Copy of 5th MOCK EXAM

The epidermis layer of the skin typically regenerates

Which of the following surgical procedures is considered to have a clean contaminated wound

Pathological fractures are most common in

For most girls, the onset of puberty is heralded by which of the following

The most common type of anorectal abscess is

With reference to varicocele, which one of the following is not true of it

Cleft palate is ideally repaired at

Multiple injury, tachypnoea, periumbilical rash – What is the diagnosis

What is the station where the presenting part is at the level of the ischial spines:

A 6 month old boy noticed to have impaired hearing. The appropriate age for hearing assessment is

Twin pregnancy:

Death of tissue associated with loss of blood supply to the affected area is called

What condition is associated with this presentation? A pink pearly nodule with telangiectasis, ulceration and rolled borders in the upper lip

What is the infective organism in acne?

Best way to study relationship between two variables is

Melanocytes are derived from?

What is the likely diagnosis in this 60 year old man shown in the picture

The illustration shown above is the image frm a 35 year old nulliparous woman who is undergoing infertility work-up. Which of the following is INCORRECT concerning the image

Which of the following colour codes confirms that a ship is healthy on arrival to a dock of a country

Up to 75% of the skin’s total dry weight is composed of

In the healing of a clean wound, the maximum immediate strength of the wound is reached by

One of these fractures is liable to contamination and infection

Gonadotropin releasing hormone (GnRH) stimulates the release of

The most common organism to be isolated from anorectal abscess is

Steering wheel injury on chest of a young man reveals multiple fractures of ribs and paradoxical movement with severe respiratory distress. X-ray shows pulmonary contusion on right side without pneumothorax or haemothorax. What is the initial treatment of choice?

Which of the following tumors may regress spontaneously

Most common site of Curling’s ulcer is

A primpara is in labor and an episiotomy to be cut. Compared with a midline episiotomy, an advantage of medio-lateral episiotomy is:

Causes of generalised seizures

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

The half-moon shaped; white area located at the base of a fingernail is called the

What disease is associated with dermatitis herpetiformis?

A 36-year-old woman presents to clinic with a 4-month history of intermittent bloating and loose stools. She has never passed any blood but has lost a few kilograms in weight. Over the past week, she has noticed some itchy, vesicular rashes on her elbows that won’t seem to go away. You send off some routine blood tests which come back as normal except for one positive result. Anti-TTG Positive. What is the dermatological condition that she describes?

In a town called X, the number of deaths occurring in the first year of life was 35 and the number of women in childbearing age was 1022. The infant mortality rate for town X is

The picture above is a procedure being carried in a patient with oliguria and very markedly elevated urea levels. Which of the following is a likely complication?

What is the diagnosis of the lesion in the child’s limb

Which of the following complications is associated with the picture shown

The procedure about to performed as shown in the picture above is

The outermost layer of the epidermis is called

Delayed wound healing is seen in all except

Which of the following is a typical symptom of neuroblastoma

Indications for termination of McAfee regimen include all except

The most common cause of anorectal abscess and fistula is

Which one of the following gastro intestinal disorders predisposes to urolithiasis

Commonest symptoms of primary biliary cirrhosis is

Organ most damaged in bomb explosion

A patient sustained a laceration of the perineum during delivery, it involved the muscles of Perineal body but not the anal sphincter. Such a laceration would be classified as:

Cortical causes of floppy infant

The most common cause of uterine size-date disproportion:

Yellowing of the skin is indicative of

An elderly lady presents to her doctor with a raised round discoloured plaque, “stuck on appearance” on her face. What skin condition is this?

The following dermatological conditions do not present with severe Pruritus:

In a cross-sectional study conducted in a school, the researcher first selects five classes and then selects equal numbers of students from each class to obtain the sample size. What sampling method was used?

50 year old man presents with jaundice, gynecomastia and ascites.  The organ above is postmortem as shown. Which of the following is the most likely cause

This is the pelvic ultrasound picture of a 30 year woman at first trimester of pregnancy. Which of the following is the LEAST possible complication

Above is the perineum of a 16 year old girl who presented with primary amenorrhea. She is likely to be suffering from which of the following conditions

The picture shown above illustrates a worker who is at risk of what type of occupational hazard

Which of the following is the correct sequence for the phases of wound healing

The following are required for wound healing except

The following conditions are high risk factors for hypothermia in the newborn except

Which of the following is used for the treatment of postoperative shivering

A late symptom of rectal cancer is

Fogarty’s catheter is used for

All of the following are features of hypospadias except

Intermittent claudication means

Which of the following statements about episiotomy if FALSE:

All cervical vertebra have a

In twin deliveries: Which is true?

Apocrine glands produce

How does lichen planus present clinically?

An absence of pigment in the skin is called

In a study testing for a difference in sample proportions of female adults with type 2 diabetes mellitus in two villages, the appropriate test to be applied would be the?

The drug illustrated above in the family planning clinic. which of the following statements is CORRECT?

What is the usual earliest presentation of the anal lesion shown in the picture

In the process of instituting this therapy in an infant, the following measures are key EXCEPT

When a wound is healing by primary intent, a common advantage include

The tensile strength of a wound reaches that of a normal tissue by

Concerning transport of the surgically ill neonate, the following conditions require special care during transport except

Capnography basically monitors which of these

Which of the following is the most common location of a solitary rectal ulcer

In developing countries, what is the most common cause of unilateral lymph edema of lower limb

The most common surgical cause of obstructive jaundice is

Most common site of subclavian artery obstruction is

The first stage of labor:

Which of the following immunoglobulins can be given IV

Immediate therapy for infants with suspected meconium should routinely include :

The brown-black pigment of the skin that is transferred to other epidermal cells and gives the skin its color is called

What is the most common mole found in adults

A 62-year-old female is referred to dermatology due to a lesion over her shin. It initially started as a small red papule which later became a deep, red, necrotic ulcer with a violaceous border. What is the likely diagnosis?

Disadvantages of cohort study include

Illustrated above is one of the instruments used in the gynecology clinic. Which of the following is CORRECT

The clinical condition shown can be associated with the following complications EXCEPT

The procedure shown above is most likely to be a

In healing by primary intention

The following are motor disorder symptoms EXCEPT

The following are true concerning newborn except

World Tuberculosis Day is on

What is the most common initial manifestation of increased intracranial pressure in a patient with head injury

Protein metabolism after trauma is characterized by the following except

Which of the following are clinical features of traumatic fracture of Zygomatic bone except

The heart rate of a normal fetus at term:

The fold of dura separating the cerebrum from the cerebellum is the

APGAR’s score includes all the followings EXCEPT:

Inflammation secondary to rupture of a hair follicle

What is the pathogenesis of vitiligo

An acute eruption of intensely itchy papules or wheals is called

The mean is less than the median?

The Chest radiograph above is that of a 4 year old child. The child is likely to present with the following except

The picture above is a 56 year old man who presented with acute onset pain in the right knee joint which began the previous night with associated swelling. He had taken some glasses of red wine with friends earlier that day. How would the definitive diagnosis be made

One of the pre-requisite for the use of the above indicated instrument is

Following a surgical wound, the next thing to happen after clot formation is

The following are disorders of thought except

A newborn with prenatal history of polyhydramnios could have any of the following

The following are considered symptoms of pregnancy except

Which one of the following is the investigation of choice for suspected deep vein thrombosis of the lower extremity

A 40 year old man presented with a flat 1 cm x 1 cm scaly, itchy back mole on the front of thigh. Examination did not reveal any Inguinal lymphadenopathy. The best course of management would be

Which of the following investigations should not be done in a patient suspected to be suffering from brain tumor

The drug that has the fastest onset of action in benign prostatic hyperplasia is

Repetitive late decelerations on Cardiotocograph most commonly indicate:

Which of the following nerves is not a branch of cranial nerve VII?

Fetal assessment includes the following EXCEPT:

Metastasis means to:

What are the histological findings of psoriasis?

Of the three layers of the skin, which is the thick, fat-containing layer?

100 patients with lung cancer and 100 patients without lung cancer were enrolled in a study. They were questioned about tobacco use over the last 20 years. 90 of the lung cancer patients reported smoking as did 10 patients of the patients without lung cancer. What is the odds ratio

This picture shows paralysis of the right upper lid. It can be caused by the following EXCEPT

This man comes to the emergency room with a painful rash all over his body, including some lesions in his mouth. He also describes feeling feverish. On physical exam, his skin has multiple bull that sloughs off easily with a single rub. The rash covers less than 10 percent of his entire body. A careful history reveals that he was recently put on lamptrigine for his epilepsy. The lamotrigine is stopped and the patient is admitted to the burn unit.. What is the most likely diagnosis?

A 45 year old nulliparous lade presented with the lesion as demonstrated above. What investigation will you recommend to confirm your suspected diagnosis

What is the second stage of healing by secondary intention

The following are parasomnia except

The prostate gland

Complications of hypertension include the following except

What is the most common surgical complication following Whipple procedure

Tumors of anterior mediastinum include the following except

Pain in ureteric stone is due to

The persistence of which of the following is usually incompatible with spontaneous delivery at term:

Regarding Fetal blood pH:

A 63-year-old woman presenting with gradual hearing loss over approximately 5 years and intermittent tinnitus of over 6 months showed findings of the presence of sensorineural hearing loss in the left ear. She has no cranial nerve deficits. An MRI of the brain with gadolinium reveals the presence of an extra-axial tumor in the region of the left cerebella-pontine angle. What is the most likely diagnosis?

Regarding the biophysical profile:

Which of the following is not a flood mitigation method

What condition is associated with acanthosis nigricans?

Which antibody is responsible for atopy?

Is an abnormal condition of the mind that results in difficulties to determine what is real and what is not

Concerning the picture shown above, which of the following statements is correct

Which of these enzymes is not involved in production of the minimal or absent melanin in this patient?

The picture of the perineum of a woman who delivered a macerated stillbirth following prolong obstructed labour 2 months ago. What is the most likely diagnosis

Which of the following is protozoan that can be transmitted through sexual contact

Wound healing is affected by

Concerning delirium

Adenocarcinoma of the prostate arises predominantly from the

The best diabetic diet for old onset, non-insulin dependent diabetic patient should be

Vascular complications of acute pancreatitis include the following except

Extensive surgical debridement decompression of amputation may be indicated in the following clinical setting except

Most common type of Carcinoma of Thyroid is

An unstable lie is related to all of the following EXCEPT:

The following are major indicators of fetal asphyxia:

A 20-year-old unrestrained driver involved in a motor-vehicle crash had a computed tomography (CT) of the abdomen showing large hematoma in the second portion of duodenum. The rest of the abdomen is normal. The initial management of this duodenal hematoma should be:

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

A 5-day-old infant is diagnosed with a noncommunicating hydrocephalus. Which of the following is most likely to lead to such a condition?

What is a precursor to squamous cell carcinoma

A 50-year-old woman who has been treated with sertraline for major depressive disorder for more than two years comes to the office because she has had weakness, cold intolerance, constipation, and weight gain during the past six months. Physical examination shows dry, coarse skin as well as bradycardia, hypothermia, and swelling of the hands and feet. Which of the following laboratory studies is the most appropriate to determine the diagnosis?

Is a class of functional mental disorder involving chronic distress but neither delusions nor hallucinations.

What likely common complication can arise from the groin lesion shown in the picture above

Which of the following is not a known part of the picture shown

Which of the following is incorrect concerning the instrument projected above

Charcot-layden crystals are seen in the sputum in infection with

Prevention of wound infection can be prevented by

Which is correct about Dementia

Renal cell carcinoma is often associated with

The following are risk factors for cervical cancer except

With reference to hirschsprung’s disease, which one of the following statements is correct

With reference to duodenal ulcers consider the following statement:

1. They occur most often in the second part of duodenum
2. Infections with H. pylori and NSAID induced injury account for maturity of duodenal ulcers
3. Malignant duodenal users are extremely rare
4. Eradication of H. Pylori has greatly reduced the recurrence rates in duodenal ulcers. Which of the above are true:

Diffuse Esophageal Spasm is best diagnosed by

The relation of the fetal parts to one another determines:

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

In a patient who had a motor-cycle crash, a CT of the abdomen revealed a peripancreatic hematoma and indistinct pancreatic border. The most definitive test for a pancreatic injury requiring operative intervention is:

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

An 18-year-old woman with a ventriculoperitoneal shunt which was inserted in childhood for hydrocephalus presents with acute onset confusion. A sample of cerebrospinal fluid is taken from the device for sending to the laboratories for analysis. Which of the following results is abnormal?

What is the best indicator of prognosis for a melanoma?

A 35-year-old man with bipolar disorder, most recent episode mixed, comes to the clinic for routine follow-up examination. His condition has been difficult to control and has required treatment with multiple medications during the past two years. The patient says his mood has been stable with his current regimen, but for the past three months, he has had tremor primarily affecting his hands. Which of the following medications is the most likely cause of this patient’s tremor?

Serves as a principal authority for psychiatric diagnoses and treatment recommendations for practical use by the psychiatrist

The picture above is an ECG of a 50 year old male patient who presents with sudden onset severe pain on the left side of the chest which was radiating to the jaw and left arm. A 12 lead ECG was done and is as shown above. What is the diagnosis

This 35 year old presents with 15 years history of painless anterior neck swelling. Which of the following is an effective preventive measure for this condition

What abnormality is shown in the radiograph above

Congenitally transmitted parasitic infection is

Which of the following is true about a chronic wound

Which of the following is not a feature of Depressive disorders

All of the following are obstructive or storage symptoms seen in Bladder outlet obstruction except

The following increase the risk of breast cancer development except

What is the most important aspect of management of burns injury in the first 24 hours

Treatment of choice of Warthin’s tumour is

Which of the following is not used as landmark for facial nerve in surgery

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

Bishop score includes all the followings EXCEPT:

All of the following are considered as findings in Pseudo-toxemia of pregnancy except

Which of these, best describes disease causation theory

All these are true about hydrocephalus except?

What is the pathogenesis of pemphigus vulgaris

A 19-year-old woman who is a college student is brought to the clinic by her roommate because she has been acting strangely during the past six months. During the past month, the patient has been describing how another person’s thoughts have been entering into her mind. The patient’s grades have been slipping, and she does not talk as much as she did previously. The roommate says that when the patient does talk, she strays from the topic and is hard to follow. During the interview, the patient says a television reporter told her that the government had a special message for her and she should listen to the radio for further instructions. Which of the following conditions is the most likely cause of this patient’s symptoms?

The following are typical antipsychotics except

The feature shown in the picture above can be associated with the following conditions EXCEPT

What is the apparatus shown in the picture

What is the likely diagnosis of the picture shown above

Primary amoebic meningoencephalitis is caused by

Cells not involved in healing of clean wounds

The following are subtypes of depression except

The estimated date of delivery for a woman with LMP of 22nd March will be

The time interval between receipt of an infection by a host and maximal infectivity of that host is called

Abdominal compartment syndrome is characterized by the following except

Which of the following is the best gas for creating pneumoperitoneum at laparoscopy?

In MEN1, most common carcinoma seen in pancreas is

Engagement is strictly defined as:

During which of the following conditions would the serum Prolactin level be greatest:

All of the following are multinucleated giant cells except

The possible outcomes of the termination phase of the natural history of disease include the following EXCEPT:

A 5-day-old infant male has an abnormally large head. A CT scan examination reveals enlarged lateral and third ventricles but a normal-size fourth ventricle. Stenosis of the cerebral aqueduct (of Sylvius) is suspected. Which of the following conditions will be characteristic of these symptoms?

Special diagnostic methods in dermatology does not include:

A 55-year-old woman comes to the office because she has a 20-year history of repetitive actions and is tired of wasting time by repeating these actions. The patient says she repeatedly checks the doors in her house to make sure they are locked, washes her hands several times per hour, and checks her electrical appliances three times each morning before she leaves for work. Medical history includes second-degree atrioventricular block. Which of the following medications is the most appropriate initial therapy for this patient’s psychiatric disorder?

The father of modern psychiatry is