MHMS • 2022 • Technical Subject Paper-III
The recommended daily extra calorie requirement during pregnancy is:
A)
50
B)
150
C)
350
D)
450
ICMR 2020 recommends extra 350 kcal/day during second and third trimesters; older guideline was 300 kcal.
MHMS • 2022 • Technical Subject Paper-III
Best indicator of antemortem drowning is:
A)
Froth in nostrils
B)
Cutis anserina
C)
Washerwoman’s hand
D)
Water in stomach
Fine white froth at mouth and nostrils appearing during drowning is vital and best indicator of antemortem drowning among clinical signs.
MHMS • 2022 • Technical Subject Paper-III
DASH diet is advised to patients with:
A)
Diabetes mellitus
B)
Hypertension
C)
Pregnancy
D)
COPD
DASH (Dietary Approaches to Stop Hypertension) diet rich in fruits, vegetables and low-fat dairy lowers blood pressure.
MHMS • 2022 • Technical Subject Paper-III
The most common cause of blindness in India is:
A)
Cataract
B)
Trachoma
C)
Refractive errors
D)
Vitamin A deficiency
Cataract remains leading cause of blindness in India per NPCB survey, followed by refractive error and glaucoma.
MHMS • 2022 • Technical Subject Paper-III
Cholera presents with symptoms mimicking:
A)
Arsenic poisoning
B)
Dhatura poisoning
C)
Barbiturate poisoning
D)
Morphine poisoning
Cholera rice-water stools and severe dehydration closely mimic acute arsenic poisoning clinically.
MHMS • 2022 • Technical Subject Paper-III
Bansdola is a form of strangulation by:
A)
Ligature
B)
Hands
C)
Wooden sticks
D)
Bend of elbow
Bansdola is strangulation by compressing neck between two bamboo sticks or wooden sticks tied with rope.
MHMS • 2022 • Technical Subject Paper-III
Suspended animation may be seen:
A)
Strangulation
B)
Hanging
C)
Drowning
D)
Burn
Suspended animation where vital signs imperceptible but resuscitation possible is classic after drowning/hypothermia.
MHMS • 2022 • Technical Subject Paper-III
Commonest source of extradural hemorrhage:
A)
Middle meningeal artery
B)
Basilar artery
C)
Charcot’s artery
D)
Middle cerebral artery
Middle meningeal artery, branch of maxillary artery, torn in temporal fracture is commonest source of extradural hematoma.
MHMS • 2022 • Technical Subject Paper-III
Gastric lavage is contraindicated in the following:
A)
Barbiturate poisoning
B)
Kerosene poisoning
C)
Paracetamol poisoning
D)
Carbolic acid
Kerosene and other hydrocarbons are contraindicated for gastric lavage due to high aspiration and chemical pneumonitis risk.
MHMS • 2022 • Technical Subject Paper-III
Lucid interval is classically seen in:
A)
Intracerebral hematoma
B)
Acute subdural hematoma
C)
Chronic subdural hematoma
D)
Extradural hematoma
Lucid interval of temporary consciousness followed by coma is classically described in extradural hemorrhage due to slow arterial bleed.
MHMS • 2022 • Technical Subject Paper-III
Casper’s dictum for rate of decomposition in air: water: buried bodies is:
A)
8 : 4 : 1
B)
4 : 2 : 1
C)
1 : 2 : 4
D)
1 : 4 : 8
Casper's dictum states same stage of decomposition reached in 1 week air, 2 weeks water, 8 weeks buried earth.
MHMS • 2022 • Technical Subject Paper-III
A patient is called obese as per WHO classification if BMI is:
A)
> 20
B)
> 25
C)
> 30
D)
> 40
WHO defines obesity as BMI ≥30 kg/m2; overweight ≥25.
MHMS • 2022 • Technical Subject Paper-III
Tattooing in entry wound of a firearm injury is due to:
A)
Burns
B)
Smoke
C)
Gunpowder
D)
Wads
Tattooing or peppering around entry wound is caused by embedding of unburnt gunpowder particles at close range.
MHMS • 2022 • Technical Subject Paper-III
Incidence of TB in a community measured by:
A)
Tuberculin test +
B)
Sputum culture
C)
Mantoux test +
D)
Sputum smear +
Community TB disease incidence is measured by sputum smear positive rate reflecting infectious cases.
MHMS • 2022 • Technical Subject Paper-III
According to ‘rule of 9’, perineum burns constitute:
A)
1% burns
B)
9% burns
C)
18% burns
D)
27% burns
Rule of nines assigns 1% to perineum/genitalia, 9% to head, 9% each arm.
MHMS • 2022 • Technical Subject Paper-III
Chandler’s index is used for:
A)
Ankylostoma duodenale
B)
Ascaris lumbricoides
C)
Strongyloides
D)
Trichuris trichiura
Chandler index = average hookworm eggs per gram stool, quantifying endemicity of Ancylostoma duodenale/Necator.
MHMS • 2022 • Technical Subject Paper-III
Sentinel surveillance for HIV under National AIDS Control program is used for all except:
A)
Estimation of total infection in community
B)
Estimation of total cases in hospitals
C)
Estimation of trend of the disease
D)
Classification of districts
Sentinel surveillance under NACP monitors HIV prevalence trends and geographical classification, not counting total hospital cases.
MHMS • 2022 • Technical Subject Paper-III
The current national programme for control of iodine deficiency disorder is:
A)
National Goitre Control Programme
B)
National Iodine Deficiency Management Programme
C)
National Program to Control Iodine Disorders
D)
National Iodine Deficiency Disorder Control Programme
National Goitre Control Programme launched in 1962 was renamed as National Iodine Deficiency Disorders Control Programme in 1992.
MHMS • 2022 • Technical Subject Paper-III
The dose of Vit-A supplement administered in “Prevention of nutritional blindness in children programme” is:
A)
25,000 IU/ml
B)
1 lakh IU/ml
C)
3 lakh IU/ml
D)
5 lakh IU/ml
Under National Programme for Prevention of Nutritional Blindness, 1 lakh IU at 9 months, then 2 lakh IU 6-monthly; single dose option listed as 1 lakh IU/ml.
MHMS • 2022 • Technical Subject Paper-III
Cysticercoses Cellulosae is caused by infection with:
A)
Taenia saginata
B)
Taenia solium
C)
Echinococcus granulosus
D)
Diphyllobothrium latum
Cysticercosis cellulosae is larval stage of Taenia solium ingested via pork or fecal-oral autoinfection.
MHMS • 2022 • Technical Subject Paper-III
Barr body is not seen in:
A)
Turner syndrome
B)
Klinefelter syndrome
C)
Down’s syndrome
D)
Marfan’s syndrome
Barr body absent in Turner 45,XO; present in Klinefelter 47,XXY and normal females including Down and Marfan females.
MHMS • 2022 • Technical Subject Paper-III
In RNTCP, the schedule for sputum examination for category I patients is:
A)
2, 3 and 5 months
B)
2, 4 and 6 months
C)
1, 3 and 5 months
D)
2, 5 and 7 months
Under old RNTCP Category I (new cases) sputum follow-up was at 2, 4 and 6 months; Category II at 3,5,8 months.
MHMS • 2022 • Technical Subject Paper-III
Cobras belong to:
A)
Viperidae
B)
Elapidae
C)
Colubriadae
D)
Crotalidae
Cobras including Naja naja belong to Elapidae family of neurotoxic snakes.
MHMS • 2022 • Technical Subject Paper-III
Opium is derived from:
A)
Leaf
B)
Root
C)
Poppy seed
D)
Unripe capsule
Opium is obtained from dried latex of unripe capsule of Papaver somniferum.
MHMS • 2022 • Technical Subject Paper-III
The most reliable dental change used in Gustafson’s method for age estimation is:
A)
Attrition
B)
Cementum
C)
Secondary dentin deposition
D)
Transparency of root
In Gustafson's age estimation, transparency of root is most reliable, followed by cementum apposition and attrition.
