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