MHMS • 2022 • Paper-IV (Technical)
A 5 year old male child has been brought with a complaint that there is only one testis in the scrotum. On examination, it is found that the testis on the opposite side is felt in the inguinal canal. The patient should be advised-
A)
Orchidopexy
B)
To wait till puberty
C)
Orchidectomy
D)
Administration of androgens
Orchidectomy correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Investigation of choice in Hirschsprung’s disease is-
A)
Rectal manometry
B)
Rectal examination
C)
Rectal biopsy
D)
Ba enema
Rectal biopsy is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Commonest type of cancer of the renal pelvis and upper ureter is-
A)
Transitional cell carcinoma
B)
Adenocarcinoma
C)
Squamous cell carcinoma
D)
Nephroblastoma
Adenocarcinoma is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Premalignant conditions of the skin include-
A)
Bowen disease
B)
Paget’s disease of nipple
C)
Leukoplakia
D)
All of the above
All of the above is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-IV (Technical)
Skin grafting is absolutely contra-indicated in which skin infection-
A)
Staphylococcus
B)
Pseudomonas
C)
Streptococcus
D)
Proteus
Staphylococcus correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Which type of thyroid carcinoma has the best prognosis-
A)
Papillary ca.
B)
Anaplastic ca.
C)
Follicular ca.
D)
Medullary ca.
Papillary ca. correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Commonest presentation of Wilm’s tumor is-
A)
Hematuria
B)
Abdominal lump
C)
Hydronephrosis
D)
Pain in abdomen
Pain in abdomen is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Best procedure to be done after an injury to leg associated with exposure of underlying bone and skin loss-
A)
Pedicle flap
B)
Split skin grafting
C)
Full thickness skin grafting
D)
Skin flap
Pedicle flap is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-IV (Technical)
TURP was done in an old patient of BPH, after which he developed altered sensorium. Cause is-
A)
Hypernatremia
B)
Hypokalemia
C)
Hyponatremia
D)
Hypomagnesemia
Hyponatremia correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
A 48 year old sports photographer has noticed a small nodule over the upper lip from four months. The nodule is pearly white with central necrosis, telangiectasia. The most likely diagnosis would be-
A)
Basal cell carcinoma
B)
Squamous cell carcinoma
C)
Atypical melanoma
D)
Kaposis sarcoma
Basal cell carcinoma correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Ureter is diagnosed during operation by-
A)
Venous plexus
B)
High arterial supply
C)
Peristaltic movements
D)
Circumference
Venous plexus is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Prognosis of malignant melanoma depends on-
A)
Grade of tumor
B)
Spread of tumor
C)
Depth of invasion
D)
Metastasis
Depth of invasion correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
True about torsion of testis is all EXCEPT-
A)
Presents with sudden pain in testis
B)
Commonly associated with pyuria
C)
Doppler ultrasound shows decreased blood flow to the testis
D)
Simultaneous orchidopexy of the other side should also be done
Commonly associated with pyuria is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-IV (Technical)
A 25 year old male presents to emergency department following a road traffic accident. On examination there is pelvic fracture and blood at urethral meatus. Following are true about the patient EXCEPT-
A)
Anterior urethra is the most likely site of injury
B)
Retrograde urethrography should be done after the patient is stabilized
C)
Foley catheter may be carefully passed if the RGU is normal
D)
Rectal examination may reveal a large pelvic hematoma with the prostate displaced superiorly
Anterior urethra is the most likely site of injury is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-IV (Technical)
Precancerous lesion of Gall bladder is-
A)
Porcelain Gall bladder
B)
Mirrizi syndrome
C)
Cholesterosis
D)
Acalculous cholecystitis
Acalculous cholecystitis correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
The typical appearance of ‘spider leg’ on excretory urography is seen in-
A)
Hydronephrosis
B)
Polycystic kidney
C)
Medullary sponge kidney
D)
Renal cell carcinoma
Polycystic kidney shows stretched, elongated calyces producing spider-leg appearance on IVU due to cysts compressing collecting system.
MHMS • 2022 • Paper-IV (Technical)
Medullary carcinoma thyroid arises from-
A)
Para-follicular cells
B)
Cells lining the acini
C)
Capsule of thyroid
D)
Stroma of the gland
Para-follicular cells correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
After esophagectomy, best substitute of esophagus is-
A)
Stomach
B)
Jejunum
C)
Left colon
D)
Right colon
Stomach correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Distressing complication after modified radical mastectomy-
A)
Lymphedema
B)
Axillary vein thrombosis
C)
Seroma
D)
Death
Lymphedema correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Triad of renal colic, swelling in loin which disappears after passing urine is called-
A)
Kocher’s triad
B)
Saint’s triad
C)
Dietel’s crisis
D)
Charcot’s triad
Dietel’s crisis correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Cause of hydrocele in infants-
A)
Patent processus vaginalis
B)
Patent guberniculum
C)
Impaired drainage
D)
Epididymal cyst
Patent processus vaginalis is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-IV (Technical)
Secondary deposits from prostatic carcinoma is commonest in-
A)
Bone
B)
Kidney
C)
Liver
D)
Brain
Bone is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
In Medullary carcinoma thyroid, tumor marker is-
A)
TSH
B)
Calcitonin
C)
T3,T4 &TSH
D)
Alpha Fetoprotein
Calcitonin correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Aganglionic segment is encountered in which part of colon in case of Hirschsprung’s disease-
A)
Distal to dilated segment
B)
In whole colon
C)
Proximal to dilated segment
D)
In dilated segment
In dilated segment correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
NOT true about urethral injuries is-
A)
Catheterize the patient immediately
B)
Can be associated with fracture pelvis
C)
Bladder injury is associated with post urethral injuries
D)
Blood at the external urethral meatus is an important feature
Catheterize the patient immediately is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
