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