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