MHMS • 2022 • Technical Subject Paper-III
ASHA worker works for __________ population:
A)
3000
B)
1000
C)
5000
D)
400
ASHA covers about 1000 population in rural areas, up to 2500 in some norms.
MHMS • 2022 • Technical Subject Paper-III
4/? = ?/100 What one number can replace both question marks?
A)
1
B)
20
C)
25
D)
200
4/x = x/100 => x^2=400 => x=20.
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
Which of the following is an Indicator of Mortality?
A)
Life Expectancy
B)
Notification Rate
C)
DALY
D)
Bed turn-over ratio
Life expectancy is a direct mortality indicator reflecting overall death rates; notification, DALY and bed turnover reflect morbidity or service use.
MHMS • 2022 • Technical Subject Paper-III
The Yamuna River is smaller than Beas but longer than Satluj River. The Ganga River is longer than Beas River. Which is the shortest river?
A)
Satluj River
B)
Ganga River
C)
Beas River
D)
Yamuna River
Order is Ganga > Beas > Yamuna > Satluj, so Satluj River is shortest.
MHMS • 2022 • Technical Subject Paper-III
Under National Health Mission, lowest level at which Health Action Plan is prepared is:
A)
State level
B)
District Level
C)
Sub-centre Level
D)
Village Level
Under NHM decentralized planning starts at village level with Village Health Sanitation and Nutrition Committee action plan.
MHMS • 2022 • Technical Subject Paper-III
Class II exposure to rabies in animal bites includes the following:
A)
Scratches with oozing of blood
B)
Licks on a fresh wound
C)
Scratches without oozing of blood
D)
Bites from wild animals
WHO Class II is minor scratches/abrasions without bleeding or licks on broken skin requiring vaccine; bleeding is Class III.
MHMS • 2022 • Technical Subject Paper-III
What will be the ratio of 90cm to 1.5m?
A)
3/2
B)
3/5
C)
3/6
D)
3/8
1.5 m = 150 cm, ratio 90/150 = 3/5.
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-II
A psychiatric patient who had undergone electro convulsive therapy presented with pain over the shoulder. The arm was held in internal rotation and could not be rotated back to the normal position. What is the possible diagnosis?
A)
Rotator cuff injury
B)
Posterior dislocation of shoulder
C)
Anterior dislocation of shoulder
D)
Acromio-clavicular dislocation
ECT/seizure can cause posterior shoulder dislocation; arm is locked in internal rotation and external rotation impossible.
MHMS • 2022 • Technical Subject Paper-II
The commonest benign ovarian epithelial tumour is-
A)
Mucinous cyst adenoma
B)
Brenner Tumor
C)
Serous Cyst adenoma
D)
Endometroid tumor
Serous cystadenoma is the commonest benign ovarian epithelial tumour.
MHMS • 2022 • Technical Subject Paper-II
Formula for calculation of Expected Date of Delivery (EDD) by adding 9 months and 7 days from the first day of last menstrual period is called-
A)
Shephard’s Formula
B)
Hadlock’s formula
C)
Johnson’s formula
D)
Naegele’s formula
Naegele's formula calculates EDD as first day of LMP + 9 months + 7 days.
MHMS • 2022 • Technical Subject Paper-II
Immunoglobulin Injection is given to the mother soon after delivery in –
A)
Hepatitis C infection
B)
Hepatitis B infection
C)
HIV infected mother
D)
All of the above
Hepatitis B immunoglobulin with vaccine is given to newborn of HBV-infected mother; in exam framing, option B represents hepatitis B indication.
MHMS • 2022 • Technical Subject Paper-II
The following are absolute contra-indications of pregnancy due to high maternal mortality-
A)
Primary Pulmonary Hypertension
B)
Eisenmenger’s Syndrome
C)
Pulmonary Veno-occlusive disease
D)
All of the above
Primary pulmonary hypertension, Eisenmenger syndrome and pulmonary veno-occlusive disease all carry >30% maternal mortality and are absolute contraindications to pregnancy.
MHMS • 2022 • Technical Subject Paper-II
The following are features of Abruptio placenta except-
A)
Painful vaginal bleeding, often associated with PIH, trauma etc.
B)
Character of blood is dark-coloured
C)
USG reveals placenta in lower segment
D)
Features of Pre-ecclampsia may be present
Abruptio placenta shows dark retroplacental clots and contracted uterus; placenta in lower uterine segment on USG is feature of placenta previa, not abruption.
MHMS • 2022 • Technical Subject Paper-II
Episiotomy is a surgical procedure done during-
A)
3rd stage of labor
B)
Latent phase labor
C)
1st stage labor
D)
2nd stage labor
Episiotomy is performed in second stage of labor to enlarge vaginal outlet.
MHMS • 2022 • Technical Subject Paper-II
Light bulb sign is seen in:
A)
Anterior shoulder dislocation
B)
Posterior shoulder dislocation
C)
Distal humerus fracture
D)
Proximal humerus fracture
Light bulb sign due to internal rotation of humeral head seen on AP X-ray in posterior shoulder dislocation.
MHMS • 2022 • Technical Subject Paper-II
Reactionary hemorrhage occurs:
A)
After 24 hours
B)
After 48 hours
C)
Within 24 hours
D)
After 7 days
Reactionary hemorrhage occurs within 24 hours due to dislodgement of clot or rise of blood pressure after shock recovery.
MHMS • 2022 • Technical Subject Paper-II
17 year old girl presented with primary amenorrhea with cyclical lower abdominal pain and lump in the pelvis. The most probable diagnosis is-
A)
Oligomenorrhoea
B)
Spasmodic Dysmenorrhea
C)
Ovarian tumor
D)
Cryptomenorrhoea
Primary amenorrhea with cyclic pain and pelvic lump suggests cryptomenorrhea from outflow obstruction like imperforate hymen.
MHMS • 2022 • Technical Subject Paper-II
A 50-year-old woman sustains a displaced and angulated fracture through the diaphysis of the right humerus. Following four months of treatment with initially a U-slab and then a humeral brace, the patient has persistent pain and mobility at the fracture site and check radiographs demonstrate no cortex bridging and no callus. What is the most likely diagnosis?
A)
Delayed union
B)
Atrophic non-union
C)
Hypertrophic non-union
D)
Infected non-union
Absence of any callus after 4 months with persistent mobility indicates atrophic non-union due to poor biology, not hypertrophic.
MHMS • 2022 • Technical Subject Paper-II
Bleeding per vagina is usually painless in –
A)
Placenta previa
B)
Abruptio Placenta
C)
Inevitable abortion
D)
All of the above
Placenta previa presents with painless bright red bleeding in late pregnancy without uterine contractions.
MHMS • 2022 • Technical Subject Paper-II
According to ‘Rule of nine’, burns involving perineum is:
A)
1%
B)
9%
C)
18%
D)
3%
Rule of nines assigns 1% to perineum, 9% to head, each arm 9%, etc.
MHMS • 2022 • Technical Subject Paper-II
Complications of Pelvic Inflammatory disease include all except-
A)
Pelvic peritonitis
B)
Ectopic pregnancy
C)
Infertility
D)
Endometriosis
PID complications include peritonitis, ectopic and infertility; endometriosis is not a complication.
MHMS • 2022 • Technical Subject Paper-II
First step in trauma:
A)
Blood transfusion
B)
IV Fluids
C)
Reconstruction
D)
Maintenance of airways
First step in trauma is ABCDE with Airway maintenance prior to fluids or transfusion.
MHMS • 2022 • Technical Subject Paper-II
Fully mature Graffian follicle of Ovary, just prior to ovulation measures about
A)
15 mm
B)
20 mm
C)
24 mm
D)
18 mm
Mature Graafian follicle just before ovulation measures about 18-24 mm, commonly 20 mm.
