MHMS • 2022 • Technical Subject Paper-II
Funneling or Y-shaped Cervix on Ultrasonography is seen in –
A)
Chronic Cervicitis
B)
Cervical Incompetence
C)
Congenital elongation of Cervix
D)
Normal Multiparous cervix
Funneling Y-shaped cervix on ultrasound indicates cervical incompetence/insufficiency.
MHMS • 2022 • Technical Subject Paper-II
Normal duration of pregnancy is considered to be-
A)
280 days
B)
37 weeks
C)
365 days
D)
9 months
Normal pregnancy duration is 280 days or 40 weeks from last menstrual period.
MHMS • 2022 • Technical Subject Paper-II
22 Gauge IV canula colour is:
A)
Greena
B)
Grey
C)
Blue
D)
Pink
Color coding: 22G blue, 20G pink, 18G green, 16G grey; blue is used for small veins.
MHMS • 2022 • Technical Subject Paper-II
PPI’s for peptic ulcer disease should be taken:
A)
Before breakfast
B)
After lunch
C)
Before Lunch
D)
Bedtime
PPIs are most effective when taken 30 min before breakfast to inhibit active proton pumps.
MHMS • 2022 • Technical Subject Paper-II
Couvelaire Uterus is seen in –
A)
Placenta Previa
B)
Uterine rupture
C)
Abruptio Placenta
D)
Vasa Previa
Couvelaire uterus or uteroplacental apoplexy with extravasation of blood into myometrium is seen in severe abruptio placentae.
MHMS • 2022 • Technical Subject Paper-II
An operative procedure of extracting the products of conception before 28 weeks of pregnancy by cutting through anterior wall of uterus is called-
A)
Dilatations and Curettage
B)
Cesarean section
C)
Hysterotomy
D)
Suction evacuation
Extraction before 28 weeks via anterior uterine wall incision is hysterotomy.
MHMS • 2022 • Technical Subject Paper-II
Abortion is expulsion of an embryo or fetus weighing –
A)
1000 g or less
B)
800g or less
C)
500g or less
D)
750g or less
Abortion is defined as expulsion of embryo/fetus weighing 500 g or less, ~22 weeks.
MHMS • 2022 • Technical Subject Paper-II
The following are contra-indications for induction of labor except-
A)
Contracted pelvis and cephalo-pelvic disproportion
B)
Malpresentation
C)
Previous classical cesarean section or myomectomy
D)
Pregnancy –induced hypertension
Contracted pelvis, malpresentation and previous classical scar contraindicate induction; PIH is an indication for induction.
MHMS • 2022 • Technical Subject Paper-II
In a school bus accident, which of the victim will you attend first?
A)
A child with airway obstruction
B)
A child with shock
C)
A child with flail chest
D)
A child with severe head injury
Triage follows ABC; airway obstruction is immediately life-threatening and must be attended first.
MHMS • 2022 • Technical Subject Paper-II
Which of the following is a non-absorbable suture?
A)
Polypropylene
B)
Vicryl
C)
Catgut
D)
Polydiaxanone
Polypropylene (Prolene) is a non-absorbable synthetic suture; Vicryl, catgut and PDS are absorbable.
MHMS • 2022 • Technical Subject Paper-II
Most common renal stone:
A)
Calcium oxalate
B)
Uric acid stone
C)
Staghorn Calculi
D)
Cystine stone
Calcium oxalate is the most common renal stone composition, often mixed with calcium phosphate.
MHMS • 2022 • Technical Subject Paper-II
Ideal time for cleft lip repair surgery:
A)
3-6 weeks
B)
6-12 weeks
C)
1-1.5 years
D)
3-4 years
Cleft lip repair follows Rule of 10s: around 10 weeks (6-12 weeks), 10 lb weight, Hb 10 g/dL.
MHMS • 2022 • Technical Subject Paper-II
Pulmonary maturity in fetus is assessed by–
A)
Doppler Ultrasonography
B)
Fetal cardio-tocography
C)
Non-Stress test
D)
Estimation of pulmonary Surfactant
Fetal lung maturity assessed by surfactant tests like L/S ratio, PG and lamellar body count in amniotic fluid.
MHMS • 2022 • Technical Subject Paper-II
A driver wearing seat belt applied brake suddenly to avoid accident. Most common organ injured in seat belt injury is:
A)
Liver
B)
Spleen
C)
Mesentery
D)
Abdominal aorta
Seat belt deceleration causes mesenteric and hollow viscus injury; classic seat-belt syndrome involves bowel/mesentery and Chance fracture.
MHMS • 2022 • Technical Subject Paper-II
Systematic supervision (examination and advice) of a woman during pregnancy is called –
A)
Pre-conceptional Care
B)
Ante-natal care
C)
Ante-Partum surveillance
D)
Family Planning
Antenatal care is systematic supervision of woman during pregnancy to monitor mother and fetus.
MHMS • 2022 • Technical Subject Paper-II
Organ most commonly damaged in penetrating injury of abdomen is:
A)
Liver
B)
Small intestine
C)
Large intestine
D)
Duodenum
Small intestine has largest surface area and most commonly injured in penetrating abdominal trauma; liver is most common in blunt trauma.
MHMS • 2022 • Technical Subject Paper-II
Elderly Primi-gravida (as per FIGO) denotes a woman having her first pregnancy at the age of –
A)
30 and above
B)
32 and above
C)
35 and above
D)
40 and above
FIGO defines elderly primigravida as woman conceiving first time at age 35 years or above.
MHMS • 2022 • Technical Subject Paper-II
Percentage of patients with perforated peptic ulcer who show free gas under the diaphragm:
A)
100%
B)
80%
C)
60%
D)
90%
About 70-80% perforated peptic ulcers show air under diaphragm on erect chest X-ray/CT.
MHMS • 2022 • Technical Subject Paper-II
The commonest non-gynecological cause of acute abdomen requiring surgery during pregnancy is-
A)
Bowel perforation
B)
Acute Appendicitis
C)
Renal Calculus
D)
Cholecystitis
Acute appendicitis is commonest non-obstetric surgical emergency for acute abdomen during pregnancy.
MHMS • 2022 • Technical Subject Paper-II
The commonest type of female pelvis is –
A)
Anthropoid
B)
Android
C)
Gynecoid
D)
Platypelloid
Gynecoid pelvis is the commonest female pelvic type (about 50%) and most suitable for vaginal delivery.
MHMS • 2022 • Technical Subject Paper-II
Bishop’s Score indicates assessment of –
A)
Fetal well-being and heart rate
B)
Intensity of uterine contraction
C)
Station of head as well as dilatation, effacement, consistency and position of Cervix
D)
All of the above
Bishop's score assesses cervical favorability: dilatation, effacement, consistency, position and head station.
MHMS • 2022 • Technical Subject Paper-II
Mode of delivery and breast feeding to the new born in HIV infected mother is best determined by-
A)
Period of gestation of fetus
B)
Co-infection with other STI and opportunistic infection
C)
Maternal CD-4 Count and Viral load
D)
None of the above
Mode of delivery and breastfeeding advice in HIV depends on maternal CD4 count and viral load as per NACO guidelines.
MHMS • 2022 • Technical Subject Paper-II
As per WHO recommendation in developing countries, the number of ante-natal check up/visit for a pregnant mother should be at least –
A)
3
B)
4
C)
2
D)
6
WHO focused antenatal care for developing countries recommends minimum 4 visits at 16, 24-28, 32 and 36 weeks.
MHMS • 2022 • Technical Subject Paper-II
Ureteric colic due to stone is caused by:
A)
Stretching of renal capsule due to back pressure
B)
Increased peristalsis of ureter to overcome the obstruction
C)
Irritation of intramural ureter
D)
Extravasation of urine
Ureteric colic results from vigorous ureteric peristalsis attempting to overcome obstructive stone.
MHMS • 2022 • Technical Subject Paper-II
The perception of first active fetal movement by pregnant woman (feeling of life) in the second trimester is called-
A)
Lightening
B)
External ballottement
C)
Quickening
D)
Fetal/Funic soufflé
First fetal movements felt by mother in second trimester is called quickening, the feeling of life.
