Most common cause of First Trimester Spontaneous Abortion
a) Chromosomal abnormalities
b) Syphilis
c) Rhesus isoimmunization
d) Cervical incompetence
e) Bicornuate uterus
The largest lymphatic organ is ________?
A. Liver
B. Lymph node
C. Thymus
D. Spleen
E. Tonsils
Which of these would be the best to help differentiate between obstructive and restrictive lung disease?
a. FEV
b. FVC
c. DLCO
d. FRC
e. TLC
38 yrs old man ,one of your long term patientrequesting a medical certificate .He regularly visits to get medical certificates ,esp on fridays or on mondays. While you were doing the paper works for his medical certificates you observed two physical signs on him.They are given below.You advised him to do blood tests after checking him on his Family history ,he agreed for the test/tests.
1 ESR
2.ANA/RF
3.Fasting Lipid Profile.
4. FBE
5.All of the above
HIV screening for two partners. Male partner is positive and does not want the wife to know and said he will use condom and you should not tell the partner. What to do?
a. Tell both partner the results b. Report to health authority for contact tracing c.
A previously healthy and active 72 yrs old woman presents to your office with the c/o pain in the neck and shoulders .The pain esp the shoulders worse in the morning and improves throughout the day.Also the pain affects the soft tissues all over the body and does not appear localised to shoulder or hip joints.She denies headache or jaw claudication.O/E No inflammatory synovitis,muscle tenderness or skin rash. Shoulder and Hip joints ROM normal,Muscle strength of deltoid and illiopsoas normal . What is the next step in the management.
1.USS of the Shoulder joints
2.XRAY Of the shoulder joints
3,ESR
4.MRI Bilateral Shoulders
5.Temporal Artery biopsy.
Bluish discoloration of the skin and mucus membrane is :
A Hypoxia
B Cyanosis
C Anoxaemia
D Asphyxia
A boy with a trauma to face, come with vision loss, anterior chamber is clear, what is the most likely diagnosis?
a. Vitreous detachment
b. Vitreous haemorrhage
c. Ocular artery occlusion
d. Ocular vein occlusion
20 year old primi at 30 weeks gestation comes for antenatal check up, you observe bruises all over. she says that her husband’s brother sexually and physically assaulted her.
What will you do first;
A) Inform child support
B) Inform police
C) Inform social welfare
D) take pictures of bruises
Early ultrasound during pregnancy that shows a mean gestational sac of 22mm and CRL 5 mm with no visible fetal heart. What is the likely diagnosis ?
a) Inevitable miscarriage
b) Missed miscarriage
c) Pregnancy of uncertain viability
d) Pregnancy of unknown location
e) Threatened miscarriage
Of the following which is the commonest cause of first trimester Spontaneous Abortion ?
a) Monosomy
b) Trisomy
c) Triploidy
d) Aneuploidy
e) Tetraploidy
If the mean gestational sac diameter is 23.0 mm with a transvaginal ultrasound scan and there is no visible fetal pole,
a) Perform a second scan a minimum of 7 days
b) Blighted Ovum, terminate
c) Missed Abortion, terminate
According to RCOG, Miscarriage or Spontaneous Abortion is defined as the spontaneous loss of pregnancy before the fetus reaches viability.The term therefore includes all pregnancy losses from the time of conception until —– of gestation.
a) 18 weeks
b) 20 weeks
c) 22 weeks
d) 24 weeks
e) 28 weeks
An infant with reddish-purplish lesion on left side of his face and forehead since birth. What is the most likely diagnosis?
A. Lymphangioma
B. Port-wine stain
C. Strawberry nevus
D. Capillary hemangioma
Select all of the risk factors that are associated with deep vein thrombosis.
A The use of oral contraceptives
B Type B and O blood
C Rh negative blood
D Obesity
E Nulliparity
F Leukemia
A young man comes with weak shoulder abduction, and elbow extension, loss of sensation over deltoid, cause?
a.C5 nerve palsy
b. Brachial plexus injury (superior trunk c5 and c6)
c.C7 nerve injury
d.Carpal tunnel syndrome
UTIs in children
1.In the Primary care setting a clean catch or midstream urine specimen is the most appropriate method for urine collection acknowledging the higher risk of contamination with these methods (upto 27%)
2.Infants may present with Fever,irritability,vomitting,poor feeding,Toddlers with malaise,poor appetite,with or with out fever.
3.All infants under 6/12 and selected group over 6/12 will require USS KUB After their first UTI.
4.If USS KUB is abnormal , the child should be referred to Paediatric Nephrologist/Urologist for 2nd line investigations like MCUG,DMSA etc
5.All of the above true.