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