MOCK MCQ EXAMS

Which immunoglobulin has the highest level in a normal 1-day-old infant?

The main line of treatment of an acute pyogenic abscess of the thigh is:

Osteogenesis Imperfecta (except)

A 54-year-old Native American living on a reservation in southwest Arizona presents  to a clinic with impaired memory; diarrhea; and a rash on the face, neck, and dorsum of  the hands. It is likely that this patient has a deficiency of which of the following nutrients?

HIV strains

Not involved in urea cycle

In the peripheral nervous system, which cells form the myelin sheath?

Pathogenesis of rheumatic fever.

Mumps virus is a –

Interstitial Nephritis is common is common with?

HPV vaccine is recommended for which age group?

Pulmonary hypertension is defined as mean pulmonary artery pressure >?

All of the following are complications of induction except:

Which age group does acromegaly most commonly affect?

A 16-year-old sexually active male presents to your office with a painful ulcer on his penis and fluctuant, tender lymph nodes in his left inguinal area.  You aspirate the most fluctuant node and Gram stained smear is negative. What is the most likely etiology of this presentation?

Multiple pregnancy increases

A 17-year-old develops Neisseria meningitidis meningitis. What was the first event?

The following will cause cystic fluctuant swelling in the neck except

The following are investigations in evaluation of a child with acute renal failure except

A 58-year-old man with a 700-pack-per year smoking history presents to the emergency department with shortness of breath and hemoptysis. Portable chest radiography  demonstrates a large mass centrally located within the left lung field. The serum calcium is 13.0 mg/dL (normal 8.5 to 10.2). The metabolic abnormality described here is likely due to elaboration of which substance?

About distinct genetic Clades of M group of HIV has evolved and become geographically dominant

Features to differentiate ascariasis from strongyloidiasis

Howell- Jolly bodies  are:

Which is not  a major criteria for rheumatic fever.

A substance that is not known to accumulate intracellularly is

Dialysis indication?

Which is not a potential complication of a massive blood transfusion?

The term cor pulmonale describes hypertrophy of which heart chamber?

All are recognised causes of intrauterine growth restriction (IUGR) except:

Which of the following are Sertoli cells responsible for producing?

The resting pulse in pregnancy is :

In twin deliveries: Which is true?

Tuberculin skin test, which when properly read has a zone of induration greater than 15 mm. What does this mean?

Features commonly seen in patients with hypothyroidism and hyperthyroidism except

Most useful test in diagnosis of malaria

A normal prothrombin time excludes deficiency of

A 72-year-old man has had increasing dyspnea for the past year. Decreased breath sounds are heard on auscultation of the right side of the chest. A chest radiograph shows a large pleural mass that nearly encases the right lung. A pleural biopsy specimen shows a malignant mesothelioma. Exposure to which of the following is most likely to be associated with these findings?

The central sulcus of the brain lies between which two lobes?

All of the following are features of parasitization of RBCs  with Plasmodium falciparum  except:

About jejunostomy feeding, all the following statements are true, except:

With Salmonella infection:

Membranous Glomerulopathy is seen in?

Which does not cause a metabolic alkalosis?

Egg shaped heart is seen in?

Which of the following need to be present for a women to be diagnosed with pre-eclampsia?

Which of the following is not a symptom of Cushing’s syndrome?

All of the following causes Oligohydromnios EXCEPT:

The most common cause of uterine size-date disproportion:

A 20-year-old female has signs and symptoms consistent with genital warts. What would have been the best approach to prevent this disease?

Precursor of cortisol

Cushings triad

A 19-year-old man is taken to the emergency room after his mother finds him comatose on the floor of his room at home following a night of partying with his friends at a local club. Pertinent laboratory findings from a blood specimen taken postmortem include ALT of 830 U/L and AST of 1053 U/L, along with a significant amount of acetaminophen. Which of the following pre-existing conditions in the deceased is most likely to have contributed to this injury pattern?

Poliomyelitis

The central sulcus separates gyri involved with which two major functions?

Pericardiocentesis is best achieved by passing a needle through:

In a surgical patient, malnutrition causes all the following complications, except:

Apoptosis results in

Which is not a primary skin lesion?

The normal anion gap is

Concerning hyperkalemia which is true

What is the most common cause of right sided heart failure?

Which of the following drugs are strictly bactericides drug?

We can detect the fetal heart beat by Sonography (Transvaginal) at:

Which of the following is known to be the commonest presentation in twins?

The Levels of  which of  the following correlates with mortality from septic shock?

First sign of puberty in males

Metabolism of purines will give

Challenges of immunization in Nigeria

Gynaecomastia in males

M. tuberculosis thrives best in which part of the respiratory system

Which of the following is useful  in  distinguinshing rheumatic fever and infective endocarditis

Apoptosis occurs in all but one of the following situations

Genital herpes simplex can be diagnosed by?

Which of the following vaccines can be given in asymptomatic HIV infected children?

Anatomic closure of patent ductus arteriosus occurs by?

What is the most common cause of Cushing’s syndrome?

Neonate with scarification marks , 7 days later he could not suckle and 4 days thereafter when tapped at the mouth there are spasm, what is the incubation period of this condition?

All the following are possible causes of Polyhydramnios, EXCEPT:

The most common cause of perinatal death in mono-amniotic twin is:

A  1-year-old  girl who has  received no  vaccines  because of parental  fear  of autism develops  Streptococcal  pneumoniae meningitis. Which vaccine might have prevented  this?

Which of the following is not an essential amino acid

In the diagnosis and management of hepatitis B virus which of the following differentiates vaccination from natural infection.

Resistance to Zidovudine develops due to?

Pentavalent Vaccine

Hypoglycaemia is seen in

Pyruvate kinase deficiency:

Which of the following is the site of secretion of gastrin?

In Meningitis all can occur except

The larval form commonly found in the stools is?

In which of the following conditions, it is more likely to have ABO incompatibility?

A 50 yrs old man has BP of 150/100 mmHg. What is the stage of hypertension?

What is the most common cause of hyperthyroidism?

What is the commonest cause of PID?

Skin changes during pregnancy should include:

If twin A is in a transverse lie & twin B is vertex. The most appropriate route for delivery is:

Which of the following is not part of metabolic response to injury?

Measles (rubeola virus)

Which is diagnostic for active replication of hepatitis B virus

Which of the following antiretroviral drugs is a non-nucleoside reverse transcriptase inhibitor?

Subunit vaccine:

What part of the brain contains the autonomic control centre whose orders regulate food intake, water balance and body temperature?

An  important  feature  of  congestive  heart failure  (CHF)  regarding  drug  action  is

ECG findings in hyperkalaemia include all except

19-year-old  woman  presents  with  vague  lower  abdominal pain  and  a  swollen,  painful  right  knee.  She  denies  any  trauma to  the  knee  or  history  of  arthritic  disorders.  Physical  examination reveals  an  enlarged  joint  that  is  red,  warm,  and  painful. Pelvic  examination  is  exquisitely  painful  and  reveals  an  ill-defined  thickening  in  both adnexae.  A  green-yellow  purulent vaginal  discharge  is  noted.  The  patient  is  febrile  and  has  an elevated  WBC  count  of  15,000/L.  Which  of  the  following etiologic  agents  is  most  likely  responsible  for  this  patient‟s condition?

ANATOMICAL BOARDER OF THE PERINEUM

Administration of glucose solution is prescribed for all of the following situations except:

Which is not seen in tetralogy of Fallot?

Most common site of impaction of gall stones in gall stone ileus is:

Patient with Leucocyte esterase positive and Nitrite positive, what is the diagnosis?

Antenatal booking investigations include all of the following, EXCEPT:

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

Pilocarline is used for

A  30-year-old  woman  known  to  have  type  1  diabetes  presents  to  the  emergency room  with a  productive cough,  fever,  and  polyuria for 4 days and  progressive lethargy and confusion  for the  last day. She  complains  of  abdominal pain and nausea with  vomiting. Her breath  smells  fruity,  her serum glucose is  600  mg/dL, and  her serum potassium is  5.5.  Initial management of  this patient will  likely include IV fluids,  insulin,  and which of the following?

Which of the following is primarily used to test for muscular disorder

A 23 year old male had umprotected sexual intercourse with a commercial sex worker. Two weeks later, he developed a painless, indurated ulcer on the glans which exuded clear serum on pressure. Inguinal lymph nodes in both groins were enlarged and not tender. The most appropriate diagnostic test is ?

mycobacterial and sacoidosis are both associated with which of the following?

What part of the brain receives sensory input before passing it on to another part of the brain for interpretation or action?

What blood product listed below does not carry the risk of HIV and hepatitis B or C?

ECG features of hypokalaemia.

Regeneration  typically  occurs  in  all  the  following  tissues  except:

A 14 year old boy presents with a confused state,He developed fever 2/7 previously and had been complaining of headache ,fever and photophobia. He had committed once , O/E temperature 38 , mild neck stiffness ,photophobia ,no rash

HR:82/min

RR:12/min

No focal sign of infection ,most likely diagnosis?

What is pulsus paradoxicus?

A 41-year-old man requests information concerning vasectomy for sterilization. In this prcedure, which of the following statements is true?

If ST-elevation was noted in leads II, III and aVF what would it suggest?

A 40 yr old farmer presents with diarrhea which organisms is responsible?

Counseling of a pregnant patient during early prenatal care should include detection of & information on:

Twins pregnancy :

A patient presented with an acute abdomen including fever, marked abdominal distension, acidosis, and leukocytosis. Laparoscopy revealed that large parts of the small intestine were necrotic and as a consequence, the entire ileum of the patient was resected. It is expected that very soon after the surgery the patient will have considerable problems resulting from the malabsorption of which of the following?

A  25-year-old  woman  presents with  6  months of  lethargy, sensitivity  to  cold temperatures, and  an elevated serum  TSH. What is  the most appropriate management  for this patient?

Which of these is not an acute problem to address in internally displaced persons

commonest cause of intestinal obstruction in Nigerians

which of the following is not food poisoning or myonecrosis

What is true about the spinothalamic tract?

The drug that can be used to treat bleeding with transurethral prostate resection?

The virulence of Mycobacterium Tuberculosis is related to:

A pregnant mother at 32 weeks gestation presents in preterm labour. Therapy with antenatal steroids to induce lung maturity in the fetus may be given in all the Following condition except?

Which of the following cephalosporins is second generation?

Concerning hypertonic fluid

Ejection click is seen in all except?

The following are modes of transmission of STD’S except

Which of the following is not a complication of thyroidectomy ?

Which of the following medications, when given before & during pregnancy may help to protect neural tube defects?

The following are true for dizygotic twins EXCEPT:

Worldwide, one of the most common parasitic infections is schistosomiasis. Assume a complete blood cell count is performed in a patient with this condition. Which of the following blood cells would most likely be present in elevated amounts?

Schistosomiasis

The following are tumour markers except:

Symptoms of intestinal obstruction exclude

bowel obstruction is most likely to be associated with

Which of the following is the site of secretion of gastrin?

Clinical features of malaria may include each of the following EXCEPT

A 24 year old woman with 26 weeks of pregnancy suddenly complains of headache & blurring of vision her BP is 170/110mmHg, urinary albumin is +++ and fundus examination shows a rear of retinal haemorrhage, the line of further management would be?

Which is the second most common site of extrapulmonary TB?

Apical impulse in children below 7 years is felt in which intercostal space?

A 30 year old female comes to you and enquires about various modalities of screening for breast carcinoma. All of the following are current modalities of screening for carcinoma breast except

Chancroid is caused by

Which drug is used as prophylaxis for malaria in pregnancy

Components of biophysical profile include all of the following, EXCEPT:

Which of the following is the most common fracture of the face

Treatment factors influencing metabolic responses include the following except?

Inherited in autosomal recessive pattern

Which of the following is involved in aerobic metabolism of glucose.

A 10 year old school girl has recurrent episodes of boils on the scalp. The boils subside with antibiotic therapy but recur after some time. The most likely cause of the recurrences is?

End-stage chronic renal disease is associated with a glomerular filtration rate (GFR) of less than 15 mL/min and an increase in which of the following blood values?

Causes of macrocytic anemia include all of the  following except:

Which of the following structure is associated with the small intestine

The following are(is) treatment of prolonged compartment syndrome… Except

Non gonococcal urethritis is caused by?

Which is not the component of Potter syndrome?

In congenital hypertrophic pyloric stenosis, the mass palpable is of tha shape of?

The following are cells of the juxtaglomerular apparatus except

Chancroid

A 3-year-old child is admitted to the hospital in February with temperature of 101.3°C (38.5°C), vomiting, and diarrhea. The mother describes the stools as watery, green, and very foul smelling. The most common organism causing this presentation is

Regarding the biophysical profile:

Which of the following is not part of the atopic triad

A 14-year-old boy presents with weight loss and diarrhea. His tongue becomes sore and blistery after eating oatmeal or rye bread, which leads to the diagnosis of celiac disease. The boy and his parents are advised to be sensitive to symptoms of tetany and paresthesias, since they can occur as a consequence of malabsorption of which of the following?

Which component is affected in sickle cell anaemia

A child with jaundice and pale stool

Which is a long acting b1 agonist

Which of the following peripheral blood findings is associated with lead poisoning?

All of the following are established causes of B12 deficiency   except:

A 70-year-old man, who is an insulin-dependent diabetic and a smoker, is due to undergo a below knee amputation for gangrene of his foot that cannot be re-vascularised. He is not allergic to any antibiotic.

What is the most appropriate antibiotic prophylaxis for this patient?

In the prevent of wound infection, the following procedure are performed except

28 year old women developed pregnancy induced hypertension after 20 weeks of gestation, which of these signs indicate an impending sign of Eclampsia?

To diagnose SIADH as the cause of hyponatremia which must not be present?

In cases of congenital umbilical hernia, surgical intervention is done at what age?

Concerning Hepatitis A, which is true?

Which of d following is involved in the spread of Lassa fever?

A 12-year-old child developed fever about 1 week after visiting relatives in India. The fever has persisted for about 10 days. Diarrhea was present for a few days, and then cleared. The child is now constipated. The child appears moderately acutely ill. The liver and spleen are enlarged. There are palpable, small (2–4 mm) erythematous spots on the trunk only. What is the most likely cause of this child’s infection?

Fetal assessment include the following EXCEPT:

Which of the following iron stores is the smallest but most important

The highest concentration of K+ occurs in:

Diagnosis of brain death

Causes of cyanosis without enlargement of the heart

A 50-year-old man presents with recurrent episodes of acute excruciating pain,  swelling, and redness of his right great toe, all following a large meal that was accompanied by copious consumption of alcohol.  In the past, others in his family have had similar symptoms. The metatarsophalangeal joint of the right great toe is erythematous, edematous, and tender. Which of the following is the most likely etiology of this condition?

What are the “ascending tracts” of the spinal cord and what do they do?

A 30- year- old male with long- standing history of diarrhea, has macrocytosis,  Howell- Jolly bodies   in RBC,   target cells   and small shrunken spleen.  The most likely diagnosisis:

According to the woman’s BMI, into what classification does her weight and height place her?

Generalised oedema results from all of the following disorders EXCEPT

Which is seen in nephrotic Syndrome?

Which drug is not well known to cause hyponatremia?

Which  of the following  is not a transcellular  fluid

Which of the following hepatitis viruses is not RNA virus?

All of the following are symptoms of Addison’s disease except

A previously well 3-year-old child has a temperature of 104°F (40°C), headache, and stiff neck. He has a 2-day history of upper respiratory tract symptoms and is now vomiting. This clinical presentation most likley represents which of the following diagnoses?

Patients with high risk pregnancy should have:

The following is inclusive of the pain triad in endometriosis except

What is the serum osmolality (mOsmol/kg)?

A patient recently returned from Africa has been febrile for several days and now has abdominal pain. His blood cultures grow out Salmonella typhi. What was the most likely source of his infection?

A 5-year-old boy is brought to the physician for examination. A police agency suspects child abuse. On physical examination, the child’s skin has the appearance shown in the figure. Which of the following terms best describes this injury?

A 17-year-old boy presents with pain and swelling about the left knee for the past month. He thought that this condition resulted from an old football injury and that it would resolve without incident. The pain, however, has persisted and is severe enough to cause him to limp. Radiographs of the knee demonstrate a lifting of the periosteum and a spiculated “sunburst” pattern in the distal femur. Which of the following is the most likely diagnosis?

What is the likely result of an injury that severs the spinal cord between C5 and C6?

Iron deficiency  may result in the misdiagnosis of:

The complications and disadvantages of nasogastric tube feeding include all thefollowing, except:

A  66-year-old  man with  a  history of  high cholesterol and high blood pressure presents to  the doctor for  a routine physical  exam. He currently has  no  health complaints. On  physical  exam,  he is  noted to  have  a systolic  murmur heard loudest on  the  right side  of  his chest. On  further examination,  the murmur can also  be heard in his  neck.  The murmur is  most  likely  to  be which of the  following?

Peudogestational sac seen in USG of?

Which neoplasm is not characteristically associated with SIADH?

Examples of isotonic fluids

drugs are known to disturb folate metabolism include

Which of the following is the underlying problem in neurogenic diabetes insipidus?

A 16-year-old adolescent presents with temperature of 103.1°F (39.5°C) and purpuric skin lesions. The child is found to have a blood pressure of 60/30 and heart rate of 180 with bounding pulses and a respiratory rate of 40. What infectious agent is the most likely to cause the above symptoms?

A low APGAR score at one minute:

Which of the following is Required for synthesis and replacement of Red Blood Cells?

Hernia through the lines Semilunaris is called

A 5-year-old child has had recurrent upper respiratory infections for the past 2 months. The child is at the 55th percentile for height and the 40th percentile for weight. Physical examination shows generalized edema, ascites, muscle wasting, and areas of desquamating skin over the trunk and extremities. Laboratory studies are most likely to show which of the following findings?

All of the following methods are used for the diagnosis of HIV infection in a 2 month old child except

If a person suffers a stroke and damage occurs to the occipital lobe of the brain which function is the most likely to be affected?

What name is given to the cells in the nervous system that produce nerve impulses?

The renal tubule of the nephron includes which of the following structures?

Your 21-year-old patient comes for her first gynecological examination. You note that she has an anomaly that is usually caused by abnormal differentiation of the Mullerian ducts during embryonic development. Normally, the Mullerian ducts develop into two systems. Which of the following is one of these systems?