MHMS • 2022 • Technical Subject Paper-II
Upper GI endoscopy and biopsy from lower esophagus in a 48 year old lady with chronic heart burn shows presence of columnar epithelium with goblet cells. The feature is most likely consistent with:
A)
Dysplasia
B)
Hyperplasia
C)
Carcinoma in situ
D)
Metaplasia
Columnar epithelium with goblet cells in esophagus indicates Barrett esophagus, an intestinal metaplasia from chronic reflux.
MHMS • 2022 • Technical Subject Paper-II
Following are criteria of Polycystic Ovarian Syndrome except-
A)
Oligo/Anovulation
B)
Hyper-androgenism
C)
Obesity
D)
Polycystic Ovary in Ultrasonography
Rotterdam criteria are oligo-anovulation, hyperandrogenism and PCO on USG; obesity is associated but not a criterion.
MHMS • 2022 • Technical Subject Paper-II
The average weight gain during the second half of pregnancy is –
A)
1 kg a fortnight
B)
2 kg a fortnight
C)
5 kg in a month
D)
1.5 kg in a month
Second half weight gain averages ~0.5 kg/week, i.e. 1 kg per fortnight, totaling ~5-6 kg in second half.
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.
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
The single most important measurement in fetal Ultrasonography which reflects fetal nutrition and growth restriction is –
A)
Head circumference
B)
Femur Length
C)
Abdominal circumference
D)
Bi-parietal diameter
Abdominal circumference reflects fetal liver size and glycogen stores, best single marker for IUGR and nutrition.
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
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
Parkland formula is:
A)
% of burns x weight x 4 = volume in ml
B)
% of burns x weight/2 = volume in ml
C)
% of burns x weight x 9 = volume in ml
D)
500 ml/m2 BSA + 1500ml/m2 = volume in ml
Parkland formula: 4 ml x weight(kg) x %TBSA burns = Ringer lactate volume in first 24h, half in first 8h.
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
Which of the following statements are true?
A)
Nasal polyps are a sign of cysticfibrosis in 10% of children with nasal polyps.
B)
Nasal polyps rarely present with nasal obstruction.
C)
Nasal polyps are characteristically painful when palpated with a probe.
D)
Oral steroids are never used in the treatment of simple nasal polyps.
Nasal polyps in children suggest cystic fibrosis in ~10-20%; they cause obstruction and are painless, steroids are used for medical management.
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
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
In relation to congenital taclipes equinovarus (CTEV), which of the following statements are false?
A)
It is more common in boys.
B)
Spina bifida is associated with CTEV.
C)
Deformity is characterised by hindfoot equinus or varus and forefoot abduction or supination.
D)
Pirani scoring system is used to assess the severity of CTEV and guide prognosis.
Clubfoot has hindfoot equinus and varus with forefoot adduction and supination/cavus, not abduction; Pirani score assesses severity.
MHMS • 2022 • Technical Subject Paper-II
The minimum spacing between the first birth and subsequent pregnancy in women should be –
A)
2 years
B)
4 years
C)
1 year
D)
18 months
Healthy spacing at least 2 years (24 months) birth-to-pregnancy or 3 years birth-to-birth is recommended for maternal recovery.
MHMS • 2022 • Technical Subject Paper-II
Best diagnostic test in stable patient with blunt trauma abdomen is:
A)
CECT abdomen
B)
MRI
C)
DPL
D)
FAST
In hemodynamically stable blunt abdominal trauma, CECT is gold standard for solid organ and active bleed assessment.
