42nd BCS VIVA Model Test – 09 & 10
1. EDD is:
LMP + 9 months and 9 days.
LMP + 7 months and 9 days.
LMP + 9 months and 7 days.
LMP + 9 months’ minus 7 days.
LMP + 9 months and 8 days.
2. Regarding para which is right:
Includes all pregnancies lasting more than 20 weeks.
Pregnancy should go to term to be part of para.
Twins are counted as double para.
Triplets are counted as triple para.
Still births are not included in para.
3. 24-year-old women hx of amemorrhea for 30 weeks comes for a routine antenatal checkup. Blood tests showed a FBS of 6.5 mmol/L. A 75g glucose tolerance tests reveal a blood sugar level of 9.5mmol/L at 2 hours. Dx?
Overt DM.
Glucose intolerance.
Fasting hyperglycemia.
Gestational DM.
Secondary DM.
4. 75g OGTT 2 hours’ cutoff for Gestational DM is how many mmol/l?
More than 8
More than 8.5
More than 11
More than 11.8
More than 10
5. HbA1C cutoff for overt DM is?
More than 6.5 %
More than 7%
More than 8%
More than 5%
More than 10%
6. Which of the following is not a maternal complication of DM?
Abortion.
Preterm labor.
Polyhydramnios.
Oligohydramnios.
Microangiopathy.
7. Which of the following is a not a complication during labor in a patient with GDM?
Prolonged labor.
Shoulder dystocia.
PPH.
Perineal injury.
Puerperal sepsis.
8. All of the following are fetal complications of gestational DM except?
Neural tube defect.
Cardiac abnormalities.
Macrosomia.
Hypoglycemia.
Anemia.
9. All of the following are cause of first trimester abortion, except?
PCOS.
Cervical incompetence.
Chromosomal abnormalities.
Endocrine disorder
Antiphospholipid antibody syndrome.
10. A 24-year-old women with hx of amenorrhea presents with PV bleeding, lower abdominal pain and partial cervical dilation. What is the diagnosis?
Threatened abortion.
Inevitable abortion.
Incomplete abortion.
Complete abortion.
Missed abortion.
11. A 30-year-old women comes with history of 4 total abortions. She has joint pain + anemia + photosensitivity. What is the likely diagnosis?
Rheumatoid arthritis.
JIA.
Seronegative arthritis.
Anti-phospholipid antibody syndrome.
Systemic sclerosis.
12. Which electrolyte imbalance occur after high dose oxytocin infusion?
Hypernatremia.
Hyponatremia.
Hypokalemia.
Hypomagnesemia.
No electrolyte imbalance occurs.
13. Which of the following is a nonstructural cause of abnormal uterine bleeding?
Polyp
Adenomyosis.
Leiomyoma.
Ovulatory cause.
Hyperplasia.
14. All of the following are physiologic changes in pregnancy, except?
Increased Cardiac output.
Increased heart rate.
Decreased lipolysis.
Hypercoagulability.
Hyperventilation.
15. A 49 year women comes with history of amenorrhea for 14 months. She feels very hot at night and can’t sleep well. A pregnancy test is negative. The FSH level is very high. What is the diagnosis?
Surreptitious pregnancy.
Ectopic tissue.
Menopause.
Primary ovarian failure.
Hyperthyroidism.
16. A 30-year-old multiparous. Women with 31 weeks of amenorrhea presents with massive PV bleeding. She does not have any pain. What is the likely diagnosis?
Abruptio placenta.
Placenta accreta.
Placenta previa.
Ectopic pregnancy.
Incomplete abortion.
17. A primigravida with 32 weeks of pregnancy presents with sudden lower abdominal pain and collapse. O/E BP is 60/40, FHR is 60/min. What is the likely diagnosis?
Placenta previa.
Abruptio placenta.
Incomplete abortion.
Complete abortion.
Placenta increta.
18. 25-year-old women just delivered a baby girl. She has lost almost 1.5 L of blood. BP is 70/40. IV fluid, oxytocin, ergometrine, misoprostol is given. Pt survived. 2 weeks later she comes with lactational failure. What is the diagnosis?
Breast abscess.
Ovarian failure.
Kallman syndrome.
Craniopharyngioma.
Sheehan syndrome.
19. A 32-year-old women with history of amenorrhea for 4 months presents with sudden severe abdominal pain, on the emergency table she has a blood pressure of 70/30 mmhg. What is the diagnosis?
Placenta previa.
Vasa previa.
PID.
Ectopic pregnancy.
Missed abortion.
20. All of the following are cause of polyhydramnios, except?
Esophageal atresia.
Fetal polycythemia.
Duodenal atresia.
Anencephaly.
Fetal anemia.
21. Oligohydramnios can cause?
Beckwith Wiedeman syndrome.
Muscular atrophy.
Muscular dystrophy.
Potter sequence.
Mallory sequence.
22. A 24-year-old women with amenorrhea for 17 weeks comes with history of PV bleeding and passage of grape like material. Blood tests reveals a higher than expected hCG. What is the most likely diagnosis?
Choriocarcinoma.
Sarcoma botrydes.
Hydatidiform mole.
Uterine polyp.
Endometrial polyp.
23. A 24-year-old lactating mom comes with history of cough and hemoptysis. CXR shows multiple cannon ball opacities. What is the likely diagnosis?
Complete mole.
Incomplete mole.
Choriocarcinoma.
Bronchogenic carcinoma.
Bronchopneumonia.
24. 20-year-old women with 23 weeks of amenorrhoea > BP 145/94mm Hg + Urine R/E Normal > Diagnosis?
Preeclampsia.
Severe preeclampsia.
Gestational hypertension.
Eclampsia.
Normal physiologic changes.
25. Case: 34-year-old women complaints of irregular menstruation and hot flushes for 5 months. A pregnancy test is negative. Hormonal tests show low estrogen and high LH + FSH. What is the diagnosis?
Hidden pregnancy.
Ectopic pregnancy.
Primary ovarian failure.
Pituitary tumor.
Laboratory error.
26. A newborn baby delivered by LUCS at 38 weeks of gestation for fetal distress, failed to take breath immediately after delivery. His mother had severe hypertension. What is the most likely diagnosis?
Perinatal asphyxia.
LBW baby.
Neonatal sepsis.
Kernicterus.
Respiratory distress syndrome.
27. A 6 Y/O boy presents with severe pallor with Hepatosplenomegaly. He gives H/O repeated blood transfusion and one of his brother died at 2 years of age with similar illness. What is the most likely diagnosis?
Iron deficiency anemia.
Beta thalassemia major.
Chronic malaria.
Chronic kala-aaar.
Lymphoma.
28. What investigation confirms beta thalassemia?
CBC.
PBF.
Iron profile.
Hemoglobin electrophoresis.
Skull X Ray.
29. Acute liver failure increases?
APTT
CT
BT
TT
PT.
30. Hemophilia increases?
APTT
CT
BT
TT
PT.
31. A 10 Y/O boy presented with fever and chest pain for the last 2 weeks. Physical examination showed that both of his trachea and apex beat were shifted to the left. What is the diagnosis?
Malignant effusion.
Parapneumonic effusion.
Cystic fibrosis.
Lung abscess.
Pulmonary infarction.
32. A 7 Y/O boy had recurrent wheezes. Suddenly he developed severe breathlessness since morning. What is the diagnosis?
COPD.
Bronchiolitis.
Acute severe asthma.
FB ingestion.
Parainfluenza infection
33. A 8 Y/O boy presented with fever and painful swelling of right knee joint followed by left ankle joint swelling for 6 days. Precordial examination revealed a pan-systolic murmur in the apical area. What is the diagnosis?
Acute JIA.
Acute RA.
SLE.
Acute rheumatic fever.
Chronic rheumatic heart disease.
34. A 6 years old boy presents with puffiness of face and smoky urine for 5 days. His BP is 130/100mm of Hg. What is the likely diagnosis?
Nephrotic syndrome.
Goodpasture syndrome.
Acute glomerulonephritis.
Childhood hypertension.
Cushing syndrome.
35. A 10m old boy is admitted with constipation, hoarseness of voice and delayed development. He had history of prolonged neonatal jaundice. What is the likely diagnosis?
Hirschsprung disease.
Laryngeal papilloma.
FB in larynx.
Congenital hypothyroidism.
Chromosomal disorder.
36. A 6 Y/O boy presented with painful swellings of large and small joints with morning stiffness for 2 months. What is the likely diagnosis?
Rheumatoid arthritis.
JIA.
SLE.
Seronegative arthritis.
Osteomyelitis.
37. A 5 Y/O boy admitted with low grade fever for 1 month and neck rigidity for 5 days. His CSF study showed, WBC count 89/cumm, lymphocyte 90%, PMNs-10%, Protein-300mg/dl, Glucose- 25mg/dl. His MT was positive. What is the likely diagnosis?
Viral meningitis.
Fungal meningitis.
Encephalitis.
Tubercular meningitis.
ICSOL.
38. A 3 days old female baby presented with Reluctance to feed and less movement for 2 days. ON examination she was hypothermic and had poor Moro reflex. What is the likely diagnosis?
Neonatal jaundice.
PNA.
Neonatal sepsis.
Respiratory distress syndrome.
Kernicterus.
39. A 6 Y/O girl presented with multiple purpuric spots on different parts of the body for 2 days. She was febrile and anemic. No lymphadenopathy or organomegaly was found. What is the likely diagnosis?
Leukemia.
Lymphoma.
ITP
Aplastic anemia.
Tuberculosis.
40. A 40-year-old patient comes with hx of itching. On Examination there are erythematous patches with silvery white scale over extensor surfaces. What is the likely diagnosis?
Eczema.
Dermatitis herpetiformis.
Psoriasis.
Dermatophytosis.
Tinea versicolor.
41. All of the following are features of syphilitic chancre, except?
Painless.
Single lesion.
Undermined edge.
Indurated base.
Does not bleed on touch.
42. All of the following are causes of genital ulcer, except?
HSV-2
Scabies.
Syphilis.
HPV
Chancroid.
43. All of the following causes gynecomastia, except?
Cimetidine.
Spironolactone.
Hypothyroidism.
Digoxin.
CLD.
44. All of the following can cause intense itching except?
CKD.
Obstructive jaundice.
CLD.
Eczema.
Lymphoma.
45. Auspitz sign in psoriasis is?
Itching in psoratic lesion.
Bleeding in lesion after scale removal.
Formation of new lesion in normal skin after injury.
Bulla formation.
Exacerbation after exposure to sunlight.
46. Which test must be done in a 20-year-old girl prescribed with isotretinoin?
USG of W/A.
CT abdomen.
Urine R/E
Urine pregnancy test
S. TSH
47. All of the following are features of anorexia nervosa, except?
May have binging.
May have purging.
Lanugo hair is a classic finding.
Normal weight.
Mirtazapine is an effective treatment.
48. Which of the following is a feature of enteric fever in the second week?
Headache.
Relative bradycardia.
Constipation.
Splenomegaly.
Vomiting.
49. Best Rx for Chronic kala-azar is?
Chloroquine.
Sodium stibogluconate.
Liposomal amphotericin B.
Miltefosin.
Coartem.
50. Following are features of OPC poisoning, except?
Bradycardia.
Hypertension.
Miosis.
Lung crepitations.
Vomiting.
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