GMDC MOCK 3

The second stage of labour involves:

Squamous cell carcinoma of the anus:

A 20 year old man has a tense, fluctuant, non-tender, ovoid, swelling without a cough impulse in the left groin which moves with traction on the testis. What is the most likely diagnosis?

For adequate and stable haemostasis the following should obtain:

The most common route of primary infection with Mycobacterium Tuberculosis is:

A man of 40 complains of epigastric discomfort, progressive weight loss, anorexia malaise and intermittent pyrexia of 6 weeks duration. He looks ill, anaemic but not jaundiced and has a tender palpable liver; free fluid is detectable in the abdomen. The most likely clinical diagnosis is

Antenatal booking investigations include all of the following, EXCEPT:

In a vertex presentation, the position is determined by the relationship of what fetal part to the Mother's pelvis:

The management of retroexposed babies include

Twenty-four hours after partial gastrectomy, a 50 year old man has passed only 200mls of urine; catherization yield a further 100m of urine. Your provisional diagnosis is:

A child of four presents with shortness of breath on exertion, dyspnoea after meals and failure to thrive. On examination cyanosis is evident soon after exertion and the (L) side of the chest is tympanitic. Plain x-ray of the chest shows a cystic shadow in the left hemithorax. The most likely diagnosis is:

Molding of the fetal head:

These are gross motor skills except

The heart rate of a normal fetus at term is:

These are chronic complications associated with sickle cell disease except

All these conditions cause conjugated hyperbilirubinemia in newborns except

The features listed below may be associated with migraine headache EXCEPT

Which of the following patients should you prescribe aspirin if there is no contraindication. Select the MOST appropriate

Concerning febrile seizures

Which of the following is not part of the criteria considered for CURB 65 used to determine the severity of community pneumonia.

Neonatal resuscitation

Cause of neonatal seizures include the following except

The commonest site for carcinoma of the tongue is the:

A 16 year old boy from a deprived area of Accra who is undergoing treatment for pulmonary TB reports that his urine has become 'bloody'. Which one of the following is the MOST likely diagnosis?

About severe acute malnutrition (SAM).

Rupture of membranes is suspected with all of the followings EXCEPT:

A bloody nipple discharge in a 35 year old West African is most likely to be caused by:

Cause of ptosis include the following except

For a 75 year old man with a single rib fracture as the sole injury in a Road Traffic Accident the best treatment is:

This is not a cause of hypoglycaemia in newborns

A 31 year old drug addict who uses intravenous drugs presents to your clinic with a 4 day history fever with temperatures in tween 38.5 and 40 degree Celsius, chills,sweats. headaches progressive weakness, dypsnoea and cough.Examination confirms high fever, pulse rate of 116 beats per minute, newly diagnosed pansystolic murmur. Fine crepitations were heard at the lung bases. The eyes had a lemon yellow tinge and there were macular rash in the palms. What is the MOST likely diagnosis?

Regarding Hyperemesis gravidarum, which one of the following items is TRUE?

Causes of macrocephaly include the following except

Adverse effects of corticosteroids include all EXCEPT

The last menstrual period was June 20th. The expected date of delivery (EDD) is approximately:

A 27 year old man who is in good health has a persistently raised blood pressure of between 145/92 mmHg and 149/92 both at the poly clinic and in the home for 6 months. What will be the MOST appropriate management ?

The pelvis includes which of the following bones:

The risk of postpartum uterine atony is associated with:

Stroke due involving the right middle cerebral artery pathology in most people usually causes the symptoms and signs below EXCEPT

Which of the following is NOT a characteristic of normal labour:

A71 year old man present with rapidly developing fever, cough productive of rust-clouded sputum which grew gram positive diplococci. His chest X-ray show lobar consolidation. He responds to treatment with amoxicillin . Which is the MOST likely organism for her infection?

The following statement are all TRUE about vomiting in pregnancy, EXCEPT:

A 40 year old woman complains of difficulty in swallowing for 3 months. During the interview, it was observed that she has difficulty in speaking after a few sentences. She also has drooping of the eyelids. She is most likely suffering from:

The following are associated with oral candidiasis except;

These are causes of acute stridor except

An ectopic pregnancy:

All these conditions cause hypokalemia in children except

In normal pregnancy, the value of ß-hCG doubles every:

The following are causes of spastic paraparesis except;

The relationship of the long axis of the fetus to the long axis of the mother is called:

Which one of the drugs or measures do not worsen uraemia?

Facial features of fetal alcohol syndrome include the following except

In burns:

Which of the underlisted factors has been shown by critical analysis to be the most important influence on the genesis of Surgical Site Infection (SSI)

Which of the of the following is a LEAST likely presentations of myocardial infarction ?

In bronchiolitis, all these are true except

You are called to see a 67 year old man 30 hours after a major abdominal surgery with oligourea. Investigation shows blood urea 15 mold/l, creatinine 122mmol/l serum potassium 5.1 mold/ l and urinary sodium 10mmol/l (normal is 25 to 250 mom/l) What is the most likely diagnosis?

A 55 year old man undergoes a CT abdominal scan with contrast. Following the scan his renal function has progressively deteriorated. What is the MOSTlikely diagnosis ?

Stages of labour

A 25 year old man who falls on the outstretched right arm complains of pain around the elbow and it is found that the olecranon is unusually prominent. The line from the midial epicondyle through the tip of the olecranon to the latual epicandgle is angulated. The most likely clinical diagnosis is

A 55 year old man who has been working for many years blasting stones for building purposes presents with progressive dypsnoea on exertion, dry cough and progressive tiredness. On examination breath sounds were vesicular. There were medium crepitations on inspiration Percussion was resonant in all areas. Chest X ray showed diffuse milliary pattern in the upper lung fields. What is the MOST likely diagnosis?

Regarding missed abortion, all of the following are CORRECT, EXCEPT:

The thyroid gland in thyrotoxicosis:

On assessment of Semen Fluid Analysis:

In hypopituitarism all these hormones may be deficient except

The following are contraindications for lumbar puncture except

Malignant degeneration of a healing wound is most likely to occur:

Which of these pairs does not match with regards to neurocutaneous disorders.

The prime cause of a venous leg ulcer is:

The most effective surgical procedure in stress ulceration is:

The source of progesterone that maintains the pregnancy during early 1st trimester is:

In an acute abdomen a history of frequent copious vomiting, the vomitus being clear initially, then bile-stained and finally brown in colour, is most suggestive of

This is not true about autism

Which of these discriptions adequately describe malena stools?

Features found in nephrotic syndrome include the following EXCEPT:

Neuro hormones which are activated in cardiac failure include all EXCEPT:

Which of the following anti diabetic drugs increases insulin sensitivity?

In intestinal obstruction at the sigmoid colon due to stenosis, perforation is most likely to occur in the

The following are treatment for simple malaria except

The main tissues which provide support to the uterus include: