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Past Questions — 2022

MHMS • 2022 • Paper-III (Technical)

Risk factors for Ca.breast are all EXCEPT-

A) Nulliparity
B) Multiparity
C) Family history
D) BRCA1 mutation
Multiparity is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)

Surgery of choice for chronic duodenal ulcer is

A) Vagotomy + antrectomy
B) Total gastrectomy
C) Truncal vagotomy + pyloroplasty
D) Highly selective vagotomy
Truncal vagotomy + pyloroplasty correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Carcinoma of right colon presents as-

A) Anemia
B) Alternate constipation and diarrhoea
C) Bleeding PR
D) Presents with obstruction
Anemia is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)

Secondary deposits from carcinoma breast is commonest in-

A) Lung
B) Liver
C) Brain
D) Bone
Liver is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)

Which of the following is NOT a landmark for facial nerve during parotid surgery?-

A) Digastric muscle
B) Inferior belly of omohyoid
C) Tragal pointer
D) Retrograde dissection of distal branch
Inferior belly of omohyoid is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)

In Barrett’s esophagus true is-

A) Metaplasia
B) Peptic stricture
C) Para-esophageal hernia predisposes
D) Squamous carcinoma
Metaplasia correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

In postoperative room after thyroid surgery, patient developed sudden respiratory distress, dressing was removed and it was found to be slightly blood stained and wound was bulging. What will be the first thing to be done-

A) Tracheostomy
B) Cricothyroidotomy
C) Laryngoscopy and intubation
D) Remove the stitch and take the patient to O.T
Tracheostomy correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Hypoparathyroidism following thyroid surgery occurs within-

A) 24 hours
B) 2-5 days
C) 7-14 days
D) 2-3 weeks
24 hours correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Child’s criteria include all EXCEPT-

A) Bilirubin
B) Nutrition
C) Albumin
D) Encephalopathy
Child-Pugh score includes bilirubin, albumin, PT prolongation, ascites and encephalopathy; nutrition was in original Child but replaced by PT.
MHMS • 2022 • Paper-III (Technical)

Heller’s operation is done for-

A) Achalasia cardia
B) Pyloric stenosis
C) Peptic ulcer
D) CA Esophagus
Peptic ulcer correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Mallory Weiss syndrome is partial thickness rupture, occurs at-

A) Gastric cardia
B) Esophagus mucosa
C) Gastro-esophageal junction
D) Gastro-duodenal junction
Gastro-esophageal junction correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Brodie-Trendelenburg test is positive in-

A) Sapheno-femoral incompetence
B) Perforator competence above knee
C) Deep vein incompetence
D) Perforator competence below knee
Perforator competence below knee correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Most common cause of thyroiditis is-

A) Reidl’s thyroiditis
B) Sub acute thyroiditis
C) Hashimoto’s thyroiditis
D) Viral thyroiditis
Hashimoto’s thyroiditis is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)

Which one of the following is not a treatment of gastroesophageal variceal hemorrhage-

A) Sclerotherapy
B) Sengstaken tube
C) Transjugular intrahepatic portocaval shunt
D) Gastric freezing
GERD variceal bleed is managed by banding, sclerotherapy, Sengstaken balloon tamponade and TIPS; gastric freezing is historic and ineffective.
MHMS • 2022 • Paper-III (Technical)

Which is not a feature of pilonidal sinus-

A) Branching tracts are common
B) Recurrence is uncommon
C) Bony involvement is uncommon
D) Seen in drivers
Branching tracts are common is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)

Breast cancer which is multicentric and bilateral-

A) Ductal
B) Lobular
C) Mucoid
D) Colloid
Ductal correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Commonest cause of pyogenic liver abscess-

A) Biliary sepsis
B) Biliary colic
C) Appendicitis
D) Sigmoid diverticulitis
Biliary tract infection via ascending cholangitis is now the most common cause of pyogenic liver abscess, overtaking appendicitis.
MHMS • 2022 • Paper-III (Technical)

What complication commonly occurs in anterior duodenal ulcer-

A) Bleeding
B) Penetration
C) Perforation
D) Stricture formation
Anterior duodenal ulcer faces free peritoneum so its classic complication is free perforation; posterior ulcer erodes gastroduodenal artery causing bleed.
MHMS • 2022 • Paper-III (Technical)

After exploration of CBD, the T-tube is removed on which of the following days-

A) 3rd post-op day
B) 4th post-op day
C) 12th post-op day
D) 6th post-op day
12th post-op day correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Which of the following group constitute Frey’s syndrome-

A) Hyperhydrosis, enophthalmos and miosis
B) Anhidrosis, enophthalmos and miosis
C) Redness and sweating over the auriculotemporal during meal
D) Pain over the distribution of the auriculotemporal nerve during meal
Redness and sweating over the auriculotemporal during meal is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)

Use of tamoxifen in carcinoma of breast patients DOES NOT lead to the following side effects-

A) Thromboembolic events
B) Endometrial carcinoma
C) Cataract
D) Cancer in opposite breast
Endometrial carcinoma is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)

The commonest site of Branchial cysts is-

A) Upper 1/3rd of the SCM
B) Lower 1/3rd of the SCM
C) Upper 2/3rd of the SCM
D) Lower 2/3rd of the SCM
Lower 1/3rd of the SCM is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)

Liver biopsy is done through 8th ICS mid-axillary line to avoid-

A) Lung
B) Pleural cavity
C) Sub-diaphragmatic space
D) Gall bladder
Liver biopsy through 8th-9th ICS midaxillary line at end-expiration avoids pleural cavity and lung, reducing pneumothorax risk.
MHMS • 2022 • Paper-III (Technical)

What will be the diagnosis of Siama, who is 45 year old male with history of chronic smoking and pain in lower limb due to blockage of femoral artery-

A) Thromboangitis obliterans
B) Atherosclerosis
C) Embolism
D) Arteritis
Thromboangitis obliterans correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Normal portal vein pressure is-

A) <3 mmHg
B) 3-5 mmHg
C) 5-10 mmHg
D) 10-12 mmHg
5-10 mmHg correctly describes the definition or characteristic asked in the question.
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