Recall Pictures 1

1. Question

Regarding the picture above, which of the following is true when such a patient is vomiting copiously?

Intravenous mannitol and steroids may help to reduce intracranial pressure
Ventriculoperitoneal shunting usually relieves the intracranial pressure while planning for definitive treatment
The patient requires craniotomy for ** evaluation as well as CSF decreased by ventriculoperitoneal shunt
This is a non-communicating hydrocephalus
Thorough counseling of the parents for CSF diversion by shunt or external ventricular drain is indicated

2. Question

This radiograph shown is characteristic of a child with this condition

Endomyocardial fibrosis
Tetralogy of Fallot
Tricuspid atresia
Total anomalous pulmonary venous return
Dilated cardiomyopathy

3. Question

The picture above shows an intrauterine contraceptive device (IUD). Which of the following is most correct about IUD’s?

The contraceptive failure rate is high
Menorrhagia is an absolute contraindication for its use
Lippes loop is a 2nd generation IUD
It does not affect a woman's fertility
It can be used to achieve a woman’s fertility desire

4. Question

Which of the following is NOT CORRECT about the device shown?

May be used before full cervical dilatation
Fetal subgaleal hematoma is known complication of its use
It is indicated for the management of postpartum haemorrhage
It works by creating negative pressure
Prematurity is a contraindication

5. Question

Which of the following is not true about the condition shown in the picture above?

Can arise due to sequestration of lymphatic tissue from lymphatic sacs during development
Second most common lymphangioma occuring at birth or at infancy
Can be associated with genetic abnormalities like Down syndrome
The condition is rarely seen in adults
Can be seen in patients with Noonan syndrome

6. Question

The following are true of device and accessories above except

It contributed significantly in reducing maternal mortality and morbidity in the West African sub-region
Harvey Karman popularized its use in medical procedures
Has been of widespread conventionally used by individuals for “self-help” abortion and “ menstrual regulation”
Gynaecologist use this for endometrial biopsy
Its use for uterine evacuations has significantly reduced risk of perforations

7. Question

A woman presented to the clinic and was found to have cancer of the cervix and previous history of breast cancer. Choose the most correct option regarding the image displayed.

Cannon ball is a very important sign in pulmonary TB
The above image is indicative of metastatic disease due to the patient’s condition
It is due to excessive calcification of the lung tissue
Surgical excision is required for management
It can be seen in primary lung cancer

8. Question

This is a picture of open dumping of refuse. Which of the following is most likely probable health implication of this

polio disease
Scabies
Malaria infection
Viral haemorrhagic fever
Diarrhoeal disease

9. Question

This 21-year-old woman shown in the picture presents with difficulties with opening the eye that is worse in the mornings.Which is the most likely diagnosis?

Third cranial nerve palsy
Stroke
Lambert-Eaton Syndrome
Bell's palsy
Myasthenia gravis

10. Question

A woman presented to clinic and was as found to have cancer of served and has previous history of breast cancer. Choose the most correct option regarding the image displayed.

Cannon ball is a very important sign in pulmonary TB
The above image is indicative of metastatic disease due to the patient’s condition
It is due to excessive calcification of the lung tissue
Surgical excision is required for management
It can be seen in primary lung cancer

11. Question

(P)Which of the following is correct about the instrument above?

The baby should be delivered via caesarean section with the instrument
It can cause extension of the anterior abdominal wall incision
It is deployed for the retraction of bladder during caesarean section
It is a Doyen's retractor
It is a broad-based retractor used to pull back soft tissues and suction the surgical field

12. Question

Which of the following is not a cause of image above?

Protein energy malnutrition
Liver disease
Congestive cardiac failure
Trauma
Nephrotic syndrome

13. Question

Choose the correct statement about the device shown above.

Its use is encouraged in women with multiple sexual partners
It is not used for emergency contraception
It is an intrauterine contraceptive device
It cannot be used for PCOS
It can last up to 15 years

14. Question

This device shown above is commonly used in__ Choose the correct option

The use of this device can lead to fetal blindness
Its use is difficult to undergo
It uses Doppler mechanism for fetal heart rate monitoring
Its use is contraindicated in preterm pregnancies

15. Question

This one-hour-old newborn baby weighs 4.5kg.The following conditions are likely EXCEPT

Maternal smoking
Gestational diabetes mellitus
Twin-twin transfusion syndrome
Maternal obesity
Beckwith-Wiedeman syndrome

16. Question

What is the diagnosis in the above picture?

Paget's disease
Ricketts
Scurvy
Blount's disease
Poliomyelitis

17. Question

Regarding the conditions demonstrated in the clinical picture

Patient is best circumcised at birth for a better view of the glans
Surgery is best performed prenatally to alleviate parental anxiety
It is relatively rare, occurring 1 in 50,000 male live births
It is due to failure of closure of the processus vaginalis
The most common feature is a ventral meatal opening

18. Question

All the following are false except of the diagram

It can only be given intramuscularly
It is used in treatment of Eclampsia
It can be given via subcuatenously
It should be given by intravenous route only

19. Question

Which of the following is diagnostic of the disease shown above?

Rheumatoid factor
Complete blood count
C-reactive protein
Erythrocyte sedimentation rate
Anti-citrullinated peptide antibodies (anti-CCP)

20. Question

Which of the following is a contraindication to the procedure shown above?

Dysphagia
Unexplained weight loss
Anemia
Myocardial infarction
Odynophagia

21. Question

What complication is shown above?

Postoperative osteomyelitis
Maxillary nerve injury
Facial nerve injury
Teeth avulsion
Submental salivary gland injury

22. Question

This image above depicts uterine procidentia. Which of the following is correct about the clinical condition?

It may be associated with collagen disorders
It is best prevented using antiestrogenic medications in women of reproductive age group
Abdominal hysterectomy is the surgical intervention of choice
The use of vaginal pessaries is curative
It is not know to be related to childhood

23. Question

The prenatal cause of the condition shown in the picture above include the following EXCEPT

Congenital cytomegalovirus infection
Varicella zoster
Trauma
Congenital rubella
Measles

24. Question

The surgical procedure depicted above is myomectomy. Which of the following is the most common complication?

Constipation
Polycythemia
Anuria
Intraoperative haemorrhage
Haemoptysis

25. Question

Patient shown in the picture developed a sudden onset of pain during coitus, which of the following is correct?

The condition is due to rupture of corpus spongiosum
This is usually due to the use of Viagra
The recommended access for surgical treatment is the meatus
This is due to the fracture of the penis
This is priapism which is common among sicklers

26. Question

(P)This is an ECG tracing of a patient’s pre-employment medical examination. Which of the following is most likely to be shown on the ECG?

Sinus bradycardia
Ventricular tachycardia
Atrial fibrillation
Sinus tachycardia
Supraventricular tachycardia

27. Question

Which of the following is the most appropriate treatment plan for the patient above?

Soft tissue reconstruction
The use of structurally supportive shoes
Fibular realignment
Open reduction and internal fixation of the tibia bone
Expectant treatment using the ponseti technique

28. Question

Which of the following is most correct about the patient whose face is shown in the picture above?

There will be light perception in either of the eyes
The patient most likely has uncontrolled diabetes mellitus
The patient needs surgery in the left eye first before the right
Operation should be performed on both eyes with the right before
He has cataract in the right eye and corneal opacity in the left

29. Question

What level of prevention is shown in this picture?

General health promotion
Limitation of disability
Specific prophylaxis
Rehabilitation

30. Question

The following laboratory investigations are necessary for the clinical picture shown above except

X-ray of wrist joints
Serum albumin
Serum alkaline phosphate
Serum calciferol
Serum calcium

31. Question

What is the most likely diagnosis in this

Abdominal obesity
Gastric outlet obstruction
Gastric carcinoma
Paraumbilical hernia
Obstructive uropathy

32. Question

Which of the following is TRUE of the garment shown above?

It reverses shock by returning blood to vital organs
It is most effective when the abdominal flap is applied first
Its use is contraindicated in the management of antepartum hemorrhage
It is a pneumatic anti-shock garment
It is a definitive and final treatment for postpartum hemorrhage

33. Question

The typical presentation of Buruli ulcer. The offending organism in the disease is

A gram positive acid fast rod
The gram positive is streptococcus
The methicillin resistant staphylococcus (MRS)
A gram positive rod
A gram negative coccus

34. Question

The children are commonly found roaming Nigerian streets. Which of the following is most correct about them?

Children on the street have no home and family
Children on the street and of the street are exposed to the same level of risks
Children of the street come and go are not permanently on the street
Street children all need to be institutionalized
Children of the street are exposed to more dangers than children on the street

35. Question

What is the picture below used for in measurement of a child?

Height
Mid-upper thigh circumference
Mid-upper arm circumference
Weight of a newborn

36. Question

The correct treatment of choice in the condition shown above is

Topical permethrin
Systemic acyclovir
Topical bethametasone
Methylprednisolone intravenously
Topical clotrimazole

37. Question

The radiological classification of the femoral fracture is

Closed fracture
Open fracture
Segmental fracture
Simple fracture
Comminuted fracture

38. Question

What is the diagnosis of the lesions shown above?

Oral leukemia
Oral hairy leukoplakia
Dental caries
Oral thrush
Oral ulcer

39. Question

This clinical picture shown above can be caused by the following except

Straining
Infective endocarditis
Diphtheria
Leptospirosis
Contact lens

40. Question

A 35-year-old male long-distance truck driver presents with a painful lesion on the shaft of his penis, Physical examination reveals bilateral inguinal lymphadenopathy and purulent penile lesions. What is the most likely diagnosis?

Genital herpes
Chancroid
Primary syphilis
Granuloma inguinale
Chlamydia

41. Question

A 35 year old patient presents with a painful swelling on the left foot. The picture of the affected part of the foot is shown. What is the most likely diagnosis?

Dracunculus medinensis
Taenia solium
Strongyloides stercoralis
Trichiura trichuris
Trichinella spiralis

42. Question

This 35-year-old man has a BMI of 47kg/m2. He also has systemic hypertension, type 2 diabetes mellitus and dyslipidemia. What is the most likely diagnosis?

Morbid obesity
Truncal obesity
Metabolic syndrome
Type 1 diabetes mellitus
Syndrome A

43. Question

The possible clinical picture shown above may be seen in the following conditions EXCEPT

Down syndrome
Prematurity
Birth trauma
Neonatal infections
Werdnig-Huffman's disease

44. Question

This is an X-ray of a 50-year-old man who presented with cough, fever and difficulty in breathing of five days duration. Which of the following is seen?

Right-sided pneumothorax
Right-sided pleural effusion
Left-sided consolidation
Left-sided pleural effusion
Right-sided consolidation

45. Question

This is a typical presentation of dental caries The most probable cause is:

Aging
Avitaminosis
Poor dental hygiene
Avitaminosis C
Direct injury inflicted over the years

46. Question

This is a picture of a boss shouting at a staff in the workplace. What type of occupational hazard is implicated here?

Psychosocial hazard
Workplace hazard
Biological hazard
Physical hazard
Mental hazard

47. Question

This patient is undergoing a procedure. Which of the following is a possible complication of the procedure?

Hypotension
Polycythemia
Cardiac failure
Hyperkalemia
Myocardial infarction

48. Question

This is a form of Gender Based violence depicted in this picture. What form of violence is most likely happening here?

Emotional abuse
Verbal abuse
Physical abuse
Psychosocial abuse
Sexual abuse

49. Question

In the picture below, which of the following is a long term complication?

Septic shock
Hypertrophic scar
Keloid
Contractures