Recall MCQs 3

Question 1 of 250

1. Question

Which of these is the aim of a 3rd-trimester ultrasound?

Diagnose placenta previa
Determine the site of implantation
Determine the presentation
Check the date of the pregnancy
Assess amniotic fluid index

Question 2 of 250

2. Question

Which is not a non-gastrointestinal cause of anemia?

Chronic kidney disease
Anemia of chronic disease
Whipple’s disease
G6PD deficiency
Sickle cell anemia

Question 3 of 250

3. Question

The last menstrual period was June 30. the expected date of delivery (EDD) is approximately

March 23.
April 7
March 28.
April 23.
March 7

Question 4 of 250

4. Question

Which of the following drugs is contraindicated in hypertensive women

Ergotocin
Oxytocin
Indocin
Syntocinon
Pitocin

Question 5 of 250

5. Question

Yellow fever card:

Vaccine Last 10years
Vaccine Last 5yrs
Disease vector is culex
Nigeria is a high-risk country for yellow fever

Question 6 of 250

6. Question

ll are features ofConn’s syndrome except

Hypokalemia
Hypertension
Hyperkalemia
Alkalosis
Hyponatremia

Question 7 of 250

7. Question

The following is true about informed consent:

The patient must be told about possible complications only if they are common
The patient must be allowed to choose if there is an alternative
The doctor must tell the patient the benefit of the procedure, but is not obliged to discuss benefits and risk of alternative procedures
The patient’s choice is final if the patient is a minor
The doctor cannot override the patient’s wishes in exceptional cases

Question 8 of 250

8. Question

This is a measure of central tendency:

Variance
Standard deviation
Mode
Standard Error
Range

Question 9 of 250

9. Question

The causes of acute epistaxis include the following except

Severe hypertension
Nasal polyps
Liver failure
Renal failure
Head injury

Question 10 of 250

10. Question

Spinnbarkeit is a term that means

Crystallization of the cervical mucous
Thickening of the cervical mucous
Mucous secretion of the cervix
Threading of the cervical mucous
Thinning of the cervical mucous

Question 11 of 250

11. Question

Features of cardiac tamponade typically include

Collapsed neck veins
Pulsus alternans
Increased BP
Decreased heart sounds
Treatment by needle thoracocentesis through the left 5th intercostal space mid-clavicular line

Question 12 of 250

12. Question

The following are common features ofDown’s syndrome

Hypotonia
Small head
In curving of small finger
Recurrent bronchopneumonia
Pigmented birthmarks

Question 13 of 250

13. Question

A 30 year old lady complains of intermittent diarrhoea, chronic abdominal pain and tenesmus. Sometimes she notices blood in her stool. What is the SINGLE most likely cause of her symptoms?

Inflammatory bowel disease
Diverticulosis
Irritable bowel disease
Adenomyosis

Question 14 of 250

14. Question

Cholera: Which of the statements below is correct?

It is caused by a fusiform bacterium.
It is a chronic intestinal disease.
It is directly caused by enterotoxin elaborated by a Gram-negative bacillus.
It is caused by the known biotypes of the causative bacterium.

Question 15 of 250

15. Question

Breast Feeding Week is celebrated on:

1st week of March
1st week of July
1st week of August
1st December

Question 16 of 250

16. Question

Waterborne disease of the impounding type

Malaria
Yaws
Schistosomiasis
Leprosy
Cholera

Question 17 of 250

17. Question

The expected percussion finding of a lung zone with pleural effusion is

Hyperresonance
Resonance
Tympany
Dullness
Flatness

Question 18 of 250

18. Question

Which antibiotic therapy is used for meningitis before results of sensitivity test?

Penicillin + Metronidazole
Metronidazole only
Ampicillin + Cefotaxime
Ceftriaxone only

Question 19 of 250

19. Question

Properties of a deep well

Found between the first and second impervious layer
Typically greater than 10-30 feet deep
Water requires pumping or lifting to extract
May yield larger volumes of water
Water is often contaminated

Question 20 of 250

20. Question

What is the approximate daily fluid maintenance requirement in a 22-kg infant?

1700ml
1350ml
2400ml
1250ml
1100

Question 21 of 250

21. Question

Cushing syndrome

Acne
Hirsutism
Central obesity
Hypotension
Insulin resistance

Question 22 of 250

22. Question

The following are recognized findings in morphine overdose:

Confusion
Pin-point pupils
Cold clammy skin
Shallow breathing
Bounding pulse

Question 23 of 250

23. Question

Concerning breast milk

Carbohydrate content is mainly sucrose
High in iron
Rich in vitamin K
Deficient in B vitamins
Humoral factors include lactoferrin

Question 24 of 250

24. Question

Hematuria is not a symptom in the following conditions

S. haematobium infection
Severe prostatitis
Acute Pyelonephritis
Sickle cell disease
Onchocerciasis

Question 25 of 250

25. Question

Complications of cyanotic heart disease

Cerebral abscess
Polycythaemia
Hypoxia
All of the above
None

Question 26 of 250

26. Question

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

Is a complication of multiple pregnancy
Not known to happen in molar pregnancy
Worsen in missed abortion
Liver function test is not required
Urine for culture and sensitivity is not important

Question 27 of 250

27. Question

Giardia

Common worldwide parasite
Sited in the duodenum and upper small bowel
Treatment is with metronidazole
Diagnosis is by stool culture
Is a cause of systemic disease

Question 28 of 250

28. Question

A 29 year old woman at 28 weeks gestation comes in for an antenatal visit. Her blood tests reveal: Hb: 11.0 g/Dl, MCHC: normal range MHC: normal
What is the SINGLE best explanation for these blood results?

Iron deficiency anaemia
Folate deficiency anaemia
Anaemia of chronic disease
Normal physiological phenomenon

Question 29 of 250

29. Question

Characteristics of Salmonellae do not include which of the following?

Gram-negative bacilli.
Spore-forming.
Flagellae (H) antigens.
Cell wall (O) antigens.

Question 30 of 250

30. Question

Modern concept of Family Planning’ includes all except:

Sex education
Adoption services
Screening for cervical cancer
In-vitro fertilization

Question 31 of 250

31. Question

Most fluid loss during surgery

Extracellular
Intracellullar
Third space loss
Intravascular
Transcellular fluid

Question 32 of 250

32. Question

You are treating an 80-year-old woman who suddenly becomes aggressive and accuses you ofwanting to kill her. She has no previous history of psychological issues. What is the most likely diagnosis?”

Delirium
Delusions
Dementia
Schizophrenia
Psychosis

Question 33 of 250

33. Question

Following an MVA, patient appears confused, is able to localize pain, and opens his eyes spontaneously. What is his GCS score?

5
6
8
10
13

Question 34 of 250

34. Question

MUAC of 11.5cm

Moderate malnutrition
Mild malnutrition
Severe malnutrition
Early malnutrition
Late malnutrition

Question 35 of 250

35. Question

Central cyanosis present in all except?

TOF
Heart failure
Pulmonary fibrosis
Pneumonia

Question 36 of 250

36. Question

One of the following is a major criterion of heart failure

Pleural effusion
Ankle edema
Orthopnea
Tachycardia
Dyspnea on exertion

Question 37 of 250

37. Question

About acute rheumatic fever:

Is an immune response to infection with certain strains ofGAS
May present with asymmetrical arthritis
May present with cardiac failure
May be associated with erythema marginatum
Is always followed by chronic valvular heart disease

Question 38 of 250

38. Question

Acute lymphoblastic leukaemia may present as:

Pancytopenia
Bone pain
Bleeding disorder
All of the above
None of the above

Question 39 of 250

39. Question

An ill child

Temperature of 35.5°C
Tachycardia
Difficulty in breastfeeding
Inability to breathe
Dusky appearance

Question 40 of 250

40. Question

Major bleeding is associated with

Anal fissures
Gastric ulcers
Oesophageal varices
Meckel's diverticulum
Duodenal ulcers

Question 41 of 250

41. Question

Obstructive symptoms of BPH

Hesitancy
Straining to void
Frequency
Double voiding
Intermittency

Question 42 of 250

42. Question

Causes of anemia in the newborn

Folate deficiency
G6PD
Feto-maternal transfusion
Placenta previa
Cephalohematoma

Question 43 of 250

43. Question

A 67 year old man with history of weight loss complains of hoarseness of voice.

Chest x-ray reveals opacity in the right upper mediastinum. He denies any history of difficulty breathing. What is the SINGLE most appropriate investigation?

Laryngoscopy
Bronchoscopy
Lymph node biopsy
Bronchoalveolar lavage E. Barium swallow

Question 44 of 250

44. Question

Osteomyelitis: Which of the statements below is incorrect?

Sequestrum is a feature of the acute infection.
Inadequate antibiotic therapy may lead to chronic infection.
Oral antibiotic therapy may be commenced in a child who has responded favorably to two weeks of intravenous therapy.
A normalizing erythrocyte sedimentation rate is one of the indicators of clinical recovery.

Question 45 of 250

45. Question

“Five clean practices” under strategies for elimination of neonatal tetanus include all except:

Clean surface for delivery
Clean hand of the attendant
New blade for cutting the cord
Clean airway

Question 46 of 250

46. Question

Which of the following affects the mucosa membranes

Eczema
Pemphigus vulgaris
Bullous pemphigoid
Herpes labialis
Lichen planus

Question 47 of 250

47. Question

Which of these is correct?

PDA – blowing murmur
VSD – crescendo-decrescendo murmur
Mitral regurgitation – opening snap
Pulmonary stenosis – harsh ejection murmur
Tricuspid stenosis – systolic rumble

Question 48 of 250

48. Question

Suture materials

When absorbable, may be due to enzymatic reaction
Tissue reaction to catgut is greater than with synthetic absorbable sutures
Absorbable sutures are usually used to repair tendons E. Chromic catgut is used for bowel anastomosisExplanation All the options are true of suture materials, except that absorbable sutures
Prolene is used for vascular anastomosis
Chromic catgut is used for bowel anastomosis

Question 49 of 250

49. Question

Asherman’s syndrome is not associated with

Secondary amenorrhea
A & C
Elevated FSH
Uterine infection
Intraperitoneal tuberculosis

Question 50 of 250

50. Question

Regarding acute leukemia, one of the following is NOT TRUE

Incidence of infections in affected children are higher
Progonoma is present in the male sex
Prednisolone may be a medication
In males, the testes may be a sanctuary for leukaemic cells
Presence of petechiae may indicate severe anaemia

Question 51 of 250

51. Question

Which of these is a local anesthesia

Lidocaine
Ketamine
Propofol
Halothane
Sevoflurane

Question 52 of 250

52. Question

The commonest site of ectopic pregnancy is :

Peritoneal cavity
Mesosalpinx
Ovary
Ampulla of the fallopian tube
Isthmus portion of the fallopian tube

Question 53 of 250

53. Question

In twin deliveries: Which is true?

The first twin is at greater risk than the second
They usually go post-date
Epidural analgesia is best avoided
Commonest presentation is cephalic and second breech
There is increased risk of postpartum hemorrhage

Question 54 of 250

54. Question

Hypoglycaemia may present with the following except

Irrational behavior
Syncopal attack
Is associated with profuse sweating
Ketotic breath
Increased pulse rate

Question 55 of 250

55. Question

Crude birth rate refers to

Number of births per 1,000 women of childbearing age
Annual number of live births per 1000 population
Total number of live births per 1000 pregnancies in a year
The number of births per 1000 households per year
It is generally computed as a difference

Question 56 of 250

56. Question

TOF is made up of

RVH
Pulmonary artery arising from left ventricle
Overriding aorta
Subpulmonary stenosis
VSD

Question 57 of 250

57. Question

Which of the following are ways in which cross-sectional studies can be used?

Characterize data on the prevalence of an exposure as well as a health outcome
Only characterize the prevalence of a health outcome
Study a population at a point in time
Study a population over a defined period of time
Used for national census

Question 58 of 250

58. Question

A 47 year old man who is on warfarin therapy is due for a hemicolectomy. He is on warfarin for recurrent pulmonary embolism. What advice would you give him prior to his surgery?

Continue with warfarin
Continue with warfarin and add heparin
Stop warfarin and start aspirin
Stop warfarin and start heparin

Question 59 of 250

59. Question

Which of the following organisms does not produce toxins responsible for diarrhea?

Entamoeba histolytica.
Vibrio cholerae.
Salmonella.
Staphylococcus aureus.

Question 60 of 250

60. Question

Ideal contraceptive for a newly married couple is:

OCP
Barrier method
IUCD
Natural methods

Question 61 of 250

61. Question

Q-L flag indicates

Infected ship
Healthy ship
Suspected ship
Contaminated ship
Quarantine ship

Question 62 of 250

62. Question

Failure or incomplete closure of the processus vaginalis may result in

Hydrocele
Orchitis
Epididymitis
Spermatocele
Varicocele

Question 63 of 250

63. Question

Which of the following agencies and headquarters is correctly matched

World Health Organization (WHO) – Vienna
International Monetary Fund (IMF) – Geneva
United Nations Children’s Fund (UNICEF) – Paris
United Nations Development Programme (UNDP) – New York
International Committee of the Red Cross (ICRC) – Egypt

Question 64 of 250

64. Question

The following diseases are vector transmitted except

Onchocerciasis
Yellow fever
Taenia Solium
Trypanosomiasis
Chagas disease

Question 65 of 250

65. Question

The most common large cyst of the vulva is

Epidermal inclusion cyst
Bartholin gland cyst
Gartner's duct cyst
Nabothian cyst
Sebaceous cyst

Question 66 of 250

66. Question

Signs ofSLE exclude

Photosensitivity
Photosensitivity
Absence of renal abnormalities
Arthritis
Malar rash

Question 67 of 250

67. Question

Risk factors for hepatocellular carcinoma include

Hepatitis C infection
Chronic autoimmune hepatitis
Alcoholic liver cirrhosis
Chronic aflatoxin ingestion
Heavy smoking

Question 68 of 250

68. Question

Components ofPrimary Health Care include the following except:

Water and Sanitation
Control of locally endemic diseases
Maternal and Child Health including Family Planning
Drug Provision
Physical Exercise

Question 69 of 250

69. Question

The predominant organism in urinary tract infection is

Proteus vulgaris
Enterococcus
E. Coli
Staphylococcus
Pseudomonas aeruginosa

Question 70 of 250

70. Question

A 25-year-old primigravida with 8 weeks threatened abortion, ultrasound would most likely reveal

Thickened endometrium with no gestational sac
Fetal heart motion in the adnexia
Empty gestational sac
Collapsed gestational sac
An intact gestational sac with fetus

Question 71 of 250

71. Question

TOF is made up of

RVH
Pulmonary artery arising from left ventricle
Overriding aorta

Question 72 of 250

72. Question

In nephrotic syndrome there is always

Generalized non-pitting edema
Hypocholesterolemia
HTN
Proteinuria
Hypokalemia

Question 73 of 250

73. Question

Patent ductus arteriosus: Which of the statements below is correct?

In a premature infant it is unlikely to close spontaneously.
It is not a known sequela in children born to mothers who had rubella in the first trimester of pregnancy.
When large, it may result in inadequate weight gain in the child.
It causes congestive cardiac failure irrespective of size of the defect.

Question 74 of 250

74. Question

Scabies: Which of the statements below is correct?

It is caused by a tick.
Transmission is characteristically by physical contact with an infected individual.
It is hardly pruritic.
It responds to treatment with 25% benzyl benzoate emulsion.

Question 75 of 250

75. Question

Under Medical Termination of Pregnancy Act (MTP) Act 1971 of India, permission for MTP has to be given
by:

Wife only
Husband only
Both wife and husband
Guardian

Question 76 of 250

76. Question

Colle’s fracture

Proximal radius
Distal Ulnar
Both distal ulnar and radius
Mid-shaft radius
Distal radius

Question 77 of 250

77. Question

A woman complained of dysphagia, you should be more concerned if she has

Difficulty chewing
Recurrent heartburn and regurgitation
Choking sensation
Unexplained weight
Family history of dysphagia

Question 78 of 250

78. Question

Which vitamin is not found in human breast milk?

A
B2
C
K
R

Question 79 of 250

79. Question

What does it mean if a person is immunized but doesn’t form antibody :

The person's immune system neutralized the vaccine
He doesn’t need that vaccine
He is more immunocompetent
He is taking drugs like steroids

Question 80 of 250

80. Question

Which pneumonia is caused by birds?

F. tularensis
C. psittaci
S. Aureus
S. Pneumoniae
M. pneumoniae

Question 81 of 250

81. Question

Toxaemia in pregnancy, which is not included?

Diastolic hypertension
Edema
Proteinuria
Hyperglycemia
Thrombocytopenia

Question 82 of 250

82. Question

Causes of mucocutaneous candidiasis include:

Inhaled steroid use
Retroviral infection
Chemotherapy
Defects ofAIRE genes
Vitamin B12 malabsorption

Question 83 of 250

83. Question

The most common cause of uterine size-date disproportion:

Fetal macrosomia
Polyhydramnios
Inaccurate last menstrual period date
Multiple pregnancy
Molar pregnancy.

Question 84 of 250

84. Question

Initial management ofmyocardial infarction includes the following except

Morphine
Administration of 100% oxygen
Administration of carbimazole
Prevention of cardiac arrhythmia
Subcutaneous heparin injection

Question 85 of 250

85. Question

What is the incubation period of a disease?

The time between exposure to the pathogen and the onset of symptoms
The time it takes for the disease to progress from mild to severe
The total time an individual remains infectious
It is the period during which the disease is most contagious
The duration from diagnosis to recovery.

Question 86 of 250

86. Question

Drugs used to achieve analgesia

Etomidate
Morphine
Bipuvicaine
Fentanyl
Pethidine

Question 87 of 250

87. Question

The following predispose to UTI

Septicaemia
Diabetes mellitus
Ureteric reflux
Diabetes insipidus
Weakened bladder tone

Question 88 of 250

88. Question

Wilm’s tumor: Which of the statements below is correct?

It is a relatively rare renal neoplasm in childhood.
When familial, it is likely to be unilateral.
It frequently presents as abdominal mass only.
It is unlikely to result in congestive cardiac failure.

Question 89 of 250

89. Question

Keloid: Which of the statements below is correct?

It is a benign connective tissue tumor.
It is synonymous with hypertrophic scar.
It does not recur after surgical removal.
It is not expected to respond to intralesional injections of steroids.

Question 90 of 250

90. Question

The Medical Termination of Pregnancy Act does not protect act of termination of pregnancies after:

20 weeks
24 weeks
28 weeks
30 weeks

Question 91 of 250

91. Question

Which of the following drug is used in the active management of 3rd stage of labour

Oxytocin
Ergometrine
Misoprostol
MgSO4

Question 92 of 250

92. Question

A man comes with complaints of fever and hemoptysis. On examination, basal coarse crepitations are heard. What is the diagnosis?

Pulmonary tuberculosis
Pulmonary embolism
Lobar pneumonia
Bronchiectasis
Lung abscess

Question 93 of 250

93. Question

The insecticide sprayed before flight takeoff is called

Knockdown
Residual
Water soluble
Water dispersible
Paris green

Question 94 of 250

94. Question

A patient presents with weakness of the eye muscles that improves in the evening. What is the most likely diagnosis?

Multiple Sclerosis
Myasthenia gravis
Grave's disease
Lambert-Eaton syndrome
Bell's palsy

Question 95 of 250

95. Question

Schistosoma hematobium causes

intestinal schistosomiasis
Elephantiasis
Urinary tract schistosomiasis
Onchocerciasis

Question 96 of 250

96. Question

Which of the following is the most logical sequence?

Impairment-Disease-Disability-Handicap
Disease-Impairment-Disability-Handicap
Disease-Impairment- Handicap-Disability
Disease-Handicap-Impairment-Disability
Disease-Disability-Impairment-Handicap

Question 97 of 250

97. Question

Diseases reportable to the World Health Organization under the International Health Regulation include

Plaque
Cholera
Ebola fever
Yellow fever
Relapsing fever

Question 98 of 250

98. Question

Hyperextension of the fetal head is found in:

Vertex presentation
Face presentation
Shoulder presentation
Breech presentation
Hydrocephalic baby

Question 99 of 250

99. Question

Cerebral Palsy is:

A disorder of posture and movement
Caused by trauma
Associated with convulsions in the neonatal period
A result of congenital infections
Treated by using medications

Question 100 of 250

100. Question

The following CSF findings commonly occur in acute bacterial meningitis

A clear appearance
More than 50 red blood cells per ml
Glucose of 1.9mmol/l compared to a blood glucose of 5.2mmol/l
No detectable organisms on gram stain
Lymphocytes >200 per ml

Question 101 of 250

101. Question

The following substances cross the placenta freely

IgG
IgM
Pethidine
Urea
Corticosteroids

Question 102 of 250

102. Question

Pulse oximeter reading is affected by

Jaundice
Hypothermia leading to intense vasoconstriction
CO poisoning
Pigmented skin
Colored nail polish

Question 103 of 250

103. Question

Which of these causes rectal prolapse

Strongyloides
Ascariasis
Ancylostoma
Bantam
T. trichiura

Question 104 of 250

104. Question

Rheumatic heart disease: Which of the statements below is correct?

It is unlikely to cause a thickening and shortening of the chordae tendineae of mitral valves.
It does not cause apical pansystolic murmur radiating to the left axilla.
It may present as a combination of aortic and mitral insufficiency.
With associated enlarged left atrium, it may present with ventricular fibrillation.

Question 105 of 250

105. Question

Chicken pox: Which of the statements below is correct?

Is caused by an RNA virus.
Has an incubation period of about two weeks.
Does not affect adults.
Lesions affect mainly the extremities.

Question 106 of 250

106. Question

Commonest cause of facial nerve paralysis is:

Mastoid surgery.
Mumps.
Bell's palsy.
Parotid surgery.

Question 107 of 250

107. Question

Which of the following is incorrect concerning diabetic foot ulcer?

Grade 4 forefoot gangrene
Grade 2 deep ulcers involving ligament, muscles and tendons
Grade 1 foot symptoms like pain and foot at risk
Grade 5 full foot gangrene

Question 108 of 250

108. Question

Which part of the vagina is least sterile?

Ectocervix
Labia
Vaginal opening
Endocervix
Clitoris

Question 109 of 250

109. Question

Criteria for the selection of essential drugs include?

4
5
6
8
10

Question 110 of 250

110. Question

During a delivery, excessive traction on the neck can damage the brachial plexus, resulting in

Elland’s palsy
Eel’s palsy
Horner's syndrome
Bell's palsy
Erb's palsy

Question 111 of 250

111. Question

To remove chest tube:

ask patient to cough
ask patient to breath
Under General anesthesia
double clamp and monitor the patient for 6hrs for respiratory distress

Question 112 of 250

112. Question

Which of these best explains why the Sabin vaccine is preferred for polio vaccination?

It provides lifelong immunity with a single dose
Fewer side effects than Salk vaccine
Provides herd immunity through spread of attenuated virus
Salk vaccine prevents one poliovirus serotype only
Induces only humoral immunity

Question 113 of 250

113. Question

Population pyramids

Give a picture of the age-sex composition of a population
Conventionally, males are plotted on the left and females on the right
The total population size can be obtained from the pyramid
Are numerical representations of the age-sex composition of a country
Conventionally age is represented in 5-year age groups between the male and female plots

Question 114 of 250

114. Question

Hodgkin’s lymphoma

Commoner in males
Most often involve the cervical lymph nodes
Diagnosed histologically by the presence ofReed Stenberg cells
Associated with pruritus
Usually treated by radiotherapy is there is bone marrow involvement

Question 115 of 250

115. Question

In Epidemiology

Incidence and prevalence are the same and can be used interchangeably
Cohort studies are very good for studying rare diseases
Epidemiology is defined as the study of the occurrence, distribution, and determinants of disease
Hospital data is the best data for studying endemic diseases
Case-control studies measure relative risk

Question 116 of 250

116. Question

Infants of diabetic mothers are at risk of developing all of the following except

Anaemia
Hypocalcemia
Shoulder dystocia
Congenital abnormalities
Hypoglycaemia

Question 117 of 250

117. Question

A fifty-year-old man presents with an anterior neck swelling that moves with swallowing. The differential diagnoses of this swelling include

Endemic goiter
Brachial cleft cyst
Hyperplastic goiter
Thyroglossal duct cyst
Solitary thyroid nodule

Question 118 of 250

118. Question

Clue cells are helpful in diagnosing:

Neisseria gonorrhea
Herpes simplex
Gardnerella vaginalis
Trichomonas vaginalis
Chlamydia

Question 119 of 250

119. Question

Physiological jaundice manifests after

1 day
2 days
7 days
9 days
14 days

Question 120 of 250

120. Question

Indirect inguinal hernias in children: Which of the statements below is incorrect?

They result from non-closure of the proximal portion of the processus vaginalis.
They may be a part of multiple congenital abnormalities.
They should be differentiated from a retractile testis.
They should not be managed operatively in infancy unless there is evidence of obstruction.

Question 121 of 250

121. Question

Nystatin: Which of the statements below is correct?

It is a broad-spectrum antibiotic.
It is effective against Candida species.
It is available as pessaries and cream only.
The cream should not be used for candidal intertrigo.

Question 122 of 250

122. Question

What crystals are responsible for causing gouty arthritis?

Calcium pyrophosphate dihydrate
Monosodium urate
Calcium oxalate
Hydroxyapatite

Question 123 of 250

123. Question

Mottling of the teeth is caused by

Excess fluoride in water
Deficiency of fluoride in water
Excess calcium salts in water
Insufficient chlorine in water
Dental caries

Question 124 of 250

124. Question

Which of the following is not part of pain management?

Analgesic
Anesthesia
Music
Opioid

Question 125 of 250

125. Question

Which of these is not a vaccine-preventable disease?

Malaria
Hep B
Rotavirus
Mumps
COVID-19

Question 126 of 250

126. Question

Which of the following is NOT a risk factor for pre-eclampsia?

Multiparity
Diabetes
Chronic hypertension
Obesity
Twin pregnancies

Question 127 of 250

127. Question

The patella reflex is mediated by

Radial nerve
Sural nerve
Femoral nerve
Sciatic nerve
Musculocutaneous nerve

Question 128 of 250

128. Question

A man presented with abnormal cardiac biomarkers and ST depressions on ECG, what is the most likely diagnosis?

Pulmonary embolism
Gastroesophageal reflux disease
NSTEMI
Stable angina
Aortic dissection

Question 129 of 250

129. Question

Eight months after the delivery of her second child, a patient complains that she has not had a period. The patient did not breastfeed because she could not produce milk. A pregnancy test is negative. The most likely diagnosis is

Sheehan's syndrome
Hyperprolactinemia
Polycystic ovarian syndrome
Androgen insensitivity
Rokitansky-Küster-Hauser syndrome

Question 130 of 250

130. Question

Hallucination seen in schizophrenia is often

First person auditory
Second person auditory
Second person visual
Third person auditory
Third person visual

Question 131 of 250

131. Question

High alpha-fetoprotein found in? Except

IUFD
Multiple pregnancies
Some Ovarian Cancer
Trisomy 21
Neural tube defect

Question 132 of 250

132. Question

The following are true about immunization

The use of live vaccines is contraindicated in immunocompromised patients
Active immunization is induced by giving immunoglobin injections
The pertussis component of the DPT is a live attenuated vaccine
The Salk polio vaccine is given by the oral route
Hepatitis C vaccine is recommended as part of routine immunization

Question 133 of 250

133. Question

Causes of neonatal gastrointestinal obstruction exclude

Volvulus of the midgut
Annular pancreas
Esophageal atresia with a distal tracheoesophageal fistula
Hischsprung disease
Prune belly syndrome

Question 134 of 250

134. Question

The following are signs of malnutrition

Peripheral edema
Angular stomatitis
Peripheral neuropathy
Limb ischemia
Loss ofmuscle power

Question 135 of 250

135. Question

The following are examples of passive immunity

Anti-tetanus serum
Human gamma globulin
Rabies vaccine
Syphilis antitoxin
Varricella hyper immune globulin

Question 136 of 250

136. Question

Complications of orbital cellulitis do not include which of the following?

Cavernous sinus thrombosis. B. Brain abscess.
Blindness.
Subdural hematoma.

Question 137 of 250

137. Question

In phobia which of the following statements is correct?

Fear is mild.
Fear is usually restricted to one or two objects.
Previous unpleasant experiences are not contributory.
Scolding a phobic teenager may be therapeutic.

Question 138 of 250

138. Question

What dietary recommendation is often given to individuals with gout?

High-purine diet
Low-purine diet
High-oxalate diet
Low-calcium diet

Question 139 of 250

139. Question

Purest form of water is

Rivers
Rain
Lake
Borehole
Ground water

Question 140 of 250

140. Question

Sewage is made up of the following

Urine and human excreta
Rainwater runoff
Kitchen waste water
Bathroom water
All of the above

Question 141 of 250

141. Question

What type of incision is used for splenectomy?

Midline abdominal
Left inguinal
Transverse abdominal
Left subcostal
Pfannenstiel

Question 142 of 250

142. Question

The following diseases are transmitted by the faeco-oral route

Polio
Mediterranean fever
Schistosomiasis
Hepatitis C
Yellow fever

Question 143 of 250

143. Question

Fresh blood in the stools of a infant may be associated with

Severe constipation
Gastroenteritis
Celiac disease
Intussuception
Swallowed maternal blood

Question 144 of 250

144. Question

Upper GI bleeding is characterized by

Sticky black tarry stool
Comes below the ligament ofTreitz
Results in Hb – haemin and acid heamatic by alkali and acid
May be associated with haematemesis
There may be passage of bright red blood if profuse

Question 145 of 250

145. Question

In acute myocardial infarction

Anteroseptal: ST elevation in I, aVL, V5, and V6
Inferior: ST elevation in II, III, and aVF
Lateral: ST depression in V5-V6
Posterior: ST depression in V6 –V8
Anterior: ST elevation in V1-V6

Question 146 of 250

146. Question

Which of the following serology markers ofHep B will represent high infectivity?

HBsAg
HBcAg
HBeAg
Anti-HBs
Anti-HBc

Question 147 of 250

147. Question

Population growth rate is made up of

Births, Deaths, and Migration
Natural increase and population density
Migration and population density
Natural increase and net migration
Natural increase and immigration

Question 148 of 250

148. Question

The following developmental milestones are normal

sitting without support at 7 months
walking alone at 13 months
reaching for objects at 5 months
crawling at 9 months
babbling at 1 month

Question 149 of 250

149. Question

Which of the following diseases are endemic to Nigeria?

Malaria
cholera
Polio
Tuberculosis
Dengue fever

Question 150 of 250

150. Question

A 22-year-old woman presents with a monthly history of acute onset right lower quadrant abdominal pain associated with nausea. Pelvic exam reveals right adnexal tenderness. What is the most likely diagnosis?

Acute appendicitis
Ruptured ovarian cyst
Ectopic pregnancy
Mittelschmerz
Endometriosis

Question 151 of 250

151. Question

Congenital hypothyroidism

Increase plasma TSH
Increase plasma cholesterol
Tachycardia
Low T3
Low BMR

Question 152 of 250

152. Question

Kyphosis: Which of the statements below is correct?

It is a lateral curvature of the spine.
It usually affects the lumbar spine.
It may result in hemiplegia.
Exceeding 60 degrees, it is abnormal.

Question 153 of 250

153. Question

Common features of anxiety do not include which of the following?

Palpitation.
Constipation.
Tremulousness.
Frequent urination.

Question 154 of 250

154. Question

Which laboratory parameter is the most specific indicator for iron deficiency anemia in pregnancy?

Hemoglobin level
Serum ferritin
Mean corpuscular volume (MCV)
Red blood cell count

Question 155 of 250

155. Question

A man presented with chronic cough and yellow sputum that is worse in the morning and improves with change in position. What is the most likely cause?

Bronchitis
Bronchiectasis
Bronchogenic pneumonia
Pulmonary tuberculosis
Lobar pneumonia

Question 156 of 250

156. Question

Which of the following is contra-indicated in pregnancy with pre-eclampsia?

Labetalol
Nifedpine
ACE inhibitors
Intravenous hydralazine
Methyl dopa

Question 157 of 250

157. Question

The joint between the two pubic bones is called the:

Sacroiliac joint
Pubis symphysis
Sacrococcygeal joint
Piriformis
Intervertebral joint

Question 158 of 250

158. Question

Case-control studies

Conducted over long period of time
Relative risk can be calculated
Most suitable for rare diseases
Records not used
Used to calculate incidence rate

Question 159 of 250

159. Question

The second stage of labor involves:

Separation of the placenta.
Effacement of the cervix.
Expulsion of the placenta.
Dilation of the cervix.
Expulsion of the fetus.

Question 160 of 250

160. Question

Spina bifida occulta may be divided into

Myelomeningocele
Complicated
Uncomplicated
Asymptomatic
Symptomatic

Question 161 of 250

161. Question

Respect for confidentiality

Required for information obtained even in a non-doctor-patient setting
Encourages case seeking
Allows discussion of sensitive topics
Prevents stigmatization
excludes a doctor treating a patient who has broken the law

Question 162 of 250

162. Question

Extra intestinal manifestation of chron’s disease

Stomatitis
Arthritis
Necrobiosis lipodica
Erythema Nodosum
Pyoderma gangrenosum

Question 163 of 250

163. Question

Byssinosis is a disease of

Bird droppings
Mushroom compost
Mouldy hay
Cotton dust
Sugarcane Fibre

Question 164 of 250

164. Question

The heart rate of a normal fetus at term:

80-100 bpm.
100-120 bpm.
120-160 bpm.
120-180 bpm
There is no baseline heart rate

Question 165 of 250

165. Question

It is considered that physiological jaundice is due to

Decreased bilirubin production
Presence of conjugated bilirubin in excess of 100ug./L
Decreased hepatic uptake and excretion of bilirubin
Nonenteric reabsorption of bilirubin
Permanent damage to the hepatocytes

Question 166 of 250

166. Question

Vomiting during 1st day of life

Upper GIT obstruction
Imperforate anus
Increased ICP
Hyaline membrane disease
Galactosemia

Question 167 of 250

167. Question

Cross-sectional studies

Help with planning or administering preventative or health care services
Evaluate the proportion of a population with the health outcome or risk factor of interest
Evaluate the risk of a population with the health outcome or risk factor of interest
Study a chronic health outcome lacking information on time of onset.
Help with developing surveillance programs

Question 168 of 250

168. Question

Erb’s palsy: Which of the statements below is correct?

It is one of the polyneuropathies.
It involves the lower brachial plexus.
It affects the muscles of the hand and forearm.
Patients should have physiotherapy with passive movements.

Question 169 of 250

169. Question

Level of prevention that includes Specific protection:

Primordial
Primary
Secondary
Tertiary

Question 170 of 250

170. Question

Which of the following is a potential complication of severe untreated anemia during pregnancy?

Gestational diabetes
Preeclampsia
Fetal macrosomia
Ectopic pregnancy

Question 171 of 250

171. Question

Which of these causes scarring alopecia?

Tinea capitis
Sarcoptic mange
Lichen planopilaris
Androgenic alopecia
Vitligo

Question 172 of 250

172. Question

The part of the foetus that occupies the lower segment of the uterus or pelvis is known as

Show
Engagement
Lie
Presentation
Engagement

Question 173 of 250

173. Question

A woman with a three-month history of amenorrhea presented with fever after three days of vaginal bleeding following an attempted abortion.

Fever may be due to retained products of conception
Antibiotic treatment should be initiated after sensitivity test results
She will be immediately evacuated
Ultrasound should be performed first
Further diagnostic tests are required before treatment

Question 174 of 250

174. Question

Causes of neonatal jaundice:

Viral infections
Sepsis
ABO incompatibility
Cystic fibrosis
Insipissated bile syndrome

Question 175 of 250

175. Question

A 55 year old woman presented with abdominal bloating and distension, weight loss, difficulty breathing and early satiety. On examination she is noted to have ascites and right adnexal mass. What is the most likely cause of her condition ?

Ovarian cancer
Liver cancer
Stomach cancer
Ovarian Cysts

Question 176 of 250

176. Question

Groin hernias

Femoral hernia is almost always repaired surgically
Femoral hernia is commoner in males
Posterior wall of sliding hernia is likely to be small bowel
Anterior wall of sliding hernia consists of large bowel
Inguinal hernia is 2 times less common as femoral hernias in females

Question 177 of 250

177. Question

Disseminated Intravascular Coagulation (DIC)

Thrombocytopenia
Prolonged PTT
Prolonged PT
Increased fribrinogen
Presence ofD-Dimers

Question 178 of 250

178. Question

The most appropriate contraceptive method for a lactating mother with a two-month-old baby and who has started menstruating is:

Lactation Amenorrhoea Method
Norigynon
Coitus interruptus
Intra Uterine Contraceptive Device
Combined oral pill

Question 179 of 250

179. Question

The following is true of the acronym GERD

It cannot be treated by a proton pump inhibitor
Include peptic ulcer disease
The esophagus may show extensive inflammation on endoscopy
H. pylori may be the causative agent
Clarithromycin capsules can be used as part of the triple therapy

Question 180 of 250

180. Question

Which is true?

Lie – zero
Position – cephalic
Station – level of ischial spines
Presentation – flexion
Moulding – transverse

Question 181 of 250

181. Question

A major hazard of a late missed abortion

A positive human chorionic gonadotropin (hCG) titer
Systemic allergies
Bone marrow depression
Coagulopathy
Toxemia

Question 182 of 250

182. Question

Which peptic ulcer drug is effective against H. pylori?

Omeprazole
Cimetidine
Sulfacrate
Bismuth
Gecrol

Question 183 of 250

183. Question

A 32 year old man presents with fatigue, weakness, weight loss. On examination,
cervical lymphadenopathy and splenomegaly is noted. What is the most
likely diagnosis?

Haemophilus influenzae infection
Streptococcal infection
Toxoplasmosis
Non-Hodgkin lymphoma

Question 184 of 250

184. Question

Poliovirus: Which of the statements below is correct?

It is a DNA virus.
It is a picorna virus. C. It is an enterovirus.
It is transmitted feco-orally.

Question 185 of 250

185. Question

Chemoprophylaxis is prevention type:

Primary
Secondary
Tertiary
Quarternary

Question 186 of 250

186. Question

What is the physiological cause of anemia in the third trimester of pregnancy?

Fetal iron demand
Placental insufficiency
Maternal blood volume expansion
Hormonal imbalance

Question 187 of 250

187. Question

The best method of waste disposal for hospitals?

Incineration
Mechanical destruction
Burying
Composting
Autoclaving

Question 188 of 250

188. Question

Natural increase is dependent on

Death and migration
Death, birth and migration
Birth and migration
All of the above
None of the above

Question 189 of 250

189. Question

Bicornuate uterus can cause all of the following EXCEPT:

Congenital anomalies of the baby
Abnormal fetal lie
Infertility
Retained placenta
Abortions

Question 190 of 250

190. Question

Rickets

normal or low calcium
low phosphorus
Prevented with 20 units Vit D1 daily
May follow liver disease
raised alkaline phosphatase

Question 191 of 250

191. Question

A tumour secreting catecholamines…..what are the appropriate labs to order?

Urine Vanillylmandelic acid.
Serum HVA.
Serum Catecholamines.
Urine Catecholamines.

Question 192 of 250

192. Question

All are ventral hernias except

Inguinal hernia
Femoral hernia
Lumbar hernia
Abdominal hernia
Spigelian hernia

Question 193 of 250

193. Question

The following are recognized features of rheumatoid arthritis

Symmetrical joint swelling
Can affect weight bearing joints
Raised ESR
Primarily a disease of the elderly
Mostly affects hands and feet

Question 194 of 250

194. Question

Protection ofwells involves the following measures except

A site at least 30 metres from any potential source of pollution
A concrete apron
A watertight lining
A parapet of about 5 metres high
A pump

Question 195 of 250

195. Question

In a child admitted to the ER with an acute asthmatic attack, the following treatment may be helpful except

IV adrenaline
IV aminophylline
IV fluids
Oral salbutamol
Oxygen

Question 196 of 250

196. Question

In cephalohaematoma:

It does not cross the suture lines
The blood should be evacuated immediately by incision and drainage
The most frequent area of affection is the parietal bone
The blood is usually collected in the subperiosteal space
There may be an underlying bone fracture

Question 197 of 250

197. Question

Symptoms of hydrocephalus include

Enlargement of the head
MacEwen sign
Setting sun sign
Open, full, and depressed anterior fontanelle
Positive transillumination of the head

Question 198 of 250

198. Question

Which of the following studies is best described in this statement: “A study where the effectiveness of 2 different diabetes drugs is compared.”

Cohort study
Randomized controlled
Intervention study
Case-control study
Cross-sectional study

Question 199 of 250

199. Question

A 20 year old man presents with development of low back pain, shortness of
breath and dizziness 3 days after taking primaquine to treat malaria. His past
medical history is significant for neonatal jaundice. What is the most
likely diagnosis?

Haemolytic anaemia
Pulmonary embolism
Allergy to primaquine
Thalassaemia trait

Question 200 of 250

200. Question

Which of the following is not a usual feature of nephrotic syndrome?

Hypoproteinemia.
Hematuria.
Proteinuria.
Generalized edema.

Question 201 of 250

201. Question

Chemoprophylaxis of Malaria is prevention:

Primordial
Primary
Secondary
Tertiary

Question 202 of 250

202. Question

Induction of ovulation can be achieved with

Clomid
Mifepristone
Tamoxifen
Metronidazole

Question 203 of 250

203. Question

Which of these is a physical method of treating water

Activated carbon
Chlorination
Use of UV rays and heat
Flocculation

Question 204 of 250

204. Question

Which of the following is pneumoconiosis?

Salmonellosis
Aspergillosis
Sarcoidosis
Berylliosis
Psittacosis

Question 205 of 250

205. Question

Methods ofwater potability include

Boiling
Activated charcoal
Reverse osmosis
Water guard
Chlorination

Question 206 of 250

206. Question

Women with ectopic pregnancies should receive Rh(D) immunoglobulin if they are

Rh-negative primigravida with negative antibody
Rh-positive primigravida with negative antibody
Rh-negative woman with Rh-negative partner
Rh-positive woman with Rh-negative partner
Rh-negative woman with positive antibody who miscarried

Question 207 of 250

207. Question

Refers to a society’s categorization of its people into rankings based on factors like wealth, income, education, family background, and power.

Social Stratification.
Social hierarchy.
Social Class.
All of the above.

Question 208 of 250

208. Question

Systolic BP is heard at the

1st Korotkoff sound
2nd Korotkoff sound
3rd Korotkoff sound
5th Korotkoff sound
7th Korotkoff sound

Question 209 of 250

209. Question

An ultrasound in the 1st trimester of pregnancy is mostly done for

Placental localization
Detecting of fetal weight
Assessment of amniotic fluid volume
Detection of fetal breathing
Dating the pregnancy

Question 210 of 250

210. Question

Anthrax is a disease of:

Coal miners
Fishmongers
Poultry workers
Mine workers
Tannery workers

Question 211 of 250

211. Question

These features of right heart failure are true except

Raised Jugular Venous Pressure
Increase in weight
Hepatomegaly
Paroxysmal Nocturnal Dyspnoea
Bilateral pedal edema

Question 212 of 250

212. Question

Bishop’s score includes all the followings except

Dilation of the cervix.
Position of the cervix.
The presenting part of the fetus.
Length of the cervix.
Consistency of the cervix.

Question 213 of 250

213. Question

Definitive diagnosis of Hirschsprung’s disease is by

Rectal suction biopsy
Rectal manometry
Rectal examination
A Stephen's invertogram
A Barium swallow

Question 214 of 250

214. Question

Widened pulse pressure is due to

Aortic stenosis
Pulmonary atresia
Mitral stenosis
Fallot’s tetralogy
Sturge Weber syndrome

Question 215 of 250

215. Question

A 22 year old man is admitted to the hospital with lethargy. His medical history
includes hereditary spherocytosis. His blood tests show: Haemoglobin 51 g/L, Reticulocytes 0.4%
What is the SINGLE most likely cause of his low haemoglobin and low leukocytes?

Parvovirus B19 infection
Autoimmune haemolytic anaemia
Splenic sequestration crisis
Haemolytic transfusion reactions
Recent antibiotic treatment

Question 216 of 250

216. Question

Which of the following statements about sickle cell disease is correct?

It is synonymous with sickle cell anemia.
The sickle hemoglobin molecule has the property of polymerizing when deoxygenated.
The life span of erythrocytes having sickle hemoglobin is approximately 120 days.
Vaso-occlusion results in anemia.

Question 217 of 250

217. Question

Global eradication of small pox was done on:

26th Oct 1977
8th May 1980
17th March 1980
17th April 1977

Question 218 of 250

218. Question

In threatened abortion, which is not present

There is associated abdominal pain
There is liquor drainage
There is bleeding per vaginum
The cervix is more than 2 cm dilated

Question 219 of 250

219. Question

One of the following is not a cause of congenital cataract:

congenital CMV
Congenital rubella
Trauma
None of the above

Question 220 of 250

220. Question

Alma ata declaration

Health for All initiative
Reducing maternal and child mortality
Millennium development goals
Universal health coverage
Epidemiology and disease Surveillance

Question 221 of 250

221. Question

The Road to health chart

Provides nutritional guide for parents
Guides mothers on optimal breastfeeding
Provides guidelines for road safety
Record the child’s immunization and health history
facilitates communication between health workers and caregivers

Question 222 of 250

222. Question

The chemotherapeutic agent used for the medical treatment of an ectopic pregnancy is

Doxorubicin
RU486
Cyclophosphamide
Methotrexate
Chlorambucil

Question 223 of 250

223. Question

An echocardiography shows all except

Volume measurement.
Size of heart chambers.
State and Function of valves.
Assess the state of pericardium
Action of Sa node.

Question 224 of 250

224. Question

Which of the following treatment for TB causes blue-yellow dyschromatopsia

Amikacin
Ethambutol
Streptomycin
Rifampicin
Isoniazid

Question 225 of 250

225. Question

Hookworm infestation can cause

B12 deficiency
Folic acid deficiency
Acute blood loss with hypovolemia
Chronic diarrhea
Iron deficiency anaemia

Question 226 of 250

226. Question

The most common cause ofmaternal death in Nigeria is:

Short stature
Toxaemia
Haemorrhage
Pneumonia
Malaria

Question 227 of 250

227. Question

The autonomic complications of diabetes mellitus include

Urine retention
Bowel stasis
Impotence
Anhidrosis
Cataract

Question 228 of 250

228. Question

In Turner syndrome, the following are usually present except

Chromosomal sex is 46XX
The nipples are widely spaced
The girls are of short stature
Has web neck
The condition can be diagnosed by chromosomal

Question 229 of 250

229. Question

A sensitive indicator used to assess the health status of a community include:

Number of ambulance available
Under 5 Mortality Rate
Gross Domestic Product
Rate of inflation
A & B only

Question 230 of 250

230. Question

A double bubble appearance on x-ray

Occurs in pyloric stenosis
Is formal in meconium ileus
Results from faulty feeding
May occur in Down’s syndrome
Is tested by prednisolone

Question 231 of 250

231. Question

What is the most likely diagnosis?

Folate deficiency
Thalassaemia major
Iron deficiency anaemia
Anaemia of chronic disease

Question 232 of 250

232. Question

Rickets: Which of the statements below is correct?

It may result from inadequate exposure to infra-red radiation.
It is synonymous with osteomalacia.
It occurs after fusion of the epiphyses.
It may be due to calcium or phosphate deficiency.

Question 233 of 250

233. Question

Who discovered the transmission of malaria by Anopheline mosquitoes?

Ronald Ross
Laveran
Muller
Pampana

Question 234 of 250

234. Question

Ans: There is bleeding per vaginum
EXPLANATION
A threatened abortion occurs when a pregnant patient at less than 20 weeks gestation presents with vaginal bleeding. The cervical os is closed on a physical exam. The patient may also experience abdominal cramping, pelvic pain, pelvic pressure, and/or back pain.

Drug use
Age
Hypertension
Genetic constitution

Question 235 of 250

235. Question

Which is a cyanotic heart disease?

VSD
PDA
AVCD
ASD
Tetralogy of fallot

Question 236 of 250

236. Question

Double burden of disease in middle and low-economic countries refers to

The challenge of providing adequate health care for both the young and the old.
Simultaneous impact of environmental and occupational hazards on human health
Coexistence ofmalnutrition and obesity in developing countries
Simultaneous occurrence of two different diseases in developing countries
Increased prevalence of both infectious and non-communicable diseases in developing countries.

Question 237 of 250

237. Question

Which of these is not a treatment option for Burkitt lymphoma?

Surgery
Stem cell transplant
Radiation therapy
Chemotherapy
Immunotherapy

Question 238 of 250

238. Question

The relationship of the foetus to the long axis of the uterus is known as

The presentation
The lie
The engagment
The version
The show

Question 239 of 250

239. Question

A neonate developed TB 1 week after administration of BCG vaccine. There is a positive family history of this condition. Choose the correct disorder from the options below

X-linked Agammaglobulinemia.
CVID
SVID
Jobs syndrome.
IL-12 receptor deficiency.

Question 240 of 250

240. Question

HIV/AIDS-defining infection

Toxoplasmosis
Salmonella
Oropharyngeal Candidiasis
Tuberculosis
Pneumocystis pneumonia

Question 241 of 250

241. Question

Complications of sickle cell anemia include

Cholelithiasis
Aseptic necrosis of the femoral heads
Chronic leg ulcers
Acute chest syndrome
Spontaneous splenic rupture

Question 242 of 250

242. Question

One of the following is not a typical characteristic of Kwashiorkor:

Hair depigmentation
Commonest under 1 year of age
Muscles are often mildly wasted
Liver may be large and fatty
Edema

Question 243 of 250

243. Question

The common complications of severe malaria include the following except

Hypoglycaemia
Renal failure
Cerebral hypoxia
Algid malaria
Liver failure

Question 244 of 250

244. Question

Causes of bleeding per rectum include

Anal fissure
Diverticular discase
S. haematobium
Juvenile polyp
Intussusception

Question 245 of 250

245. Question

Most common cause of first-trimester abortion

Chromosomal abnormalities
Syphilis
Rhesus isoimmunization
Cervical incompetence
Bifurcate uterus

Question 246 of 250

246. Question

Eosinophilia is a feature of

Bronchial asthma
Schistosomiasis
Hookworm infection
Loa loasis
P. malaria infection

Question 247 of 250

247. Question

A 24 year old female presents with a 4 month history of bloody diarrhoea, lethargy and weight loss.
She complains of abdominal discomfort and passing stools more than 8 times a day.
An endoscopy was performed which shows deep ulcers, and skip lesions.
What is the SINGLE most likely diagnosis?

Diverticulitis
Colon cancer
Infective diarrhoea
Crohn’s disease
Ulcerative colitis

Question 248 of 250

248. Question

Clostridium tetani: Which of the statements below is correct?

It is an aerobic, spore-forming bacterium.
It produces an endotoxin which is responsible for tetanus.
It is encapsulated and non-motile.
Contaminating the umbilical cord, it is a cause of neonatal tetanus.

Question 249 of 250

249. Question

Quarantine was first applied for:

HIV/AIDS
Tuberculosis
Leprosy
Plague

Question 250 of 250

250. Question

The earliest sign of congestive heart failure on chest X-ray is:

Kerley B lines
Increased heart size
Pulmonary edema
Pleural effusion