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One of these is not a typical risk factor for this pathology
Which of the following is not a possible skin manifestation in a patient with polyuria and polyphagia for 8 months
Route of administration for the picture shown
What typical sign is seen in the picture
In measure of liver span using the object shown, which of the values is normal in children
Which of the following is not a surgical treatment option of the condition shown
The sign shown in the picture is
Clinical feature seen in this condition does not include
Which of the following is not a known indication of the drug shown above
Which of these will not be a typical clinical feature seen in the disease prevented by the shown vaccine
Which of these is not a clinical manifestation of a patient with the severe form of the picture shown
A patient with typical S3 gallop rhythm, tachycardia, hepatomegaly and symptoms of orthopnea will have which of these Xray signs
In stage of this disease condition, which of these will not be an indication for liver transplant
Which of the following would be regarded as a typical test carried out to diagnose the disease condition
What procedure is shown
Which of these is not a sign of good attachment in the procedure shown
In hysterosalpingogram film, cervical incompetence typically depicts what sign
The sign shown in the picture is
Which of the following is not a relevant layer seen in the picture
Which of the following listed is not a component of the pathology shown
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?
Which of these is a diagnostic indication for the instrument shown
About distinct genetic Clades of M group of HIV has evolved and become geographically dominant
This picture shows
Features to differentiate ascariasis from strongyloidiasis
In ultrasound of galblader stone, what sign is typically seen
Howell- Jolly bodies are:
Which of these reflexes can be ellicited using the object shown above
Which is not a major criteria for rheumatic fever.
A substance that is not known to accumulate intracellularly is
Which of the following is an indication for the use of this sterile universal bottle
Dialysis indication?
The instrument was discovered by
Which is not a potential complication of a massive blood transfusion?
The weighing balance works on the principle of
The term cor pulmonale describes hypertrophy of which heart chamber?
Which of these is not a relevant cannula size in Nigeria
One of the drugs mentioned is a first choice treatment for the condition shown
All are recognised causes of intrauterine growth restriction (IUGR) except:
Which of these is not a known type of the object shown
Which of the following are Sertoli cells responsible for producing?
Violin string appearance is a typical feature of which of the listed pathologies
The resting pulse in pregnancy is :
In twin deliveries: Which is true?
The instrument shown consists of all except
Tuberculin skin test, which when properly read has a zone of induration greater than 15 mm. What does this mean?
Which of these will not produce this typical appearance in children
Features commonly seen in patients with hypothyroidism and hyperthyroidism except
Which of these is not a known sign or feature on Xray of the condition shown
Most useful test in diagnosis of malaria
A 20 year old boy came with his dad to your clinic. What is most likely diagnosis
The picture shown is optimal for management of what stage of labour
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?
Which of these is not an associated syndrome
Which of the signs shown will be absent on supine Xray
The central sulcus of the brain lies between which two lobes?
Who introduced the alert/action lines of the diagram shown in 1972
All of the following are features of parasitization of RBCs with Plasmodium falciparum except:
What is the name of the object shown
About jejunostomy feeding, all the following statements are true, except:
A 55 yr old woman with vagina discharge, weight loss and jaundice.
Which of these methods is not a possible way of preventing the risk of this disease
With Salmonella infection:
Membranous Glomerulopathy is seen in?
Which of these will not be a reason for the procedure shown
Which does not cause a metabolic alkalosis?
Which of the following is a correct treatment plan for the picture shown
Egg shaped heart is seen in?
Typical sign from patient who has been having diarrhea 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 contraindication for the use of the drug shown
Which of the listed is not a known pre-requisite for using the object shown
Which of the following is not a symptom of Cushing’s syndrome?
All of the following causes Oligohydromnios EXCEPT:
Typical route of injection of these needles used for insulin administration
The picture depicts what phase of maternal mortality delay
The most common cause of uterine size-date disproportion:
What is the spot diagnosis in this picture
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
What does of the immunization drug is given to children at 6 months old
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:
Which of the following is a major diagnostic criterion of heart failure?
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?
Which of the following is an early clinical feature of hypoglycemia?
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?
Most common cause of nephrotic range proteinuria in an adult is ?
Which does not shift K+ into cells?
Concerning distribution of body water
At 36 weeks gestation where would you expect to find the uterine fundus?
What is Addison’s disease?
APGAR’s score includes all the followings EXCEPT:
The usual treatment of diabetic foot infection includes the following except:
The most common cause of congenital infections is
An infant born at term has Apgar scores of 8 and 9 at 1 and 5 minutes. The infant appears healthy, but 3 days after birth, there is bleeding from the umbilical cord stump, and ecchymoses are observed over the buttocks. Seizures soon develop. A deficiency of which of the following nutrients best accounts for these findings?
Mechanism of HIV evolution
Gastric lavage is contraindicated in
Characteristic feature of Fanconi’s anemia include:
Which muscle helps to open the jaw?
Giardia Lamblia may be spread by the faecal-oral route to people from all of the following EXCEPT:
A girl aged 8 years has been has been admitted for dialysis, she has serum K of 7.5Meq/L . Which is the fastest way to reduce the hyperkalemia?
Which of the following vaccines is contraindicated in lactating mothers?
ACE inhibitors are indicated in hypertension with?
Which period of gestation does the 2nd trimester represent?
Which of the following investigations is the gold standard for diagnosing acromegaly?
You are working in a hospital in Africa. A 2-year-old child presents with vomiting and a distended abdomen. Abdominal radiographs reveal acute obstruction of the small intestine with air fluid levels. Eosinophilia is found on complete blood count. Of the following parasitic infections, which is most likely to present with intestinal obstruction?
Immediate therapy for infants with suspected meconium should routinely include :
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