MHMS • 2022 • Paper-IV (Technical)
Which one of the following is the treatment of choice for a 4 cm retroperitoneal lymph node mass in a patient with non-seminomatous germ cell tumor of the testis-
A)
Radical radiotherapy alone
B)
High orchidectomy + RPLND
C)
RPLND alone
D)
High orchidectomy alone
High orchidectomy + RPLND is the preferred standard management for this clinical situation.
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)
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)
Adenocarcinoma is esophagus occurs in-
A)
Middle esophagus
B)
Upper esophagus
C)
Barrett’s ulcer
D)
None of the above
Barrett’s ulcer correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Which is TRUE regarding site of Meckel’s diverticulum-
A)
2 feet proximal to ileocaecal valve on mesenteric border
B)
2 feet distal to duodenojejunal flexure on antimesenteric border
C)
2 feet distal to D3 flexure on mesenteric border
D)
2 feet proximal to ileocaecal valve on antimesenteric border
2 feet proximal to ileocaecal valve on antimesenteric border 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)
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)
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)
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)
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)
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)
True about acute epididymitis is-
A)
Associated with urinary infection
B)
Painless
C)
Scrotum size is reduced
D)
Does not mimic with torsion of testis
Associated with urinary infection 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)
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)
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)
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)
In a patient suspected to be suffering from vesicoureteric reflux, which one of the following radiological investigations may confirm the diagnosis?-
A)
Intravenous urography
B)
Micturating cystourethrography
C)
Pelvic ultrasound
D)
Antegrade pyelography
Micturating cystourethrography correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
A 40 year old patient with a single kidney presents with a solitary exophytic mass of 4 cm localized at its lower pole. Which amongst the following is the best recommended management option-
A)
Radical nephrectomy
B)
Radical nephrectomy with dialysis
C)
Radical nephrectomy with renal transplantation
D)
Partial nephrectomy
Partial nephrectomy is the preferred standard management for this clinical situation.
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 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.
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)
Most useful imaging modality to document renal scars-
A)
DMSA
B)
DTPA
C)
MRI
D)
CT Scan
DMSA is the standard/commonest association or the most appropriate choice for this presentation.
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.
