Clinical Pictures File 4 – Medscholar Academy

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Question 1 of 20

1. Question
The hand of a teenage Nigerian.
- Grade 3 disease is depicted
- Overproduction of PGE2 has been postulated as a cause.
- It could be familial in blacks
- Hyperthyroidism may be a cause.
- Malabsorption is a recognized cause.
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Question 2 of 20

2. Question
Concerning the procedure being demonstrated, which of the following is correct?
- It is a surgical contraception
- Each capsule is replaced annually until 5 years
- It is inserted under general anaesthesia
- It is removed under local anaesthesia
- It is contraindicated in HbSS patient.
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Question 3 of 20

3. Question
What is wrong
- There is hyperinflation of the lung fields.
- Film shows a characteristic ‘Boot-shaped heart
- Cerebral abscess is a complication
- The patient is usually normal at birth.
- Tetralogy of fallot is likely
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Question 4 of 20

4. Question
This is typically seen in
- Candida albicans
- Gonorrhea
- Syphilis
- Trichonomiasis
- Malignancies
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Question 5 of 20

5. Question
What is wrong about the picture
- Is a sub-periosteal bleeding known as caput succedaneum.
- Disappears within few weeks to months
- May be associated with jaundice and anaemia.
- Calcification is a recognized complication.
- Requires no treatment.
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Question 6 of 20

6. Question
What is demonstrated?
- Baby with covered eyes
- A baby under blue lights
- A phototherapy machine
- A machine on a table
- An exchanged blood transfusion machine
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Question 7 of 20

7. Question
- This is blount disease
- condition is due to softening of bones
- associated with cupping of the edge of metaphysis
- urinalysis is a useful investigation
- associated increased risk of respiratory infections
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Question 8 of 20

8. Question
All is true except;
- Contains sodium
- Used for rehydration
- Contains glucose
- Giving as an IV Infusion
- Can be taken over 24hrs
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Question 9 of 20

9. Question
Concerning the picture, one is wrong
- Common in black children aged 4-14yrs
- Infection spreads in a centrifugal pattern
- Lymphadenopathy is common
- Topical therapy alone is effective.
- Permanent scarring and alopecia are possible complications.
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Question 10 of 20

10. Question
Concerning this picture, which is not correct?
- Homozygous state have less incidence of retinopathy and splenic sequestration compared to HbSC.
- Disease variants include HbSC, HbAC and HbSβ-thal
- Hydroxyurea, a myelosuppressive agent, has a beneficial role.
- The cardinal clinical feature of SCA is pain from vaso-occlusion
- Hb electrophoresis is a highly useful screening tool
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Question 11 of 20

11. Question
5yr old with 2wk history of the shown lesion
- This is a form of embryonal cancer
- The starry sky appearance is pathognomic.
- A high-grade tumor with aggressive clinical behavior
- Tumor lysis syndrome is a rare complication
- CNS metastasis is common, if treatment is delayed.
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Question 12 of 20

12. Question
A 20 year old cattle reader in Bornu presents at a hospital 2hours following a snake bite with the head of a cobra. Which is correct
- Optimal dose of the appropriate monovalent anti snake venom should be given immediately
- Tissue swelling and ptosis are predominant features in this bite
- Anti tetanus serum is of doubtful value after 24hours
- The importance of fluid therapy in initial treatment of Hydrophidae bites is controversial
- Blood grouping and cross match should be done when the patient is stable
Correct

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Question 13 of 20

13. Question
Concerning this child with ricket
- Malnutrition is a usual cause
- Low phytate diet is a risk factor
- Has high risk of pneumonia
- Mainly result from Ca & Vit D deficiency
- Ca sandox is pleasant to taste thus preferred
Correct

Incorrect
Question 14 of 20

14. Question
The following are false except
- Catch up growth can be seen in IDM
- Aortic aneurysm in marfan syndrome is usually non life threating
- Exogenous obesity are usually short and fat
- Kussmal respiration is an early sign of DKA
- Soto syndrome can cause trigonocephaly
Correct

Incorrect
Question 15 of 20

15. Question
Concerning this patient with sick sinus syndrome.
- Bradycardia is the most troublesome feature
- Dizziness and syncope are classic symptoms
- Trained athlete are especially prone
- RHD can be a cause
- Usually resolves with treatment
Correct

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Question 16 of 20

16. Question
Concerning this 3yr old with kwashiorkor
- Have high infection rate due to low C3 level
- Edema and apathy are constant features
- Intractable diarrhea indicate poor prognosis
- Appetite is good
- Hypoglycemia is a complication
Correct

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Question 17 of 20

17. Question
9 years old boy with progressive jaw swelling, which is false
- Commonest around the maxilla
- Thyroid involvement indicate good prognosis
- CSF pleocytosisis a rare finding
- May be associated with weight loss
- Tumour lysis syndrome is a complication
Correct

Incorrect
Question 18 of 20

18. Question
This 25 years old patient presents with fever and weight loss. The most likely diagnosis is
- Kaposi’s sarcoma
- Exfoliative dermatitis
- Pemphigoid
- Madura foot
- Pemphigus
Correct

Incorrect
Question 19 of 20

19. Question
The placenta shown in the picture below shows which of the following?
- Placenta previa type 1
- Placenta succenturia
- Placenta membranacea
- Placenta abruption
- Placenta velamentosa
Correct

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Question 20 of 20

20. Question
Concerning the picture shown here, the most likely diagnosis in the patient is
- Hermaphroditism
- Gonadal intersex
- Transsexual individual
- Gynaecomastia
- Klinefelter syndrome
Correct

Incorrect