MHMS • 2022 • Paper-III (Technical)
A 25 year old female complains of discharge of blood from a single duct in her breast. The most appropriate treatment is-
A)
Radical excision
B)
Microdochectomy
C)
Radical mastectomy
D)
Biopsy to rule out carcinoma
Microdochectomy correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Most common cause of biliary stricture is-
A)
CBD stone
B)
Trauma/ Iatrogenic
C)
Asiatic cholangitis
D)
Congenital
Trauma/ Iatrogenic is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
All of the following regarding papillary carcinoma thyroid is true EXCEPT-
A)
Multicentric origin
B)
Secondaries to lymph nodes
C)
Slowly growing
D)
Bony metastasis in early stage
Secondaries to lymph nodes is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Treatment of choice in cold nodule of thyroid-
A)
Subtotal thyroidectomy
B)
I131
C)
Wait and watch
D)
Hemithyroidectomy
I131 is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
Diagnosis of Hydatid disease is by-
A)
Biopsy
B)
X-ray
C)
Casoni test
D)
Serum examination
Casoni intradermal test was classic for hydatid disease; current diagnosis uses serology ELISA and imaging but Casoni is the historical test listed.
MHMS • 2022 • Paper-III (Technical)
In the management of thyroglossal cyst-
A)
Central portion of hyoid excised
B)
Sternothyroid muscle dissected
C)
Isthmusectomy with subtotal thyroidectomy
D)
Strap muscle of neck are dissected
Isthmusectomy with subtotal thyroidectomy is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
Which one is NOT true regarding Buerger’s disease-
A)
Men are usually involved
B)
Occurs below 50 years of age
C)
Smoking is predisposing factor
D)
Veins and nerves are never involved
Smoking is predisposing factor is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
DVT, investigation of choice is-
A)
Doppler
B)
Plethysmography
C)
Venography
D)
X-ray
Venography is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Lymph node metastasis commonest in which carcinoma thyroid-
A)
Follicular
B)
Papillary
C)
Anaplastic
D)
Medullary
Papillary is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
All of the following are associated with Thyroid storm, EXCEPT-
A)
Surgery for thyroiditis
B)
Surgery for thyrotoxicosis
C)
Stressful illness in thyrotoxicosis
D)
I131 therapy for thyrotoxicosis
Surgery for thyrotoxicosis is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
A patient presented with local gigantism of the leg and increased pulsations of the lower limb veins. Most probable diagnosis is-
A)
Tumor
B)
AV fistula
C)
Varicose veins
D)
Incompetence of the saphenofemoral junction
AV fistula is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Virchow’s triad includes all of the following EXCEPT-
A)
Venous stasis
B)
Injury to veins
C)
Blood hypercoagulability
D)
Venous thrombosis
Venous stasis is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Most important prognostic factor for colorectal carcinoma is-
A)
Site of lesion
B)
Stage of lesion
C)
Age of patient
D)
Lymph node status
Stage of lesion is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
‘Peau D’ orange appearance of the mammary skin is due to-
A)
Intra-epithelial cancer
B)
Sub-epidermal cancer
C)
Lymphatic permeation
D)
Vascular embolization
Intra-epithelial cancer correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Intermittent claudication is defined as-
A)
Pain in muscle at rest only
B)
Pain in muscle on first step
C)
Pain in muscle on exercise only
D)
Pain in muscle on last step
Pain in muscle on first step correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
In surgery of submandibular salivary gland, nerve NOT involved-
A)
Hypoglossal
B)
Glossopharyngeal
C)
Facial
D)
Lingual
Glossopharyngeal is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
Sistrunk’s operation is used in-
A)
Parotid tumor
B)
Branchial cyst
C)
Thyroglossal cyst
D)
Branchial fistula
Thyroglossal cyst correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Lumbar symphatectomy is indicated in-
A)
Intermittent claudication
B)
Varicose ulcer
C)
Buerger’s disease
D)
Raynaud’s disease
Buerger’s disease correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
True about Choledochal cyst is-
A)
Always extrahepatic
B)
Treatment is cystojejunostomy
C)
Excision is ideal treatment
D)
Drainage is treatment of choice
Excision is ideal treatment correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Post operative pulmonary thromboembolism is seen in all, EXCEPT-
A)
Tall and thin man
B)
Obese male
C)
Pregnant female
D)
Estrogen therapy
Tall and thin man is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Injection sclerotherapy for varicose veins is by using-
A)
3% Normal saline
B)
Absolute alcohol
C)
70% alcohol
D)
Ethanolamine oleate
Absolute alcohol correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
All of the following are used for reconstruction of breast EXCEPT-
A)
Transverse rectus abdominis myocutaneous flap
B)
Latissimus dorsi myocutaneous flap
C)
Pectoralis major myocutaneous flap
D)
Transversus rectus abdominis free flap
Pectoralis major myocutaneous flap is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Preferred material for femoro-popliteal bypass-
A)
Dacron
B)
PTFE
C)
Saphenous vein
D)
Gortex
Dacron is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Incidence of malignancy is maximum in-
A)
Villous adenoma
B)
Juvenile polyps
C)
Hyperplastic polyps
D)
Tubular adenoma
Juvenile polyps correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Pseudomembranous colitis is caused by-
A)
Cl. perfringens
B)
Cl. Difficile
C)
Cl. Oedematicus
D)
Sl. Septicum
Cl. perfringens correctly describes the definition or characteristic asked in the question.
