MHMS • 2022 • Technical Subject Paper-II
Supplementary Iron therapy is needed for all pregnant mothers from-
A)
20 weeks onwards
B)
24 weeks
C)
16 weeks onwards
D)
From first trimester
Prophylactic iron 60 mg elemental iron daily is advised from second trimester onward, traditionally from 16 weeks after organogenesis.
MHMS • 2022 • Technical Subject Paper-II
Shock is clinically best assessed by:
A)
Urine output
B)
CVP
C)
BP
D)
Hydration
Urine output reflects tissue perfusion and is best clinical bedside indicator of shock severity.
MHMS • 2022 • Technical Subject Paper-II
True about cleft palate:
A)
Surgery should be done at 1 year
B)
Associated with hearing loss
C)
Associated with cleft lip in 45%
D)
All of the above
Cleft palate repair around 9-12 months prevents speech defects, predisposes to otitis media with hearing loss, and ~45% have cleft lip association.
MHMS • 2022 • Technical Subject Paper-II
Most common organ involved in blunt injury to the abdomen:
A)
Spleen
B)
Liver
C)
Intestines
D)
Kidney
Spleen is the most commonly injured organ in blunt abdominal trauma due to its vascularity and location.
MHMS • 2022 • Technical Subject Paper-II
The ideal mode of delivery in Contracted pelvis is-
A)
Caesarean section
B)
Instrumental delivery
C)
Trial of Labor
D)
McRobert’s maneuver
True contracted pelvis with reduced pelvic dimensions requires elective caesarean section as vaginal delivery impossible.
MHMS • 2022 • Technical Subject Paper-II
In elliptical incision, length to width ratio :
A)
4:1
B)
3:1
C)
2:1
D)
1:1
Elliptical excision is designed with length to width ratio 3:1 to allow linear closure without dog ears.
MHMS • 2022 • Paper-IV (Technical)
To differentiate between stress incontinence and detrusor instability, investigation of choice is-
A)
Cystorethroscopy
B)
Urodynamic study
C)
MCU
D)
Retrograde urethroscopy
Urodynamic study distinguishes genuine stress incontinence (sphincter weakness) from detrusor overactivity by pressure-flow tracing.
MHMS • 2022 • Paper-IV (Technical)
Which of the following is/are robotic surgical system-
A)
Da Vinci robotic surgical system
B)
Zeus robotic surgical system
C)
ARTEMIS
D)
ALL of the above
ALL of the above correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Veni, a middle aged diabetic female presented with flank pain and fever. On ultrasound the kidney was irregular and showed fat density lesion with calculi. The diagnosis is most probably-
A)
TB kidney
B)
Xanthogranulomatous kidney
C)
Chronic pyelonephritis
D)
Renal abscess
Chronic pyelonephritis is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
For carcinoma of prostate the commonest site is-
A)
Anterior zone
B)
Peripheral zone
C)
Central zone
D)
Transitional zone
Peripheral zone is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
In Radical mastectomy, which is spared-
A)
Pectoralis major
B)
Pectoralis minor
C)
Axillary lymph nodes
D)
Supraclavicular lymph nodes
Pectoralis major correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Commonest hypospadias is-
A)
Penile
B)
Glandular
C)
Scrotal
D)
A and C
Penile is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
In burns, heat loss is by/due to-
A)
Dilatation of veins
B)
Shock
C)
Exposed area by evaporation
D)
None of the above
Exposed area by evaporation correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Most useful imaging modality to document upper urinary obstruction-
A)
DTPA
B)
DMSA
C)
CT Scan
D)
IVU
DMSA is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Hirschsprung’s disease is due to-
A)
Loss of ganglion cells in the sympathetic chain
B)
Atrophy of longitudinal muscles
C)
Failure of migration of neural crest cells from cranial to caudal direction
D)
Malformed taenia coli
Malformed taenia coli correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Meckel’s diverticulum is a derivative of-
A)
Allantoic diverticulum
B)
Vitellointestinal duct
C)
Ventral mesogastrium
D)
Ductus arteriosus
Vitellointestinal duct correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Staghorn calculus is made of-
A)
Oxalate
B)
Phosphate
C)
Uric acid
D)
Cysteine
Uric acid correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Which of these does not change or remains same throughout life-
A)
Salmon patch
B)
Strawberry angiomas
C)
Portwine stain
D)
Capillary hemangiomas
Portwine stain is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-IV (Technical)
A three year old male child presents with history of constipation and abdominal distension for the last two years. The plain radiograph of abdomen reveals fecal matter containing distended bowel loops. A barium enema study done subsequently shows a transition zone at the recto-sigmoid junction with reversal of recto-sigmoid ratio. The most probable diagnosis is-
A)
Anal atresia
B)
Malrotation of the gut
C)
Hirschsprung’s disease
D)
Congenital megacolon
Hirschsprung’s disease is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
In BPH most common lobe involved is-
A)
Lateral
B)
Posterior
C)
Median
D)
Anterior
Lateral is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Minerva is a powered neurosurgery robot that functions under the guidance of-
A)
CT scan
B)
MRI
C)
X-Ray
D)
Ultrasound
CT scan correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
All are radiopaque EXCEPT one-
A)
Oxalate
B)
Uric acid
C)
Cysteine
D)
Mixed
Uric acid stones are radiolucent; oxalate, cysteine and mixed are radiopaque.
MHMS • 2022 • Paper-IV (Technical)
Features of hypospadias are all EXCEPT-
A)
Chordae
B)
Hooded prepuce
C)
No-treatment required with glandular variety
D)
Cryptorchidism
Hooded prepuce is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-IV (Technical)
Within 48 hrs of transplantation, skin graft survives due to-
A)
Amount of saline in graft
B)
Plasma imbibition
C)
New vessels growing from the donor tissue
D)
Connection between donor and recipient capillaries
Connection between donor and recipient capillaries is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-IV (Technical)
In renal injury following blunt injury to abdomen which is not done-
A)
Prophylactic nephrectomy
B)
Diagnostic peritoneal lavage
C)
IVP
D)
Exploratory laparotomy
Renal trauma after blunt abdomen is managed conservatively in majority; prophylactic nephrectomy is never indicated, only therapeutic if unsalvageable.
