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