3rd CBT Mock Examination

A plasma that turns lipaemic on standing will most likely have the following features except

Pre-operative preparations include all except

Typhoid perforation; true except

A neonate with pyogenic meningitis is likely

According to classification of VVf based on size which is true

Rovsing sign

in splenic injury

Mark the most appropriate single statement on maxillary fractures

occupational lung disease

environmental factors responsible for development of alcoholism include

In fetal circulation

A patient who has attended one antenatal clinic, has done investigations but has not been reviewed by a qualified medical personnel is a

Use of gellhorn pessary is relevant in the management of

A 26-year-old woman comes to the office with fatigue. She also complains of light-headedness and paresthesias in her hands and feet. On examination, her vital signs are normal, but you note pallor and glossitis. Laboratory evaluation reveals a hemoglobin of 9.8 g/dL (L) and an MCV of 102 fL (H). Which of the following would be most likely to treat her condition?

Snakes with a pit between the nose and eyes belong to:

The renin-angiotensin-aldosterone system regulates blood pressure and volume homeostasis and is activated by

Which of these is not a pelvic signs seen in pregnancy:

The commonest organism for the diagnosis above is;

Identify

Sign of left ventricular failure include

Immediate operative treatment is indicated in patients who have

Typhoid fever; all are true expect

The following is false of Neisseria meningitides

All these are risk factor for VVF except

Psaos sign

Acute intestinal obstruction

which of the following is not a content of popliteal fossa

Asbestosis is

An acromegalic can present in the following clinic except

A syndrome seen in pre-eclampsia called HELLP syndrome is characterized by all of the following EXCEPT:

Extraction of the fetus from the uterus through any route

A relevant investigation that can be done in a woman of 22 weeks gestational age of pregnancy with suspected cervical incompetence is all except

An HIV-positive patient presents to discuss his current HIV therapy. His viral load is increasing and his CD4 count is falling. While obtaining his blood sample, your medical assistant sustained a needle stick injury. What is the best course of action in this situation?

Effects of cobra envenoming include except:

Which of the following acts by blocking the calcium channel

Regarding this malignancy shown, which is false:

Regarding the skin test above all are true except:

A patient presents with a pigmented papule that is 0.5 centimeters in diameter and dimples when lateral digital pressure is applied. What is the most likely diagnosis?

Concerning malaria infection

Concerning pre-operative preparation

Typhoid fever there is usually all except

All these are characteristic of simple febrile convulsion except

Some aetiology factors for VVF

Hamburger sign

Gallstone

which of the following is not a tocolytics

in cardiac catheterization, one is correct

concerning Wilson disease, which is wrong

Birbeck granules are more prominently seen in what layer of the skin

Preterm labour usually occurs

A 60-year old man with history of ischemic heart disease experienced chest pain after climbing a flight of stairs. A drug effective in quickly relieving an acute attack of angina is

You are caring for a type 2 diabetic whose measures of control have been worsening despite maximal doses of oral medications. You are considering adding insulin therapy to help with her post-prandial hyperglycemia and want to start a preparation with a rapid onset of action. Which of the following insulin types has the most rapid onset of action?

Perhaps the most effective drug to use in haemorrhagic shock, if tissue perfusion remains inadequate in spite of adequate fluid therapy, is:

Fagets sign (sphygmothermic dissociation) characterized by fever with bradycardia is typically seen in all except

The most likely cause of the diagnosis is:

About viral hepatitis:

Which is the Largest diameter

Concerning mother to child transmission of HIV

An 80yrs old obese lady with DM and HTN called you around 8; 00pm on phone seeking your opinion that she missed her morning dose of metformin, glibenclamide, pioglitazone, methyl dopa, phenytoin and valsartan. Which of the following will be your response?

Regarding early breast cancer which is not correct

Complex febrile seizure include

A patient with a repair of VVF has been draining an average of 3L of urine per day till the 4^th post operative day when urine suddenly stopped draining into the bag. The most probably cause of this is:

Types of emergency contraceptives

which is false? Extraperitoneal bladder rupture causes urine to gravitate into the

modifiable risk factor for coronary artery disease include

The following are dihydropyridine calcium channel blockers

causes of hepatocellular carcinoma include the following except

Polyhedral keratinocytes are active in synthesizing

A true labour is all except

A 12-year old boy presents with migratory polyarthritis and chest pain. He gives a history of sore throat 3 weeks prior to this condition. The most useful investigation in this case will be

Through counselling and education, you have convinced a 35-year-old man with dyslipidaemia to quit smoking. If he remains a non-smoker, how would you expect his lipid prole to change?

A patient who is having blood transfusion for the first time complains of fullness in the head, dyspnoea, constricting pain in the chest and fever.

The most likely clinical diagnosis is:

What is the most likely diagnosis of the picture

Regarding your diagnosis which is false:

The main manifestation of vertically transmitted HIV infection are all except

A 50yr old man present with increased thirst and hunger of 3month duration, he also has weight loss, polyuria and blurred vision. His random blood sugar was 360mg/dl. Which of the following is not a chronic complication of his disease

Which is true concerning carcinoma of the breast

Dose of IV diazepam

Which of these drug does not cause haematuria

Non contraceptive benefits of the COCPs include all except

which is false? Retention of urine

Nosocomial infections include all except

the following clinical signs are seen in cor pulmonale

When the uterus protrudes well beyond the introitus, in a case of uterine prolapse, the prolapse is called which of the following:

Malpighian layer describes which of these skin layers as a unit

In grading of hepatic encephalopathy, severe confusion and responsiveness to verbal stimuli is typical for

A fall in right ventricular output can result in congestion and edema in many organs. In addition, edema is primarily due to

A 21-year-old woman presents with an annular pruritic rash on her neck. She explains that the rash has been present for the past 3 weeks and that her roommate had a similar rash not long ago. Physical examination is remarkable for a 20-mm scaling, erythematous plaque with a serpiginous border. Which of the following is the most appropriate initial treatment for this condition?

A man of 45 involved in a R.T.A. suffered a transient loss of consciousness. He drove home, but later in the evening he complained of headaches and on his way to hospital became rather drowsy. The casualty officer noted a right parietal tenderness with some oedema and his right pupil which was marginally larger reacted poorly to light.

The most likely clinical diagnosis is:

Which of the age groups are most at risk for having the fracture type shown in this picture

Concerning this picture which is incorrect

All can be contracted by the above except

Laboratory evidence of vertically transmitted HIV infection in children includes all expect

A 52yr old known  patient with type 2 DM presents at the clinic with persistent blood pressure recordings above 140/90mmhg which of the following drug classes should be included as part of her anti-hypertensive drugs)

i) Calcium channel blockers

ii) Angiotensin converting enzyme inhibitor

iii) Diuretics

iv) Angiotensin receptor blockers

v) Beta blockers

Which is false in patient with lump to the breast

Main inhibitory neurotransmitter is

Haematuria is least likely to occur in

The following contraceptives contain only a progestogen as the hormonal ingredient

Halothane is metabolised in the body by as much as

Which is not correct?

The following factors are implicated in aetiology of primary hypertension

An Obese 63-years old women present with a 3 month history of continuous scanty bleeding. Adequate history and physical examination what is your recommendation?

Epidermal layers of the palm are

A common complication of tuberculosis is all except:

An ECG of a patient with crushing chest pain shows ST segment elevation in leads II, III and avF. The part of the heart most likely to be affected by the pathological process is

A 21-year-old woman who is 12 weeks pregnant with her first child presents to your office. A urinalysis shows evidence of bacteriuria. She is completely asymptomatic. Appropriate management at this time includes which one of the following?

Mediators released after burns include except:

Regarding a boy that presented with these pathognomic feature, which is true:

Regarding the picture above, all are false except:

All are true except:

The following sign is wrongly matched

50 yr. known diabetic with poor control was refer to the neurological clinic on complain of persistent burning pain in both feet. Examination reveals impaired sensations in stocking distribution in both legs. Patient most likely has

Considering the aetiology of breast ca which is false

Risk factors for febrile convulsion are all except

Obstructive lower urinary symptom include all of the following except

Symptoms and signs of the onset of labour is

One of these statements is wrong

Which is not a typical features of septic shock

The following statement are TRUE of hypertension

What fracture type is identified in the radiograph:

Melanocytes are commonly seen in which of these skin layers

2^nd stage of labour:

Mother brought her 2 years old child to the ER with history of upper respiratory tract infection for the last 3 days with mild respiratory distress. This evening the child started to have hard barking cough with respiratory distress. On examination: rr 40/min, associated with nasal flaring, suprasternal & intercostal recessions. What is the most likely diagnosis?

Which of the following medications is associated with an increased risk of endometrial carcinoma?

The organism(s) found consistently in the oedematous stage of cancrumoris is/are:

Which of these is true:

Regarding the histology results all are false except:

All are false except:

According to NYHA class II heart failure is defined as

Concerning childhood malaria which is false

The best index of how well an individual’s diabetes has been controlled over a period of 3 months is

Considering the management of breast cancer which is true

Regarding febrile convulsion

Lower urinary tract obstruction could be due to

Uterine contraction in labour are true except

one of these is benign

Which is not true

in management of snake bite, which is correct

Accurate diagnosis of Hydatiform mole can be made by

Netherton syndrome is due to an inability to modulate:

Signs of placenta separation includes:

What is the fetal portion of the placenta formed from

On routine physical examination, a 28-year-old woman is found to have a thyroid nodule. She denies pain, hoarseness, hemoptysis, or local symptoms. Serum TSH is normal. Which of the following is the best next step in evaluation?

The most frequently encountered symptom (Hall mark) of thyrotoxicosis is:

Which of these is false:

Concerning the picture above all are true except:

All are true regarding the picture below except:

All this are major Framingham’s criteria except

Commonest transmission of malaria includes

In hyperkalaemia all occur except

Which is false regarding jaundice

Children with sickle-cell anaemia

All these are irritative symptom of BOO

False about fetal monitoring in labour

Which of the following is false? Risk factors for urinary stones

Botulism is

Luteinizing hormone is

In complete Hydatiform mole:

Wiskott-Aldrich syndrome has what mode of inheritance

Regarding severe dehydration, the following are true except

What is the single most important risk factor for cerebral palsy in Nigeria?

A young man of 25 presents with a painless, firm round ulcer on the glans of the penis which develops two weeks after sexual intercourse. He has no systemic symptoms. He is mostly likely to be suffering from

The most significant clinical feature of Tetralogy of Fallot is:

A patient with a typical complaint of bone pain and walking difficulty with this leg lesion:

Regarding the picture, what is the gold standard investigation for the condition above?

Regarding the causes of anterior neck swelling all are true expect:

Minor Framingham’s criteria are

A 30 yrs. old lady with fever (temp 37.8c) complained to you about her been allergic to sulphonamides. Blood film showed 3+ p. Falciparum tropozoites. Which of the following drug is contra indicated in her?

Hypocalcaemia can be caused by all except

Causes of liver failure include all except

Vaso-Occlusive Crisis management include

All this are treatment option for BPH except

The third stage of labour

Concerning MRI, one of these is correct

One is correct about Tetanus

The following is true as regards testosterone

What is the most frequent site for metastasis from a malignant gestational trophoblastic neoplasms:

Which of the following is not a typical reservoir for the monkeypox virus

Regarding hyperkalemia

Which of the following is not contained within the anal triangle

You are caring for a 27-year-old woman complaining of pelvic pain. She reports localized pain on the left side that has increased in severity over the last 2 days. She also reports nausea. On examination, you note a tender adnexal mass on the left. Which of the following is the most likely cause?

Which of the following chemical substances/poisons are mismatched with their antidotes:

Which of these is incorrect about the ECG shown:

The following are all true except:

Which is not associated with this picture?

Common cause of heart failure are all except

50yrs old trader who had a febrile episode was diagnosed as having malaria and upper respiratory tract infection at the general output clinic about 4days. For his treatment he was given artesunate, fansider, vitamine c, paracetamol and erythromycin. He suddenly discovered an initial exanthematous eruption, which progressed into widespread blisters with mucosal infection. What is the likely diagnosis?

Concerning fluid and electrolyte balance

In acute hepatitis which is true

Concerning neonatal jaundice

An 60 yr old retired civil servant, known HTN with HTN heart disease present to your clinic with worsen peripheral edema, diminishing urine output, breathlessness and progressively worsening azotaemia. His serum creatinine is 15mg/dl and urea 245mg/dl. Ultrasound shows shrunken kidneys. He is also told by physician that he has CKD stage 5 The appropriate form of renal replacement therapy in the patient is

The following are acceptable method for confirmation of ovulation

in the investigation of a patient with acute abdomen, one of these radiological requests is not appropriate

in massive pulmonary embolism, which is incorrect

Growth hormone, which is incorrect

If you find that a 25 –year- old patient with amenorrhea of 18 weeks duration had an elevated serum hCG, and absent fetal heart & movement and uterine size 28 weeks which of the following would be the most likely diagnosis ?

Which of these toxicosis conditions will not produce hyperthyroidism

Regarding crystalloids, all are true except:

Most common cause of precocious puberty in girls is;

You are caring for a 51-year-old man complaining of neck pain for several weeks. He denies injury or illness. The pain is aggravated by movement, worse after activities, and there is a dull ache in the interscapular region. His examination reveals a limited range of motion, no tenderness to palpation, no radiation, and no neurologic signs. Which of the following is the most likely diagnosis?

Which of the following is a relevant cause of normal anion gap

Regarding the picture shown:

Concerning the above picture, all are false except:

Identify:

Left ventricular hypertrophy can be seen on ECG by