm for less. No fetal heart motion on ultrasound. Absence of active bleeding. History of active hepatic and renal disease. 40 / 40 What is not a reason of oligohydramnios in a woman at gestational age of 35W2D with IUGR in pregnancy? Reduced fetal renal blood perfusion Severe preeclampsia may be a cause Reduced placental perfusion Reduced fetal urine Increased swallowing of the fetus due to asphyxia Your score isThe average score is 63% LinkedIn Facebook VKontakte 0%