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