ICE COMPILED_BGD (answers).docx

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p.1

Which of the following statements about infectious mononucleosis is MOST correct?

A. It produces heterophile antibodies
B. It is most common in pre-school children
C. It often presents with a rash
D. It is transmitted via the faecal-oral route
E. It can be treated with ampicillin

Select an answer

p.1

Explanation

Infectious mononucleosis is characterized by the production of heterophile antibodies, which are typically detected in the blood of affected individuals, making this statement the most accurate.

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Infectious Mononucleosis Overview

Which of the following statements about infectious mononucleosis is MOST correct?

A

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Diagnosis and Treatment of Bordetella Pertussis

A 1-year-old baby presents to ED with rhinorrhoea and fever, and later develops episodes of paroxysmal coughing. You suspect Bordetella pertussis. Which of the following investigations is MOST appropriate?

B

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Common STIs and Their Symptoms

A 20-year-old male presents with a 4-day history of purulent penile discharge and dysuria. He has had a regular partner for 2 months, but they have only used protection in the beginning of the relationship. Which of the following are the MOST likely causative agents?

A

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Meningitis and CSF Analysis

A child presents to ED with neck stiffness and a non-blanching rash. Which of the following organisms is MOST likely to be found on gram stain?

A

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Gender Selection and Ethical Considerations

A couple presents to the GP looking for a referral to a termination clinic. They have 3 healthy boys and they are currently pregnant with another boy, however they want a girl. The most appropriate course of action is:

E

p.2
Pregnancy and Hematological Changes

Which finding is NOT present in a healthy pregnancy at 20 weeks gestation compared to a non-pregnant state?

E

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Vaccination Importance in Children

What should you do regarding the unvaccinated 5-year-old girl with an asthmatic attack?

B

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4
5
8
Meningitis and CSF Analysis

Which CSF abnormalities are MOST consistent with bacterial meningitis in the 11-year-old girl?

D

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3
4
Infectious Mononucleosis Overview

Which pathogen is the MOST likely causative agent in the case of the 15-year-old girl with hoarseness and fever?

C

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2
4
Infectious Mononucleosis Overview

What is the most likely causative agent of a 15-year-old patient with cough, splenomegaly, and sore throat?

A

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2
5
8
Meningitis and CSF Analysis

Which of the following tests is LEAST useful in confirming a diagnosis for the 18-month-old girl with fever and purpuric rash?

A

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2
6
Common STIs and Their Symptoms

Which microorganism could be responsible for the painless ulcers in the 21-year-old female?

E

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2
3
Infectious Mononucleosis Overview

Which one of the following diseases is caused by EBV?

A

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Pregnancy and Hematological Changes

What would you do for the 18-month-old child who can only say 3 words and has some developmental concerns?

E

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Diagnosis and Treatment of Bordetella Pertussis

What is the MOST likely cause for the 3-month-old girl's presentation with cough and increased work of breathing?

A

p.5
Common STIs and Their Symptoms

What is the MOST appropriate course of management for the 2-year-old girl with fever, cough, runny nose, and bruising?

B

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Infectious Mononucleosis Overview

Which of the following investigations is MOST appropriate for the newborn baby with low tone and poor sucking?

D

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Common STIs and Their Symptoms

All are common causes of vaginal discharge except:

D

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2
4
8
Meningitis and CSF Analysis

Which of the following is the MOST likely causative organism for the 1-week-old infant with fever and cloudy CSF?

E

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Common STIs and Their Symptoms

Which organism is most likely responsible for the child's symptoms of poor feeding, vomiting, diarrhea, low-grade fever, and dehydration?

D

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Neuroblastoma and Prognostic Factors

What genetic abnormality is associated with a poorer prognosis in childhood neuroblastoma?

B

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Pregnancy and Hematological Changes

What investigation would you perform for a baby born via caesarean section who is unrousable with decreased suckling reflex?

A

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4
Ulcerative STIs and Their Causative Agents

Which microorganism could be responsible for the painful ulcers on the labia in a 21-year-old woman with a history of unprotected sex?

C

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Pregnancy and Hematological Changes

What should the GP advise the woman regarding the medications and vaccinations after she becomes pregnant?

C

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Common STIs and Their Symptoms

What is the most appropriate next step for the 4-year-old boy with delayed speech?

A

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2
4
5
Meningitis and CSF Analysis

Which microorganism is the MOST LIKELY causative agent for a 1-month-old baby with meningitis and gram-positive cocci in cerebrospinal fluid?

D

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Common STIs and Their Symptoms

What is the MOST LIKELY cause of painful penile ulcers in a 29-year-old man with a history of unprotected sex?

B

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Common STIs and Their Symptoms

In addition to a pregnancy test, which is the MOST appropriate investigation for a woman with lower abdominal pain and offensive yellow discharge?

C

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Pregnancy and Hematological Changes

Which is an indication for supplemental oxygen in a male infant born by elective caesarean section?

B

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Meningitis and CSF Analysis

Which test is most likely to assist with rapid diagnosis of the boy with headache, shivering, vomiting, and marked neck stiffness?

C

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Neuroblastoma and Prognostic Factors

What additional biopsy finding is most likely to confirm the diagnosis of the abdominal mass in the 15-month-old boy?

B

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Common STIs and Their Symptoms

Which pathogen is the most likely cause of the woman's clinical presentation of painful vulva and inability to void urine?

B

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Common STIs and Their Symptoms

Which aspect of the patient's history makes the combined oral contraceptive pill unsuitable?

A

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Meningitis and CSF Analysis

What is the most likely causative agent for the infant's symptoms of dyspnoea and wheezing?

D

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Bacterial Meningitis CSF Findings

Which organism is vancomycin being prescribed for in the case of the 10-year-old girl with meningitis?

D

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Ulcerative STIs and Their Causative Agents

What is the MOST likely causative agent for the woman's urinary symptoms?

B

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Common STIs and Their Symptoms

Which domain for the 18-month-old child is most concerning based on the developmental concerns presented?

C

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Neuroblastoma and Prognostic Factors

What is the most likely diagnosis for the 5-year-old girl with abdominal discomfort and imaging findings?

D

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Meningitis and CSF Analysis

In the case of the 16-year-old girl with sore throat and fever, what is the most important factor in prognosis?

E

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Gender Selection and Ethical Considerations

What is the best investigation to address the mother's concern about Down syndrome in her 14-week gestation pregnancy?

D

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Diagnosis and Treatment of Bordetella Pertussis

What is the most appropriate management for a child with mild watery diarrhoea and vomiting, with a positive Ziehl Neelson staining?

A

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Meningitis and CSF Analysis

What is the most likely diagnosis for a 6-week-old baby boy with a dilated left renal pelvis and no excretion of isotope from the left kidney after 90 minutes?

D

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Common STIs and Their Symptoms

What component of Bordetella pertussis is most likely responsible for the lymphocytosis observed in the infant with a positive PCR test?

E

p.14
Pregnancy and Hematological Changes

What is the most appropriate action for the 22-year-old woman who refuses Rh D immunoglobulin due to her religious beliefs?

B

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Meningitis and CSF Analysis

Which organism is most likely to be present on microscopy in the cerebrospinal fluid of the 12-year-old boy with marked neck stiffness?

D

p.14
Pregnancy and Hematological Changes

What is the most appropriate approach to test for diabetes in the 30-year-old woman with a history of gestational diabetes?

E

p.15
Neuroblastoma and Prognostic Factors

Which additional biopsy finding is most significant for the prognosis of the 15-month-old girl with a small round blue cell tumor?

C

p.15
Pregnancy and Hematological Changes

What is the most appropriate method to assess whether the 40-year-old woman is ovulating?

B

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Common STIs and Their Symptoms

Which pathogen's congenital infection risk is most likely to be reduced by avoiding raw or undercooked meat during pregnancy?

E

p.16
Common STIs and Their Symptoms

What is the most appropriate course of action for the husband regarding his wife's STI testing?

C

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Meningitis and CSF Analysis

What is the most likely diagnosis for the 2-week-old infant with jaundice?

C

p.17
Common STIs and Their Symptoms

What is the most appropriate course of action for the 4-year-old boy with delayed speech development?

B

p.17
Pregnancy and Hematological Changes

What is the most appropriate next step in management for the 32-year-old primigravida with glucose tolerance test results indicating borderline values?

E

p.17
Neuroblastoma and Prognostic Factors

What is the most likely diagnosis for the 15-month-old girl with a right-sided abdominal mass and biopsy results indicating a small round blue cell tumour?

E

p.18
Common STIs and Their Symptoms

In a 26-year-old woman with painless mid-cycle vaginal bleeding after intercourse and an ectropion present, what is the most appropriate investigation in addition to screening for STIs?

C

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Infectious Mononucleosis Overview

What is the most appropriate next investigation for a 15-month-old boy with a metaphyseal fracture and bruises of varying ages?

E

p.18
Meningitis and CSF Analysis

What is the most likely diagnosis for a 4-year-old girl with nasal congestion, cough, fever, lethargy, and expiratory wheeze?

A

p.19
Common STIs and Their Symptoms

What is a common characteristic of preschool asthma?

D

p.19
Common STIs and Their Symptoms

Which of the following is a typical symptom of preschool asthma?

C

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Common STIs and Their Symptoms

What is a common treatment approach for preschool asthma?

E

p.19
Common STIs and Their Symptoms

How can preschool asthma impact a child's daily life?

C

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Common STIs and Their Symptoms

What is a potential long-term consequence of untreated preschool asthma?

D

p.20
Neuroblastoma and Prognostic Factors

Which aspect of the woman's history is the most significant factor for the kidney lesion?

B

p.20
Meningitis and CSF Analysis

What is the MOST likely cause of the baby girl's clinical signs of subcostal recession and nasal flaring?

C

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Common STIs and Their Symptoms

Which pathogen is the most likely cause of the 3-year-old boy's mild watery diarrhoea?

A

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