MHMS • 2022 • Paper-III (Technical)
Complications of therapy with radioactive iodine includes-
A)
Thyroid malignancy
B)
Hypothyroidism
C)
Leukemia
D)
All of the above
Thyroid malignancy is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
A patient comes with rectal carcinoma situated 6 cm above dentate line with no nodal metastasis. Treatment of choice will be-
A)
Anterior resection
B)
Abdomino-perineal resection
C)
Radiotherapy
D)
Hartman’s procedure
Hartman’s procedure is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
Which of the following is TRUE-
A)
Colloid goiter mostly presents as hyperthyroidism
B)
Thyroid storm, the clinical features are primarily due to increased thyroxine
C)
Excess calcium intake can lead to hyperthyroidism
D)
Goiter more than 5 percent of population is endemic goiter
Thyroid storm, the clinical features are primarily due to increased thyroxine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Cholesterol gall stones are due to-
A)
Decreased motility of Gall bladder
B)
Hypo-secretion of bile salts
C)
Hypercholesterolemia
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-III (Technical)
‘Charcot’ triad is-
A)
Fever, pain, vomiting
B)
Fever, stone, jaundice
C)
Fever, pain, jaundice
D)
Gall stone, vomiting, jaundice
Fever, pain, jaundice correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
A patient gives chronic history of diarrhea and blood in stool presents with multiple fistulae in the perineum and multiple strictures in small intestine. The diagnosis is-
A)
Crohn’s disease
B)
Radiation enteritis
C)
Ulcerative colitis
D)
Ischaemic bowel disease
Crohn’s disease is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
A retained stone impacted in distal CBD is seen on T-tube cholangiogram. What is the best management of stone-
A)
Dissolution therapy
B)
Operative removal
C)
Endoscopic sphincterotomy and stone extraction
D)
No active treatment is required
Endoscopic sphincterotomy and stone extraction is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
Rectal polyps usually present with-
A)
Obstruction
B)
Perforation
C)
Bleeding
D)
Malignant change
Bleeding is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
The most sensitive test to detect GI bleeding is-
A)
Selective angiography
B)
Radiolabelled Erythrocyte scanning
C)
I131 Fibrinogen studies
D)
Stool for occult blood
Tc-99m labelled RBC scan can detect bleeding as low as 0.04-0.1 ml/min, more sensitive than angiography which needs ~0.5 ml/min.
MHMS • 2022 • Paper-III (Technical)
Best test to diagnose gastro-esophageal reflux disease and quantify acid output is-
A)
Esophagogram
B)
Endoscopy
C)
Manometry
D)
24 hr pH monitoring
24-hour esophageal pH monitoring quantifies acid exposure time and correlates symptoms, gold standard for GERD diagnosis.
MHMS • 2022 • Paper-III (Technical)
Reflux esophagitis is prevented by-
A)
Long intra-abdominal esophagus
B)
Increased intra-abdominal pressure
C)
Right crus of diaphragm
D)
Increased intra-thoracic pressure
Long intra-abdominal esophagus, right crus and LES prevent reflux; increased intra-abdominal/thoracic pressure promotes it.
MHMS • 2022 • Paper-III (Technical)
A blood stained discharge from the nipple indicates-
A)
Breast abscess
B)
Fibroadenoma
C)
Duct papilloma
D)
Fat necrosis of breast
Duct papilloma correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Artery to bleed in duodenal ulcer hemorrhage-
A)
Splenic artery
B)
Gastroduodenal artery
C)
Left gastric artery
D)
Superior mesenteric artery
Gastroduodenal artery is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
Treatment of choice for pleomorphic adenoma
A)
Superficial parotidectomy
B)
Radical parotidectomy
C)
Enucleation
D)
Radiotherapy
Superficial parotidectomy is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
Adson’s test is positive in-
A)
Cervical rib
B)
Cervical spondylosis
C)
Cervical fracture
D)
Cervical dislocation
Cervical spondylosis correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
During esophagoscopy, the area in the esophagus mostly perforated is-
A)
At the aortic arch
B)
Mid esophagus
C)
At crocopharyngeus muscle
D)
At esophago-gastric junction
At crocopharyngeus muscle correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Transmural inflammation with skip lesions in colon are characteristic of-
A)
Regional ileitis (Crohn’s disease)
B)
Ischemic colitis
C)
Ulcerative colitis
D)
Non specific colitis
Regional ileitis (Crohn’s disease) correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The following condition is indicative of surgery in acute pancreatitis-
A)
Acute fluid collection
B)
Persistent psudocyst pancreas
C)
Pancreatic abscess
D)
Infective pancreatic necrosis
Infective pancreatic necrosis correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
5 days after CBD surgery there is a small leak. What will be the best treatment-
A)
Ultrasound guided aspiration
B)
ERCP and stenting
C)
Re-explorationn and hepaticojejunostomy
D)
Re-exploration and primary repair
ERCP and stenting is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
A fifty year old woman presents with two year history of recurrent abdominal pain with radiation to her back. Pain is severe and refractory to simple analgesics. Ultrasound and CECT confirm the diagnosis and show a dilated pancreatic duct. Which of the following is the likely recommended surgical procedure of choice-
A)
Whipple’s procedure
B)
Longitudinal pancreatico-jejunostomy
C)
Vagotomy with antrectomy
D)
Vagotomy and gastrojejunostomy
Longitudinal pancreatico-jejunostomy is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
Which among the following is the most common neoplasm of salivary gland-
A)
Pleomorphic adenoma
B)
Adenocystic carcinoma
C)
Mucoepidermoid
D)
Mixed tumor
Mixed tumor is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
A 60 years old male has been operated for carcinoma of caecum and right hemicolectomy has been done. On the fourth post-operative day, the patient develops fever and pain in the legs. The most important clinical entity one should look for is-
A)
Urinary tract infection
B)
Intravenous line infection
C)
Chest infection
D)
Deep vein thrombosis
Chest infection is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
25 year old patient presented with mass in right iliac fossa. Which after laparotomy was found to be carcinoid of 2.5 cm in diameter. What will be the next step in management?-
A)
Segmental resection
B)
Appendectomy
C)
Right hemicolectomy
D)
Do yearly 5 HIAA assay
Right hemicolectomy is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
Most common site of cholangiocarcinoma-
A)
Distal biliary duct
B)
Hilum
C)
Intrahepatic duct
D)
Multifocal
Hilum is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Commonest salivary gland to get stones-
A)
Parotid
B)
Submandibular
C)
Minor salivary gland
D)
Sublingual
Submandibular is the standard/commonest association or the most appropriate choice for this presentation.
