Recall MCQs 2

Question 1 of 250

1. Question

Which of the following is the most likely diagnosis in a person who has episodes of hypomania and depression?

Recurrent depressive disroder
Bipolar affective disorder
Schizoaffective disorder
Cyclothymia
Dysthymia

Question 2 of 250

2. Question

Which of the following is true about epidural hematoma

Can be diagnosed from the brain CT scan
It is Typically of a venous origin
It is usually arterial in origin
It is not usually accompanied by a skull fracture
It should be suspected only in comatose patients

Question 3 of 250

3. Question

Which of these is true concerning hormonal contraceptives?

Its mechanism of action includes thickening of cervical mucus
The combined oral contraceptive pills can decrease the risk of endometrial cancer
It should not be used in women less than 35 years
The progesterone only pills is taken for 21 days followed by 7 days pill- free interval
Headache is an absolute contraindication

Question 4 of 250

4. Question

Which of the following is an early sign of blood transfusion reaction?

Respiratory distress
Fever
DIC
Haemoglobinuria
Hypotension

Question 5 of 250

5. Question

Most common electrolyte abnormality post-surgery include

Hyperkalemia
Hypokalemia
Hyponatremia
Hypernatremia
Hypocalcemia

Question 6 of 250

6. Question

What type of vaccine is Salk

Live attenuated
Live
Killed
Toxoid
Activated

Question 7 of 250

7. Question

Which of the following poisoning is an indication for the use of oral activated charcoal?

Ethylene glycol
Alcohol
Lithium carbonate
Ferrous sulphate
Acetylsalicylic acid

Question 8 of 250

8. Question

Which of the following is not a cause of microcytic anameia?

Sideroblastic anaemia
Lead poisoning
Thalassemia
Iron deficiency
Hemolysis

Question 9 of 250

9. Question

In schizophrenia

There is 1st person auditory hallucination
There is 3rd person auditory hallucination
There is 2nd person auditory hallucination
No auditory hallucination

Question 10 of 250

10. Question

The major route of HIV transmission globally is:

Female – female sexual intercourse
Male – female sexual intercourse
Unsafe blood and plasma procedures
Male to male sexual intercourse
Injecting drug use

Question 11 of 250

11. Question

Reduced variability can be caused by any of the following:

Fetal sleep
Fetal acidosis
Tachycardia
Prematurity
All of the above

Question 12 of 250

12. Question

cutaneous larva migrans

Ancylostoma brazilense
E. Hystolytica
Ancylostoma duodenal
Ascaris lumbricoides

Question 13 of 250

13. Question

Which of the following is correct concering post exposure prophylaxis after a violent sexual assault?

Drug treatment should preferably be started within four (4) hours and can reduce transmission rate
To increase compliance, single drug regimen may be used in place of HAART
The rape survivor needs no drugs if she does not bleed after the rape indidence
The rape survivor should preferably be screened before initiating therapy
If the rapist is on drugs the victim should preferably be started on the same drugs

Question 14 of 250

14. Question

Female fertility depends on which of the following features?

Ability of the zygote to implant and survive in the endometrium
Ability of the male ot produce enough spermatids
Irregularly timed evaluation
Ability of the sperm to reach the ovum in the fallopian tube after 48 hours of ovulation
The absence of an LH surge during the menstrual cycle

Question 15 of 250

15. Question

Which pharyngeal arch is innervated by the glossopharyngeal nerves?

Fourth pharyngeal arch
Second pharyngeal arch
Sixth pharyngeal arch
First pharyngeal arch
Third pharyngeal arch

Question 16 of 250

16. Question

Obstructed labour in a 21 year old primigravida is diagnosed when which of the following are met

Prolonged labor due to atonic uterus
Overfull bladder
Prolonged rupture of fetal membranes with ammonitis
Presence of caput
Bandl's ring of contraction

Question 17 of 250

17. Question

A 30 year old is recently diagnosed to have hypertension. Her pregnancy test result is positive. Which anti-hypertensive cannot be administered to this lady?

Diuretics
Calcium channel blockers
Angiotensin receptor blockers
Beta blockers
Centrally acting medicines

Question 18 of 250

18. Question

Which of the following is the drug combination of choice in the treatment of malaria in Nigeria?

Sulphadoxime-Pyrimethamine
Artemisin-Combination Therapy
Quinine – Tetracycline
Artovaquone-Proguanil
Dihydroartemisin-Piperaquine

Question 19 of 250

19. Question

Regarding obstructed labour which is the correct statement?

Increase acidaemia from myometrial metabolism leads to continous uterine contraction
The commonest cause is cephalopelvic disproportion
Symphysiotomy is the treatment of choice
Uterine rupture is commonly seen in primigravida
Cleidotomy may be an option when the cervix is not fully dilated

Question 20 of 250

20. Question

The following are true of HIV/AIDS in children except

Affected children may present with generalized adenopathy
Florid oro-pharyngeal thrust may be seen
Positive rapid test is diagnostic in the first six months of life
Failure to thrive may be a feature
Transmission is maximal during intra-partum period and delivery

Question 21 of 250

21. Question

Eradication means

Stopping disease transmission in a specific geographic area or country.
Permanent reduction to zero worldwide of a disease through deliberate measures such as vaccines.
Reduction of a disease to zero cases through deliberate measures such as vaccines.
Temporary reduction of disease prevalence in a specific region through natural immunity
Complete elimination of a disease from a specific population by natural means

Question 22 of 250

22. Question

Temperature by which BCG is stored

+2 to +8
-1 to +4
0 to +2
-2 to +6
+4 to +10

Question 23 of 250

23. Question

Neonatal jaundice can be caused by these conditions except

Cephalohaematoma
Urinary tract infection
Prematurity
Severe neonatal anaemia
Neonatal sepsis

Question 24 of 250

24. Question

Which of the following are the classic triad in the presentation of acute meningitis?

Fever, confusion, headache
Photophobia, vomiting, fever
Fever, headache, neck stiffness
Fever, vomtiing, neck pain
Headache, seizure, coma

Question 25 of 250

25. Question

One of the under-listed complications is (Not?) associated with destructive vaginal operations?

Maternal complications include perineal tears
Fetal complications include brachial plexus injury
Previous history of shoulder dystocis is not a risk factor
Risk factors include macrosomia
Fetal complications include fractured clavicle or humerus

Question 26 of 250

26. Question

Which of the following best defines coronal hypospadias?

The urethral opening is on the glans penis
The urethral opening is on the penile shaft
The urethral opening is on the peno- glanular
The urethral opening is in the peno-scrotol
The opening is in the perineum

Question 27 of 250

27. Question

Glomerulonephritis is usually associated with

Edema
Hypertension
Oliguria
Hematuria
Proteinuria

Question 28 of 250

28. Question

Which of these statements is correct regarding reassuring Cardio-tocographic findings?

No baseline variability
Deceleration with fetal movement
Accelerations with Fetal movement
An acceleration of greater than 30 beats per minute
Baseline rate 120-160 bpm

Question 29 of 250

29. Question

Which of the following is not an indication for diagnostic laparoscopy?

Bilateral tubal ligation
Chronic pelvic pain
Undiagnosed lower abdominal pain
Ruptured ectopic pregnnacy
Infertility management

Question 30 of 250

30. Question

Which one of the following is not necessary in the diagnosis of upper gastro-intestinal bleeding?

Endoscopy
Endotracheal intubation
Haematochezia
Passage of nastrogastric tube
A very robust history

Question 31 of 250

31. Question

Which of the following is NOT a manifestation of Conn’s syndrome?

Hypokalemia
Metabolic alkalosis
Muscle weakness
Hyperkalemia
Hypertension

Question 32 of 250

32. Question

Risk factors for rheumatic heart disease in Nigeria include the following EXCEPT?

Throat infection
Overcrowding
Maternal age
Poverty
Poor environmental Conditions

Question 33 of 250

33. Question

During the menstrual cycle, which of the following statement is NOT correct?

Menstruation follows after 4 days of involution of the corpus luteum
After ovulation, the progesterone causes swelling and secretory development of the endometrium
The entire endometrial surface is re-epithelized within 10 days of the start of menses
Ovulation occurs 14 days before the onset of menstruation in the following cycle
The proliferative phase is initiated by secretion of progesterone

Question 34 of 250

34. Question

Bouts of fever in malaria corresponds to

Sporogony
Pre-erythrocytic phase
Erythrocytic phase
Rupture of RBCS which leads to release of merozoites

Question 35 of 250

35. Question

Eradication of a disease means

Keeping active surveillance of a disease that occurs in a pandemic form a specifical geographical location
Permanent reduction to zero of the worldwide incidence of infection caused by a specific agent
Reducing the prevalence of a disease in a specified geographical location
Natural, permanent reduction to zero of the worldwide incidence of infection caused by a specific agent
Reducing the incidence of a disease to Zero in a specified geographical location

Question 36 of 250

36. Question

Which of the following medications require a test dose before administration?

Tetanus toxoid
Insulin
Aminophylline
Diazepam
Anti-tetanus serum

Question 37 of 250

37. Question

Isolation means

A period of detention of persons or animals to prevent the spread of disease.
Restrict the movement of those who are exposed to the disease to see if they become sick
Separation of sick people with contagious diseases from people who are not sick.
Preventing the spread of disease by relocating people to a secure location
A form of quarantine for serious infections only

Question 38 of 250

38. Question

Which of the following is not a cause ofmicrocytic anemia

Iron deficiency anemia
Anemia of chronic disease
Thalassemia
Lead poisioning
Folic deficiency

Question 39 of 250

39. Question

Hydrocephalus: which part of the brain fluid accumulates

Ventricles
Subdural
Subarachnoid
Intercerebral

Question 40 of 250

40. Question

Choose the correct statement from the following about typhoid fever in children

Children present more with abdominal pain
Commonest mode of presentation is diarrhoeeal disease
The typhoid vaccine is administeristered at 10 weeks of age
A single Widal test is diagnostic
It can present with severe anaemia

Question 41 of 250

41. Question

Which of the following is true about acute kidney injury in children?

Infection is the predominant cause in this population
Dialysis is a recommended treatment for all children with AKI
All chidlren with AKI present with severe anaemia
When there is hypertension, the drug of choice for treatment is ACE inhibitor
Neurological complication is always due to intra-cortical bleeding

Question 42 of 250

42. Question

When obstetricians talk about delays that are responsible for maternal mortality, secondary delay in getting medical attention:

When the hospital nurse insisted that the patient had to register before she could receive medical attention
When she delivers in a taxi
When appropriate instruments for delivery are lacking
When the woman in difficult labor waits for the husband's permission before going to the hospital
When the attending medical doctor did not call for help on time

Question 43 of 250

43. Question

Interruption of transmission of disease from large geographical regions or areas

Eradication
Elimination
Extinction
Control

Question 44 of 250

44. Question

Which of these statements is in keeping with features of a third degree utero-vaginal prolapse?

The only surgical option is vaginal hysterectomy and pelvic floor repair
Decubitous ulcer is common
The uterus is completely outside the vagina
The cervix is within the vagina but lower than the ischial spines
Only the cervix protrudes from the introitus but can be reduced

Question 45 of 250

45. Question

Which of these people should not be offered a live or attenuated vaccine?

Travelers or hawkers who spend great time under the sun
Minister of God who engage in fasting and prayers for their people
Students in boarding schools because of poor feeding
Severely immuno-compromised individuals and pregnant women
Immigrants from disease-free regions

Question 46 of 250

46. Question

A 46 year old mechanical engineer presents with migraine preceded by aura. Which of the following is the most likely diagnosis?

Tonic-clonic seizure
Absence seizure
Atonic seizure
Myoclonic seizure
Focal seizure

Question 47 of 250

47. Question

Which of the following statements is true about infertility in a couple?

Never caused by varicocele as a male factor
In SFA, volume less than 1ml may be suggestive of obstructive cause
Elevated Testosterone in the presence of elevated FSH and LH is diagnostic of testicular failure
Seminal fluid urinalysis (SFA) specimen must be processed within 3 hours of collection
Always entirely caused by male factor

Question 48 of 250

48. Question

One of the following complications is NOT associated with prolonged prednisolone use

Alopecia
Cataract
Hyperpigmentation
Hypocalcemia
Glucose intolerance

Question 49 of 250

49. Question

Patient complains of someone putting thoughts that are not his.

Thought insertion
Visual Hallucination
Thought deletion
Thought withdrawal

Question 50 of 250

50. Question

Cyanotic heart disease: which is not a complication

Brain abscess
CVAs
Coagulopathy bacterial endocarditis
Cyanosis

Question 51 of 250

51. Question

Evidence of fecal contamination of water is provided by

Tetanus toxoid
Vibrio cholera
Clostridium difficile
Coliform bacteria
Clostridium perfringens

Question 52 of 250

52. Question

Which of the following is false with regards to the treatment of CIN?

Cryotherapy involves freezing the abnormal epithelium
The definitive treatment may be hysterectomy
Can be treated with carbio dioxide laser
Excisional investigations include cone biopsy
Cold coagulation involves heating the abnormal epithelium to temperature of 100oC

Question 53 of 250

53. Question

Gowers sign is seen in

Duchene muscular dystrophy
Poliomyelitis
Tetanus
Amyotrophic lateral sclerosis
Myasthenia gravis

Question 54 of 250

54. Question

Prophylactic drug for meningitis

Rifampicin
Vancomycin
Penicillin and Metronidazole
Vancomycin and ciprofloxacin
Trimethoprim-Sulfamethoxazole

Question 55 of 250

55. Question

Among the sacrococcygeal teratoma complication

Bowel(rectal) obstruction
Malignant transformation
Intralesional hemorrhage
Rupture(especially at delivery)
None of the above

Question 56 of 250

56. Question

The following are risk factors of diabetes except

Advancing age
Smoking
Family history
Obesity
Physical inactivity

Question 57 of 250

57. Question

Which of these investigation modalities is used to confirm the diagnosis of Stroke?

Fasting blood glucose
Electrocardiography
BNP
Brain MRI
Fasting lipid profile

Question 58 of 250

58. Question

Absolute contraindications to epidural anesthesia excluding

Uncorrected hypovolemia
Increased intracranial pressure
Infection at the site. Allergy to local anaesthetic
None of the above

Question 59 of 250

59. Question

Termination of all transmission processes of infection by extermination of the infectious agent

Eradication
Elimination
Extinction
Termination

Question 60 of 250

60. Question

The following investigation is routinely done at booking for antenatal care

Blood film for malaria parasite
Urinalysis
Haemoglobin Concentration
HIV test
COVID-19 PCR test

Question 61 of 250

61. Question

Which of the following is not a clinical feature of Graves’ disease?

Bradycardia
Pretibial myxoedema
Hyperdefecation
Heat intolerance
Exophthalmos

Question 62 of 250

62. Question

Which of the following statements are not true about vesicovaginal fistula (VVF)

The patient may be allowed to have a trial of vaginal delivery after a successful vaginal repair
The commonest cause of residual VVF is sexual intercourse
The three swap test is helpful for the location of very small fistulae
They are the consequences of prolonged obstructed labour

Question 63 of 250

63. Question

Which of the following neurotransmitters is depleted in Parkinson’s disease?

Acetylcholine
Dopamine
Epinephrine
Glutamate
Serotonin

Question 64 of 250

64. Question

Which of these mechanisms is NOT utilized by the skin in the maintenance of the temperature?

Conduction
Squamation
Convection
Evaporation
Radiation

Question 65 of 250

65. Question

(Picture test)Effects of car congestion traffic – except

effect on climate change – headaches and agitation –
respiratory problems (not worded like this)
higher chronic stress
Healthy lungs

Question 66 of 250

66. Question

Which of the following drugs is most apprioprate in reversing Warfarin toxicty?

Colestyramine
Protamine sulfate
Chelating agent
Haemodialysis
Platelets transfusion

Question 67 of 250

67. Question

Which of the following is not associated with birth injury?

Absent Moro response
Cephalohematoma
Congenital hip displacement
Thrombocytopenia
Clavicular fracture

Question 68 of 250

68. Question

Concerning COVID 19 infection, which of the following is not true?

Transmission is mainly by droplet infection
Anaemia is a feature
Immunizatioon confer permanent protection
Ivermectin is an adjunct important treatment
Bleeding may be an important feature

Question 69 of 250

69. Question

Which of the following is commonly used in burn patients

Normal saline
Ringers lactate
5% dextrose
Albumin
Plasma-Lyte A

Question 70 of 250

70. Question

All of the following are associated with Graves’ disease except

Weight loss
Bradycardia
Thyroid storm
Goiter
Exophthalmos

Question 71 of 250

71. Question

Calculate maintenance for Maintenance therapy in 22kg baby

1540
1780
2000
4000

Question 72 of 250

72. Question

Classic triad of meningitis

Altered mental status, neck stiffness, fever
Photophobia, headache, neck stiffness
Headache, photophobia, fever
Altered mental status, photophobia, fever
Headache, fever, confusion

Question 73 of 250

73. Question

Which of the following is the epithelial lining of pleural membrane?

Stratified squamous epithelia
Type II pneumocytes
Simple squamous epithelia
Pseudo-stratified columnar epithelia
Ciliated squamous epithelia

Question 74 of 250

74. Question

Treatment for warfarin toxicity. Choose best answer

Protamin sulphate
Vit K
Cryoprecipitate
FFP

Question 75 of 250

75. Question

Features of nephrotic syndrome except

Hypertension
Edema
Proteinuria
Albuminuria
Hypercoagulopathy

Question 76 of 250

76. Question

Concerning urinary tract infection, one of the following is NOT a risk factor?

Malnutrition
Female sex
Homozygous sickle cell trait
Nephrotic syndrome
Circumcised male

Question 77 of 250

77. Question

Which of the following is not an alarm feature of dyspepsia?

Unexplained anaemia
Presence of jaundice
Family history of thyroid cancer
New onset dyspepsia at age 45 years and above
Presence of a palpable abdominal mass

Question 78 of 250

78. Question

Only ONE of the following statements about CKD in children is CORRECT

GFR of 21ml/min/1.73m2 indicates stage 3 CKD
Serum urea of 14.2mg/dl (2.1mmol/L) is normal in stage 5 CKD
Features of rickets in most cases appear commonly from stage 2 CKD
In most children under 5 years, congenital anomaly of the kidney and urinary tract (CAKUT)
Anaemia when present is usually hypochromic and microcytic in nature

Question 79 of 250

79. Question

A 3 day old neonate weighing 1.4Kg presenting with twitching of the upper limbs may have any of the following

Hypoxic ischemic encephalopathy
Hypocalcemia
Hyponatremia
Intravascular haemorrhage
Hypokalemia

Question 80 of 250

80. Question

A 33-year old woman with paranoid schizophrenia describes hearing voices telling her what to do even when there is no around. She finds it very distressing and it is difficult for her to resist acting on them. Which of the following best describes her condition?

Autoscopic hallucination
Third person auditory hallucination
Sensory distortion
Second person command auditory hallucination
Pseudohallucination

Question 81 of 250

81. Question

Measles reservoir:

Man
Dog
Cat
Pigs

Question 82 of 250

82. Question

Modalities of management of DKA include all of these EXCEPT

Intravenous insulin should be commenced immediately at admission
Potassium correction may be required with time
Hourly monitoring of blood sugar in the first six hours
Evaluate and treat for infection
Correction of severe dehydration

Question 83 of 250

83. Question

The following statement is false concerning normal non-stress cardiotocography? (Except??)

Normal variability is between 10 and 15 beats per minute
The “stress” refers to the mother
There is absence of decelertions
At least two fetal heart accelerations of 10 beats per minute or more lasting for 15 minutes
Normal baseline fetal heart rate is between 220 and 150 beats per minute

Question 84 of 250

84. Question

which of the following is not a sign and symptoms of meningitis.

Headache
Neck stiffness
Photophobia
Herniation

Question 85 of 250

85. Question

Seen in cranial nerve 7 examination except

Whistling
Chewing
Closing eyes tightly
Puff the cheek
Raising eyebrows

Question 86 of 250

86. Question

Which of the following is the first immunization in a newborn?

BCG
Colostrum
Pentavalent
Hepatitis B
Polio

Question 87 of 250

87. Question

International red cross ?

Geneva
United Kingdom
Vienna
Sweden

Question 88 of 250

88. Question

Route of administration of BCG

Oral
Intramuscular
Intradermal
Subcutaneous
Intravenous

Question 89 of 250

89. Question

Which of the folloeing is not a diagnostic test for hematuria?

Computerized tomography scan
Packed cell volume
Urinalysis
Intra-venous venography
Microscopy, culture and sensitivity

Question 90 of 250

90. Question

Is not a Cause of blindness in the tropics

Conjunctivitis
Xeropthalmia
Cataract
Onchocerciasis

Question 91 of 250

91. Question

Describes changing population patterns in terms of fertility, life expectancy, mortality, and leading causes of death

Epidemiology transition
Epidemiological triad
Epidemiological evolution
Epidemiological expectations

Question 92 of 250

92. Question

One of these is NOT TRUE of the human breast milk

Colostrum is rich in fat
Contains high level of IgA
Sodium is lower in cow milk
Whey/Caesin ration is 20:80
Contains lactoferrin

Question 93 of 250

93. Question

Concerning molar gestation, which of the following statements is correct?

hCG is the tumour marker for Hydatidiform mole
Human placental Lsctogen is the tumour marker for choriocarcinoma
Triple paternal chromosome contributes giving rise to triplody in the undergoing problems in partial moles
Double paternal chromosome contributes in the undergoing problem in complete mole
Dispermy is synonymous with complete mole and monospermy is synonymous with partial moles

Question 94 of 250

94. Question

Which of the following is true about duodenal obstruction resulting from annular pancreas?

Haematochezia
Constipation
Generalized abdominal distension
Bilious vomiting
Ascites

Question 95 of 250

95. Question

Which of the following is correct about Hodgkin’s lymphoma?

It is indistinguishable from other lymphomas
It originates only from lymph nodes
Reed Steenberg cells are diagnostic
It is a tumour of megakaryocytes
Burkitt’s lymphoma is a type

Question 96 of 250

96. Question

Which of the following is NOT a cause of haematuria?

Nephrolithiasis
Duplicated ureter
Urinary bladder haematuria
Benign prostatic hypertrophy
Urinary schistosomiasis

Question 97 of 250

97. Question

Order of data analysis

Identification , data collection, cleaning, analysis, and visualization.
data collection, identification , cleaning, analysis, and visualization.
analysis, visualization identification, data collection, and cleaning.
cleaning, analysis, visualization identification, and data collection

Question 98 of 250

98. Question

The wastewater or liquid waste from a community is called —–. This includes sullage, discharge from water closets (WC), urinals, etc., and industrial wastewater.

Sullage
Sewage
Sewerage
Waste

Question 99 of 250

99. Question

Which of the following is non invasive method allowing the monitoring of the saturation of oxygen?

Transcutaneous haemo-oximetry
Intravascular oximetry
Ear oximetry
Pulse oximetry
Skin reflectance oximetry

Question 100 of 250

100. Question

What is the confirmatory test for Tuberculosis in Nigeria?

Ziehl-Neelsen test
Sputum culture with Lowenstein-Jensen medium
Chest X-ray
QuantiFERON-TB Gold test
Tuberculin skin test

Question 101 of 250

101. Question

Which of the following is not an association ofPCOS?

Elevated serum LH
Insulin resistance
Type 2 DM
Increased testosterone
Low FSH

Question 102 of 250

102. Question

Which of the following is not a risk factor for shoulder dystocia

Diabetes
Short stature
Prematurity
Obesity
Maternal age

Question 103 of 250

103. Question

Which one isn’t a feature of subdural hematoma

Lucid interval
Crescent shape hypodense lesion on cT
May appear weeks after injury
May be asymptomatic

Question 104 of 250

104. Question

Which of the following is true about undescended testes?

It can be found in the perineum
It can be located in the superficial inguinal pouch
Testicular torsion is a possibility
It can be situated in the deep inguinal ring
It can be found in the abdominal cavity

Question 105 of 250

105. Question

Which of the following steps is necessary for preventing surgical wound infection?

Postoperative shaving for three days
Tetanus prophylaxis
Theatre room temperature control
Application of antiseptic to the operative site
Local wound irradiation

Question 106 of 250

106. Question

The underground pipes that are used to carry sewage to the point of discharge or disposal

Sullage
Sewage
Sewerage
Waste
Sewers

Question 107 of 250

107. Question

Reference protein

Milk
Meat
Egg
All of the above

Question 108 of 250

108. Question

Patient complains of someone putting thoughts that are not his.

Thought insertion
Visual Hallucination
Thought deletion
Thought withdrawal

Question 109 of 250

109. Question

Which of the following values indicated abnormal semen quality?

White blood cell count < 1 X 104 ml
20% of dead sperms
Presence of fructose
Motility of 42%
Volume of 0.2ml

Question 110 of 250

110. Question

Infections by the leprosy organisms is usually through:

The digestive system of man infected with the disease
Depressed prolonged hormonal influence on a person with diminished immunity
Inhalation of the offending organisms in droplets from secretions of person suffering from the disease
Contact with the infected person
The bloodstream

Question 111 of 250

111. Question

Which of the following microorganisms is implicated in pneumonia due to exposure to birds?

Chlamydia psittaci
Legionella spp
Strep. Pneumoniae
Moraxella
Francisella tularemia

Question 112 of 250

112. Question

Hepatitis b serology: which is first detected

HBsAg
HBeAg
HBcAg
HBV DNA

Question 113 of 250

113. Question

Which of the following features is atypical of sexually transmitted infections?

Leucorrhea
Suppurative urethritis
Endosalpingitis isthmica nodosa
Exosalpingitis
Cervical ectopy

Question 114 of 250

114. Question

Which of the following statements describes hypospadias?

It is an inflammation of the testicles
It is benign warthy growth on genital skin
Urethral opening on the dorsal surface of the penis
It is the ventral curvature of the penis
Urethral opening on the ventral surface of the penis

Question 115 of 250

115. Question

Causes ofUpper GI bleeding include

Melena
Haemoptysis
Hematochezia
Anal fissure
Hemorrhoids

Question 116 of 250

116. Question

Which of the following is a negative deflection on an ECG?

Q wave
U wave
T wave
Delta wave
P wave

Question 117 of 250

117. Question

Indications for elective CS

Previous cesarean delivery
CPD
Breech presentation
Uterine rupture
Fetal weight >4.5kg

Question 118 of 250

118. Question

This disorder requires someone to have at least one major depressive episode andat least one hypomanic episode

Bipolar l
Bipolar ll
Cyclothymia
Hypomania

Question 119 of 250

119. Question

The following features are true of diabetic ketoacidosis EXCEPT?

Random blood sugar of 7.3mmol/L
Glasgow coma scale of 7/15
Serum bicarbonate 10mmol/L
Fruity breath smell
Severe dehydration

Question 120 of 250

120. Question

Which of the listed items is a complication of colposcopy?

Tingling sensation in the cervix
Uterine perforation
Abnormal Uterine bleeding
Chronic cervicitis
Low abdominal pain

Question 121 of 250

121. Question

Which of the following statements is NOT true for infants with duodenal atresia?

There is an increased incidence of Down syndrome
It almost always occurs in the region of the ampulla of Vater
It is best treated by gastroenterostomy
It may occur in infants with situs inversus, malrotation, annular pancreas and anterior portal vein
Duodenal atresia can be detected by prenatal ultrasound examination

Question 122 of 250

122. Question

Which is seen in coarctation of aorta

Radio femoral delay
ventricular (LV) hypertrophy. Rib notching
An inverted "3" sign
All of the above

Question 123 of 250

123. Question

Which of the following is correct concering post exposure prophylaxis after a violent sexual assault?

Drug treatment should preferably be started within four (4) hours and can reduce transmission rate
To increase compliance, single drug regimen may be used in place of HAART
The rape survivor needs no drugs if she does not bleed after the rape indidence
The rape survivor should preferably be screened before initiating therapy
If the rapist is on drugs the victim should preferably be started on the same drugs

Question 124 of 250

124. Question

In children with acute glomeruloephritis, all of the following are true except

Anaemia when present is due to erythropoietin deficiency
The blood pressure may be elevated
Bed side urinalysis will show three plus of proteinuria
May precede throat or skin streptococcal infections
There may be need to restrict high protein intake

Question 125 of 250

125. Question

Which of the following is not associated with uterine inversion?

Primary postpartum haemorrhage
Chronic endometriosis
Crede’s manoeuvre
Trial of vaginal birth after caeserian section
Fundal implantation of the placenta

Question 126 of 250

126. Question

Which of the following sets contain examples of Live Attenuated Vaccines?

Measles, Salk polio vaccine and Diphtheria
Measles, Yellow fever and BCG
Measles, Cholera and Diphtheria
Measles, Typhoid and Cholera vaccines
Measles, Pertussis and Tetanus toxoid

Question 127 of 250

127. Question

Which is the most common cause of pathological fracture in a child?

Bone cyst
Malignancy
Fibrous dysplasia
Trauma
Paget's disease

Question 128 of 250

128. Question

Indications for elective Caeserean section for breech presentation exclude the following:

Footling breech
Flexed neck
Primigravid mother
Poor obstetric history
Estimated fetal weight less than 1.5kg

Question 129 of 250

129. Question

A 37 year old accountant para 0+2 presented with 11 weeks old intrauterine pregnancy and was found to have diabetes in pregnancy. Which of these indicated her previous diabetic control?

Serum HBA1C was 8
2hr postprandial blood sugar was 160mg/dl
30min blood sugar was 115mg/dl
Serum fasting blood sugar is 140mg/dl
Serum random blood sugar is 250mg/dl

Question 130 of 250

130. Question

Immunization is contraindicated in which of the following children

Malnourished
HIV positive
Allergy to egg
Recent antibiotic treatment
History of anaphylaxis

Question 131 of 250

131. Question

Condoms

Have dual protection (because it can protect against STI and also pregnancy)
Only protective against selected STIs
Contraceptives
Indicated as an emergency contraceptive
Mainly used to prevent HIV transmission

Question 132 of 250

132. Question

Match the correct one

PDA – continuous murmur
Aortic stenosis – diastolic murmur
Mitral regurgitation- diastolic murmur
VSD – holodiastolic murmur
Tricuspid stenosis – systolic murmur

Question 133 of 250

133. Question

Diagnosed when a person experiences a manic episode. During a manic episode, people with this condition experience an extreme increase in energy and may feel ontop of the world or uncomfortably irritable in mood.

Bipolar l
Bipolar ll
Cyclothymia
Hypomania

Question 134 of 250

134. Question

Which of the following is not a complication of colostomy?

Passage of mucoid stool per rectum
Obstruction
Prolapse
Diarrhea
Retraction

Question 135 of 250

135. Question

Which of these investigations is the “gold standard” in the diagnosis of pulmonary embolism?

Duplex Doppler of the lower limb
D-dimer
Echocardiography
CT pulmonary angiography
Pulmonary angiography

Question 136 of 250

136. Question

Which is not an absolute contradiction of CS

Unskilled personnel
When maternal status may be compromised
Patient wishes
2 previous classical CS

Question 137 of 250

137. Question

Diagnosis of pericarditis

ECG
Echo
CXR
All of the above
None of the above

Question 138 of 250

138. Question

Schizophrenia: what is seen in schizophrenia

2nd person auditory hallucination
Visual Hallucination
Olfactory Hallucination
3rd person auditory hallucinationA Explanation In schizophrenia, one of the types of hallucinations that can occur is: 2nd person auditory hallucination Auditory hallucinations involve hearing things that are not actually present. In the case of "2nd person auditory hallucination," individuals may hear voices that speak directly to them or about them, as if they are engaging in a conversation. This is just one example of the types of hallucinations that can occur in schizophrenia. Visual and olfactory hallucinations are less common in schizophrenia, and "3rd person auditory hallucination" is not a commonly recognized term for a specific type of hallucination in the context of schizophrenia

Question 139 of 250

139. Question

The following are possible complications in acute glomerulonephritis except

Severe intravascular hemolysis
Acute kidney Injury
Pulmonary congestion
Congestive heart failure
Hypertensive encephalopathy

Question 140 of 250

140. Question

Peripheral neuropathies in HIV infected person are usually caused by

Antiretroviral drugs
HPV
Papova virus
Chlamydia infection
Cytomegalovirus (CMV)

Question 141 of 250

141. Question

Which of the underlisted is NOT a complication of obstructive benign prostatic hyperplasia (BPH)?

Bladder diverticula
Pyelonephritis
Prostrate cancer
Renal insufficiency
Bladder stones

Question 142 of 250

142. Question

The normal cardiac electrical impulse is generated by pacemaker cells located

Between the right atrium and left atrium
Between the right atrium and the pulmonary trunk
Atrioventricular node
Between the right atrium and right ventricle
Between the right atrium and superior vena cava

Question 143 of 250

143. Question

Which of the following is characteristic of Systemic Lupus Erythematous (SLE)

It is the most common connective tissue disease
Men are mroe commonly affected
Prevalence is roughly similar across all races
Mortality often due to progression of disease
It is a rare cause of premature cardiovascular disease

Question 144 of 250

144. Question

Investigations in a child with nephrotic syndrome include all of these except

Lipid profile
Chest radiograph
Serum albumin
Computed radiograph scan of the abdomen
Urine protein excretion

Question 145 of 250

145. Question

Antihypertensive of choice for a Nigerian man with BP of 180/110

Diuretics alone
ACE inhibitors and diuretics
CCBs
Beta-blockers
Methyldopa

Question 146 of 250

146. Question

A man presented to the hospital with pain in the chest and an abnormal ambulatory ECG. What initial investigation would you do?

ECG
Cardiac troponin
Chest X-ray
Echocardiography
LFTs

Question 147 of 250

147. Question

Lymphogranuloma venereum

Caused by C. Trachomatis serotypes L1-L3
Infection with one serotype confers immunity against subsequent infection
An ulcerative fecal-orally transmitted infection
Ulcerative buboes are uncharacteristic
Transmission is through contaminated water

Question 148 of 250

148. Question

A milder form of bipolar disorder involving many “mood swings,” with Hypomania and depressive symptoms that occur frequently. People with this experience emotional upsand downs but with less severe symptoms than bipolar I or II disorder.

Bipolar l
Bipolar ll
Cyclothymia
Hypomania

Question 149 of 250

149. Question

Which of the following is most correct pair related to the segregation of biomedical wastes?

Non-infectious Black coloured bag/bin
Infectious Brown coloured bag/bin
Radioactive Black coloured bag/bin with radioactive label
Chemical Yellow coloured bag/bin
Sharps Red coloured bag/bin

Question 150 of 250

150. Question

Which of the following is a normal flora of the vagina?

Mycoplasma bominis
Doderleins bacilli
Candida albicans

Question 151 of 250

151. Question

Which causes tropical blindness

Trachoma
Xerophthalmia
Onchocerciasis
Conjunctivitis

Question 152 of 250

152. Question

Which of these is priapism?

Abnormal curvature of penis
Ventral opening of urethral meatus
Painful penile erections
None of the above
Painful penile erections are indicative of priapism

Question 153 of 250

153. Question

Hypomania and longtime depression is seen in:

cyclothymia
severe depression
mania
Obsessive compulsive disorder
Bipolar_1

Question 154 of 250

154. Question

The population pyramind is a type of histogram that shows the age and sex structure of a population

At 2 year age intervals
At 5 year age intervals
At 10 year age intervals
At 3 year age intervals
At yearly intervals

Question 155 of 250

155. Question

In the Syndromic management of sexually transmitted infections

The flowchart is never a useful guide to treatment
Counselling of the sexual partners is not always necessary
Snowball methodology should never be used as a strategy for treatment
Contact tracing is usually done with the patient’s guardian in attendance
Contact tracing is the sine-qua-non for effective treatment

Question 156 of 250

156. Question

Wastewater from household sinks, showers, and baths, but not waste liquid or excretafrom toilets.

Sullage
Sewage
Sewerage
Waste

Question 157 of 250

157. Question

What will prevent a fistula from spontaneously closure?

The presence of a distal obstruction
If sited in the abdominal cavity
In the presence of spurious diarrhoea
Absence of a chronic granulomatous lesion
If sited in the peri-anal region

Question 158 of 250

158. Question

A precocious carrier:

Excretes the infective organism before the characteristics features of the disease are manifested
Excretes the infective organism intermittently over a period of years
Does not show any signs caused by the disease
Continues to excrete the infective organism while convalescing from the illness caused by the organism
Excretes the disease orgnaism onlu during the incubation period of the disease

Question 159 of 250

159. Question

The Pentavalent vaccine is

A combination of three (3) different vaccine combinations
A “freeze-sensitive” vaccines and must be discarded if found to be frozen
A combination of four (4) different vaccines combination
A combination of five similar strains of virus combines
A combination of five (5) different vaccine combination

Question 160 of 250

160. Question

Calculate the mean arterial pressure of a man with systolic BP of 190 and diastolic of 130

150
217
155
160
195

Question 161 of 250

161. Question

A patient presents with episodes of hypomania and depression, what is your diagnosis?

Cyclothymia
Bipolar II
Bipolar I
Autism
Schizophrenia

Question 162 of 250

162. Question

Which of the following is unlikely in a complaint of an isolated knee pain

Rheumatoid arthritis
Osteoarthritis
Septic arthritis
Gout
Meniscal tear

Question 163 of 250

163. Question

Schizophrenia: what is seen in schizophrenia

2nd person auditory hallucination
Visual Hallucination
Olfactory Hallucination
3rd person auditory hallucination

Question 164 of 250

164. Question

Which of the following is a feature of Grave’s disease?

Drooping of the upper eyelid
Cold intolerance
High systolic blood pressure
High level of TSH
Constipation

Question 165 of 250

165. Question

Malnutrition in Nigeria is due to all of these EXCEPT

Lower social class
Poor breastfeeding history
Severe anemia
Lack of maternal education
Poor immunization history

Question 166 of 250

166. Question

Pre exposure post prophylaxis better for

male who have frequent unprotected sex
male who have infrequent unprotected sex
female who have frequent unprotected sex
female who have infrequent unprotected sex

Question 167 of 250

167. Question

Hypospadias

Ventral hooding of prepuce
Bifid scrotum
Ventral opening of urethra
Dorsal hooding of prepuce
Chordae

Question 168 of 250

168. Question

Another name for fibroadenoma of the breast:

Breast abscess
Breast mouse
Breast cancer
Breast lump

Question 169 of 250

169. Question

Which of the following can be detected in the urine of a 20 year old man with a tumour that produces adrenaline and noradrenaline?

Potassium
Calcium
Choline
Vanillyl Mandelic acid (VMA)
Uric acid

Question 170 of 250

170. Question

Which of the following is an aetiological factor in gangrene of the limbs?

Necrotizing fasciitis
Tenosynovitis
Clostridium tetani
Diabetes mellitus
Clostridium pyomyositis

Question 171 of 250

171. Question

(Picture test)Effects of car congestion traffic – except

effect on climate change – headaches and agitation –
respiratory problems (not worded like this)
higher chronic stress
Healthy lungs

Question 172 of 250

172. Question

Labs: HBsAg(-ve), HBcAg(-ve), HBeAg(-ve), HBcAb(+ve), HBsAb(-ve),

Active infection
Immunized
Recovered
Window period

Question 173 of 250

173. Question

Hypothermia in the preterm infant is a risk for all of these EXCEPT?

Intraventricular haemorrhage
Bleeding
Thrombosis
Arrhythmia
Jaundice

Question 174 of 250

174. Question

Which of the following parameters is most likely increased in a patient with chronic obstructive pulmonary disease?

Functional residual capacity
Carbon monoxide diffusions capacity
Forced vital capacity
Lung elastic recoil
Expiratory flow rates

Question 175 of 250

175. Question

The gold standard for the diagnosis of stroke is

BNP
MRI
CT
EEG
Carotid Doppler Ultrasound

Question 176 of 250

176. Question

A 35-year-old patient presents with complaints of yellow eyes and skin, He is found to be HBsAg -ve, HBcAb +ve, HBeAg -ve, HBeAb +ve. What is the diagnosis?

Hepatitis E infection
Past Hepatitis B infection
Recovery from Hepatitis B infection
Immunity
Chronic Hepatitis B infection

Question 177 of 250

177. Question

The diagnosis of physiological jaundice in newborn is not considered in the following except

A 3 day infant with jaundice of 3 days duration
A 3 day full term infant with serum bilirubin greater than 12mg/dl
A 3 day old newborn with jaundice and hepatomegaly
A 3 day old infant with predominant conjugated hyperbilirubinemia
A 3 day infant with developing jaundice

Question 178 of 250

178. Question

Which of the following is the commonest cause of gastrointestinal bleeding?

Malignancy
Gastric erosion
Peptic ulcer disease
Oesophagtis
Varices

Question 179 of 250

179. Question

Concerning congenital hypertrophic pyloric stenosis, which of the following is false?

Onset of typical vomiting occur at 4 – 8 weeks of age
Vomitus is usually bilious and projectile
Vomiting occurs nearly after every feeding

Question 180 of 250

180. Question

Only one of the following statements is TRUE:

In sickle cell anaemia, glutamine replaces valine in the 6th position of – globin chain
Recurrent bone pain in sickle cell anaemia is due to bone marrow leukaemia
Bone marrow assessment is not required for diagnosis of acute leukaemia
Bilateral retinoblastoma in most cases has genetic predisposition
A 5 year old with PCV of 10% may present with congestive heart failure

Question 181 of 250

181. Question

prevent headaches from spinal or epidural anesthesia

IV infusion
blood patch
resting post procedure
use of a 26-gauge needle
administration of 100 mg of indomethacin six hours after the blockade
All of the above

Question 182 of 250

182. Question

About secondary amenorrhea, which is not an investigation to be done

Karyotyping
Hormonal assays
Progestin challenge test
Endometrial curettage and biopsy
None of the above

Question 183 of 250

183. Question

Which of the following drugs causes dissociative anesthesia?

Succinylcholine
Propofol
Diazepam
Midazolam
Ketamine

Question 184 of 250

184. Question

A 22 year old medican student on prolonged depot medroxyprogesterone is prone to

Osteoporosis
Ascites
Pelvic endometriosis
Low grade amnesia
Obesity

Question 185 of 250

185. Question

Certain individuals do not generate antibodies even after being correctly vaccinated. They are known as

Vaccine non-efficacy groups
Latent responders
Non responders
Poor Immune-competent persons
Idiosyncratic group

Question 186 of 250

186. Question

Measles reservoir:

Man
Dog
Cat
Pigs

Question 187 of 250

187. Question

What illuminating instrument is inserted into the pharynx and larynx to visualize the vocal cords?

Laryngoscope
Endoscope
Orthoscope
Pharyngoscope
Endotracheal tube

Question 188 of 250

188. Question

What is the greatest cause if mortality in patients with Rheumatoid arthritis?

Lymphoma
Renal vasculitis
Interstitial lung disease
Cerebrovascular disease
Cardiovascular disease

Question 189 of 250

189. Question

Which of the following is the most effective method of treating type 1 diabetes mellitus?

Calorie restriction
Oral hypoglycemic agent
Insulin administration
Weight loss
Exercise

Question 190 of 250

190. Question

Which of the following is correct about external cephalic version?

Requires general anaesthesia
Fetal heart rate is not affected by the procedure
Only indicated in term pregnancies
Cord entagnlement is not a recognied complication
Is a recognized cause of transplacental haemorrhage

Question 191 of 250

191. Question

The most important test before IUD insertion

Pap smear
Biopsy
Blood test
Ultrasound
Pelvic examination

Question 192 of 250

192. Question

Which of these is not associated with peptic ulcer

H. Pylori
Zollinger-Ellison syndrome
Blood group A
NSAIDs
GERD

Question 193 of 250

193. Question

Which of the following is a radiological feature of primary malignancy of the bone?

Sequestrum
Involcrum
Greenstick fracture
Sunburst appearance
Bone-on-bone phenomenon

Question 194 of 250

194. Question

During the menstrual cycle, which of the following statement is NOT correct?

Menstruation follows after 4 days of involution of the corpus luteum
After ovulation, the progesterone causes swelling and secretory development of the endometrium
The entire endometrial surface is re-epithelized within 10 days of the start of menses
Ovulation occurs 14 days before the onset of menstruation in the following cycle
The proliferative phase is initiated by secretion of progesterone

Question 195 of 250

195. Question

Which of these is a correct match

Young people 10 – 25 years
Elderly ≥ 75 years
Adolescents 11 – 19 years
Youths 15 – 24 years
Dependency 19 – 64 years

Question 196 of 250

196. Question

Which of the following is the most important factor in fracture healing?

Accurate reduction and 100% apposition of fracture fragments
Immobilization
Adequate calcium intake
Organization of blood clot
Good alignment

Question 197 of 250

197. Question

A child with MUAC of 11.5cm has — malnutrition

severe
moderate
mild
None of the above

Question 198 of 250

198. Question

Polycystic kidney disease. What is the first line treatment

Lifestyle modifications
COCPS
Clomiphene citrate
None of the above

Question 199 of 250

199. Question

This disorder requires someone to have at least one major depressive episode andat least one hypomanic episode

Bipolar l
Bipolar ll
Cyclothymia
Hypomania

Question 200 of 250

200. Question

The leading cause of poor health globally is

Sanitation
Cerebrovascular disease
Smoking
Poverty
Infectious disease

Question 201 of 250

201. Question

The following are complications of myomectomy EXCEPT

Primary haemorrhage
Pelvic adhesion
Chronic pelvic pain
Recurrent pregnancy loss
Uterine synechiae

Question 202 of 250

202. Question

One of the following is NOT TRUE in a week old neonate who has not passed meconium

Colostomy is mandatory
Hypernatremia is a feature
Recto-vaginal fistula may occur in a female
Enterocolitis may be a complication
Definitive diagnosis can NOT be confirmed by rectal examination

Question 203 of 250

203. Question

Which of the follwoing is not an indication for induction of labour?

Severe pre-eclampsia
Sickle cell disease
Oblique lie
Cardiac disease in pregnancy
Postdated pregnancy

Question 204 of 250

204. Question

Pre & post prophylaxis malaria

SCD
Visitors from non endemic to endemic
HIV/aids
Pregnant women
None of the above

Question 205 of 250

205. Question

A 23 year old man developed acute gastroenteritis of 2 days duration with severe dehydration, irrational behaviour . What will be the best immediate intervention?

Give anti-emetic to prevent further vomiting
Rehydrate patient with IVF 0.9% Normal saline and recheck renal function
Commence oral rehydration therapy
Initiate acute intermittent haemodialysis as patient meets clinical criteria for dialysis
Commence antibiotics to clear invading organisms from the GIT TRACTS.B Explanation B. Rehydrate the patient with IV fluids 0.9% Normal saline and re-check renal function. Rapid intravenous rehydration is crucial to restore fluid balance and electrolytes, especially in cases of acute gastroenteritis with severe dehydration. Re-checking renal function helps monitor the impact of rehydration and ensures that the kidneys are functioning properly. This approach addresses the critical issue of dehydration and its potential complications.

Question 206 of 250

206. Question

Eradication of a disease means

Reducing the incidence of a disease to zero in a speciifc location
Natural, permanent reduction to zero of the worldwide incidence of infections cause by a specific organism
Permanent reduction to zero of the worldwide incidence of infection caused by a speciifc organism
A reduction to zero of the global incidence of a communicable disease
Reducing the prevalence of a disease to zero in a specified location

Question 207 of 250

207. Question

Causes of breast cancer include

Trauma
BRCA gene
HPV
Multiple pregnancies
Witchcraft

Question 208 of 250

208. Question

Possible cause ofHodgkin lymphoma include

EBV
Gonorrhea
Chlamydia
CMV
HPV

Question 209 of 250

209. Question

Which one of the following does NOT cause haematuria?

Urinary bladder tumor
Urinary schistosomiasis
Nephrolithiasis
Benign prostatic hypertrophy
Duplicated ureter

Question 210 of 250

210. Question

The following are risk factors for hypertension in children Except?

Obesity
Takayasu disease
Wilms tumor
Severe anaemia
Prolonged steroid use

Question 211 of 250

211. Question

A 20 year old patient presents with cholera and muscles weakness and cramps. Electrolytes and urea were carried out, which can be seen?

Hypercalcaemia
Hypermagnesimia
Hypokalemia
Hypernatremia
Hyperkalemia

Question 212 of 250

212. Question

Which of the following is a good prognostic feature in tetanus?

Short period of onset
Long incubation period
Elderly age group
Female gender
Presence of spasm

Question 213 of 250

213. Question

Reassuring features of cardiotocography

Fetal accelerations
Early Decelerations
Variable deceleration
Late decelerations
A and B

Question 214 of 250

214. Question

findings in women with PCOS may include the following:

Virilizing signs
Acanthosis nigricans
Hypertension
Enlarged ovaries
All of the above

Question 215 of 250

215. Question

Diagnosed when a person experiences a manic episode. During a manic episode, people with this condition experience an extreme increase in energy and may feel ontop of the world or uncomfortably irritable in mood.

Bipolar l
Bipolar ll
Cyclothymia
Hypomania

Question 216 of 250

216. Question

concerning Glomerulonephritis which of the following is not true?

Asymmetrically affects both kidneys
Affects all age groups
May be associated with changes in the renal tubules and intersititium
Leads to an acute or chronic kidney failure if not effectively managed
It is characterized by diffuse inflammation of the glomerulus

Question 217 of 250

217. Question

Which of the following organisms is the MOST LIKELY cause of pulmonary tuberculosis in Nigeria?

Mycobacterium canis
Mycobacterium tuberculosis
Mycobacterium doronicum
Mycobacterium bovis
Mycobacterium africanum

Question 218 of 250

218. Question

Which of the following statements is TRUE concerning the partograph?

It is used to monitor the progress of the second stage of labor
The interval between each vertical line is one hour
It does not have a space for monitoring of uterine contractions
Fetal heart rate is monitored every hour during normal labor
The cervicography is charted every hour

Question 219 of 250

219. Question

Which of the following is not a secondary cause of osetoarthritis of the hip joint?

Joint overload
Bone infarction
Intrarticular fracture
Ageing process
Septic arthritis

Question 220 of 250

220. Question

The epidemiological transition is:

Elimination of pathogens in the environment
The development of epidemiology as a major discipline in developing countries
The continuing problem of infectious diseases plus the rapid increase in chronic diseases in developing countries
The elimination of infectious diseases and the increase in chronic disease as the major problem
Maintaining healthy living

Question 221 of 250

221. Question

Which of the following is NOT an opportunistic GI infection in HIV aids?

Candidiasis
Toxoplasmosis
Salmonella infection
Tuberculosis
Herpes simple virus (HSV-1) infection

Question 222 of 250

222. Question

Which of the following is true about cancer of the cervix?

It is the second most common cancer worldwide
Human Papillomavirus infection is a major risk factor
Cannot be detected early by any screening methods
It is hereditary and so can occur in neonates
Has a seasonal variation worldwide

Question 223 of 250

223. Question

Asthma

Type I hypersensitivity
Type II hypersensitivity
Type III hypersensitivity
Type IV hypersensitivity

Question 224 of 250

224. Question

Possible routes of parasitic infections

Arthropods
Fomite transmission
Contact with contaminated water
Ingestion of contaminated food and water
Aerosol droplets

Question 225 of 250

225. Question

Which of the following is caused by bacteria?

Pediculosis
Scabies
Kerion
Tinea capitis
Impetigo

Question 226 of 250

226. Question

Differential diagnosis of sudden flaccid paralysis in a 10 year old child include

Avascular necrosis of the head of both femurs in sickle cell anaemia
Transverse myelitis
Guillain-Barre syndrome
Poliomyelitis
Potts disease

Question 227 of 250

227. Question

What test confirm stroke:

EEG
ECG
MRI
X-ray

Question 228 of 250

228. Question

Which of the following is not an indication for diagnostic hysteroscopy?

Unusual vaginal discharge
Recurrent miscarriages
Abnormal pap smear
Heavy or irregular periods
Abnormal Uterine bleeding

Question 229 of 250

229. Question

Causes of fetal bradycardia

Postdate gestation
Occiput posterior or transverse presentations
Breech presentation
A and B
None of the above

Question 230 of 250

230. Question

Colle’s fracture

Fracture of proximal radius
Fracture of distal radius with upward/dorsal angulation of proximal fracture segment
Fracture of distal ulna with upward/dorsal angulation of proximal fracturesegment
Fracture of proximal radius with upward/dorsal angulation of proximal fracture segment

Question 231 of 250

231. Question

A milder form of bipolar disorder involving many “mood swings,” with Hypomania and depressive symptoms that occur frequently. People with this experience emotional upsand downs but with less severe symptoms than bipolar I or II disorder.

Bipolar l
Bipolar ll
Cyclothymia
Hypomania

Question 232 of 250

232. Question

Concerning carcinoma of the ovary, which of the following statements is correct?

Omentectomy reduces the risk of post-operative fluid build-up
Cisplatin reduces recurrence
Spread mainly across the peritoneal cavity
Surgical staging is not needed for chemotherapy
Its common in multiparous women

Question 233 of 250

233. Question

Non features of VVF

Dribbling of urine
Recurrent UTI
Vaginal excoriations and stenosis
None of the above

Question 234 of 250

234. Question

Which of the following is a helpful physiological change in pregnancy?

Hyper-coagulability
Reduced gastric emptying
Increased volume of distribution
Aortocaval compression
Physiological anemia

Question 235 of 250

235. Question

Which of the following is not a function of skin?

Immunological
Vitamin E synthesis
Thermoregulatory
Physical barrier
Ultraviolet protection

Question 236 of 250

236. Question

The biggest single determinant of HIV transmission to the infant is:

Infant’s CD4+ cell level
Mother's age
Mother's immune status
Mother's viral load
Father's CD4+ cell level

Question 237 of 250

237. Question

Which of the following condition is not associated with Spina bifida?

Chiari 2 malformation
Lower limb paralysis
Hydrocephalus
Tethered spinal cord
Biliary atresia

Question 238 of 250

238. Question

Which of the following is not a complication of Colle’s fracture?

Stiffness of wrist
Swan neck deformity
Sudeck’s atrophy
Arthritis nodosa
Mal union

Question 239 of 250

239. Question

Which is known as laughing gas

Carbon monoxide
Nitric oxide
Carbon dioxide
Sulphuric acid
Methane

Question 240 of 250

240. Question

What type of vaccine is Sabin

Live attenuated
Live
Killed
Toxoid
Inactivated

Question 241 of 250

241. Question

The non-contraceptive benefits of the male condom include the following EXCEPT

Prevention of cancer of the cervix
Prevention of pregnancy
Prolongation of erection time
Used to shield the transvaginal probe of ultrasound scan
Prevention of pelvic inflammatory disease

Question 242 of 250

242. Question

Which of the following is true about polycystic kidney disease?

It is associated with a shrunken kidney
It is rare in blacks
Patient may present with hypertension
Bone pain is a predominant feature
It is an autosomal dominant inherited disease

Question 243 of 250

243. Question

Function of Babcock forceps include:

grasping Fallopian tube during surgery
grasping ureter during surgery
grasping muscles
Grasping appendix

Question 244 of 250

244. Question

A 26 year old woman with a diagnosis of bipolar disorder in the emergency department. She speaks about a range of topics, but her words make sense and the topics are clearly linked.

Circumstantially
Pressure of speech
Tangentially
Dysphagia
Alogia

Question 245 of 250

245. Question

Causes of prolonged severe fetal bradycardia

Epidural and spinal anaesthesia
Maternal seizures
Rapid fetal descent
All of the above
None of the above

Question 246 of 250

246. Question

Cervical cancer: which is correct?

CIN-1 (low-grade) involves the lower 1/3 or less of the epithelium
CIN-2 and CIN-3 (high-grade) progress to include the entire thickness of the epithelium
Dysplasia becomes cancer when it invades the basement membrane
All of the above

Question 247 of 250

247. Question