MHMS • 2022 • Technical Subject Paper-II
Best investigation for acute intestinal obstruction is:
A)
Barium studies
B)
X Ray
C)
USG
D)
ERCP
Erect abdominal X-ray showing multiple air-fluid levels and dilated loops is initial best investigation for acute obstruction.
MHMS • 2022 • Technical Subject Paper-II
Water intoxication is a potential complication of labor induction with-
A)
Artificial Rupture of Membrane (ARM)
B)
Intra-uterine Foley catheter
C)
Prostaglandin E1
D)
Oxytocin
Oxytocin has ADH-like action; prolonged high-dose infusion with hypotonic fluids can cause water retention and hyponatremic intoxication.
MHMS • 2022 • Technical Subject Paper-II
The following drugs are used for induction of labor except-
A)
Dinoprostone (PGE2)
B)
Oxytocin
C)
Methyl-ergometrine
D)
Mifepristone (RU 486)
Dinoprostone, oxytocin and mifepristone are used for cervical ripening/induction; methyl-ergometrine causes tonic contraction and is used for PPH, contraindicated for induction.
MHMS • 2022 • Technical Subject Paper-II
FNAC needle size is:
A)
18-22
B)
22-26
C)
27-29
D)
16-18
FNAC uses fine gauge needle typically 22-26G to aspirate cells without core tissue.
MHMS • 2022 • Technical Subject Paper-II
Most common site of development of carcinoma of prostate is:
A)
Peripheral zone
B)
Central zone
C)
Transitional zone
D)
Fibromuscular stroma
About 70% prostate cancers arise in peripheral zone, accessible to DRE and transrectal biopsy.
MHMS • 2022 • Technical Subject Paper-II
Which of the following is used to define penetrating neck injury?
A)
2cm depth of wound
B)
Injury to vital structures
C)
Breach of platysma
D)
Through and through wound
Penetrating neck injury is defined by breach of platysma muscle, indicating penetration beyond superficial fascia.
MHMS • 2022 • Technical Subject Paper-II
Common indications of primary Cesarean section are all except-
A)
Failed induction and Non-progress labor
B)
Fetal distress
C)
Cephalo-pelvic disproportion
D)
Previous Cesarean delivery
Failed induction, fetal distress and CPD are primary cesarean indications; previous cesarean indicates repeat cesarean.
MHMS • 2022 • Technical Subject Paper-II
Anemia in pregnancy is diagnosed when the Hemoglobin level is below-
A)
9 g/dl
B)
12 g/dl
C)
11 g/dl
D)
10 g/dl
WHO defines anemia in pregnancy as hemoglobin below 11 g/dL, with 9-10 g/dL as moderate anemia.
MHMS • 2022 • Technical Subject Paper-II
The most sensitive index of Iron deficiency Anemia is-
A)
MCV
B)
MCHC
C)
PCV
D)
MCV
Among red cell indices, decreased MCV indicating microcytosis is the most sensitive early index of iron deficiency in this list.
MHMS • 2022 • Technical Subject Paper-II
Regarding diagnostic imaging, which of the following imaging modalities would be most appropriate for assessing an x-ray confirmed L1 fracture of the spine in a polytrauma patient?
A)
CT
B)
Ultrasound
C)
MRI
D)
Bone scan
CT spine is most appropriate in polytrauma to delineate fracture type, retropulsion, canal compromise and posterior elements.
MHMS • 2022 • Technical Subject Paper-II
Abortion associated with clinical evidences of infection of the uterus and its content is called-
A)
Inevitable abortion
B)
Missed Abortion
C)
Septic Abortion
D)
Recurrent abortion
Infected abortion with uterine infection is termed septic abortion.
MHMS • 2022 • Technical Subject Paper-II
The following are complications of Diabetes in pregnancy except-
A)
Miscarriage
B)
Intra-uterine Growth Restriction
C)
Infection
D)
Polyhydramnios
Diabetes in pregnancy causes macrosomia and polyhydramnios; IUGR is not typical except with severe vasculopathy, so it is the exception.
MHMS • 2022 • Technical Subject Paper-II
Most common blood transfusion reaction is:
A)
Febrile non-hemolytic transfusion reaction
B)
Hemolysis
C)
Transmission of infections
D)
Electrolyte imbalance
Febrile non-hemolytic transfusion reaction due to recipient antibodies to donor leukocytes is commonest transfusion reaction.
MHMS • 2022 • Technical Subject Paper-II
Confirmatory test/modality for intra-uterine pregnancy is-
A)
Latex Agglutination test (Urine)
B)
ELISA
C)
Radio-immunoassay
D)
Ultrasonography
Ultrasonography showing intrauterine gestational sac and fetal cardiac activity is confirmatory for pregnancy.
MHMS • 2022 • Technical Subject Paper-II
Dangerous Placenta previa is the name given to –
A)
Central or Complete Placenta previa
B)
Type-I or Low-lying Placenta
C)
Type II Posterior Placenta Previa
D)
All of the above
Type II posterior placenta previa is called dangerous because the presenting part compresses the placenta causing fetal hypoxia and asphyxia.
MHMS • 2022 • Technical Subject Paper-II
Massive blood transfusion is defined as:
A)
Whole blood volume in 24 hours
B)
Half blood volume in 24 hours
C)
40% blood volume in 24 hours
D)
60% blood volume in 24 hours
Massive transfusion is usually defined as transfusion of entire blood volume (~10 units) within 24 hours or >4 units in 1 hour.
MHMS • 2022 • Technical Subject Paper-II
Commonest cause of acute intestinal obstruction is:
A)
Adhesions
B)
Volvulus
C)
Inguinal Hernia
D)
Internal hernias
Postoperative adhesions are now commonest cause of acute small bowel obstruction worldwide, followed by obstructed hernia in India.
MHMS • 2022 • Technical Subject Paper-II
Typhoid perforation occurs during:
A)
1st week
B)
2nd week
C)
3rd week
D)
4th week
Typhoid ulceration and perforation of Peyer's patches occurs in 3rd week of fever due to necrosis.
MHMS • 2022 • Technical Subject Paper-II
Thangliana was admitted with complains of ureteric stone. He developed radiating pain to the pubic area and medial aspect of thigh. What is the most probable site of lodgment of the stone?
A)
At renal pelvis
B)
At pelvic brim
C)
At the level of gonadal vessels
D)
Intramural portion of the ureter
Pain radiating to pubic region/medial thigh suggests stone lodged at intramural ureter/VUJ irritating genitofemoral nerve.
MHMS • 2022 • Technical Subject Paper-II
In triage green colour indicates
A)
Ambulatory patients
B)
Dead or moribund
C)
High priority treatment or transfer
D)
Medium priority or transfer
In triage, green tags minor/ambulatory patients who can walk and wait; red is high priority, black is dead/moribund.
MHMS • 2022 • Technical Subject Paper-II
First line of therapy in shock in patients of trauma:
A)
Crystalloids
B)
Colloids
C)
Ionotropes
D)
Blood transfusion
Trauma hemorrhagic shock first-line is balanced crystalloids for immediate volume; blood follows per massive transfusion protocol.
MHMS • 2022 • Technical Subject Paper-II
Which of the following is most common neoplasm of salivary gland?
A)
Pleomorphic adenoma
B)
Adenoid cystic carcinoma
C)
Mucoepidermoid carcinoma
D)
Mixed tumour
Pleomorphic adenoma is the commonest benign and overall salivary gland tumor, most frequent in parotid.
MHMS • 2022 • Technical Subject Paper-II
Pulled up caecum is seen in:
A)
Ca Colon
B)
Carcinoid
C)
Ileocecal TB
D)
Crohn’s disease
Pulled-up, subhepatic caecum due to fibrotic contraction of mesentery is classic for ileocecal tuberculosis.
MHMS • 2022 • Technical Subject Paper-II
Morning Sickness in first trimester of pregnancy is mainly due to –
A)
Estrogen and progesterone
B)
b-Human Chorionic Gonadotrophin
C)
Follicle Stimulating Hormone and Luteinizing Hormone
D)
Prolactin
Morning sickness in first trimester is attributed to rising beta-hCG levels from trophoblast.
MHMS • 2022 • Technical Subject Paper-II
SDH is caused by injury of:
A)
Middle meningeal artery
B)
Cortical veins
C)
Superficial temporal artery
D)
NOTA
Subdural hematoma results from tearing of bridging cortical veins between cortex and dural sinuses.
