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