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