MHMS • 2022 • Paper-IV (Technical)
Marker for testicular tumor is-
A)
Beta hCG
B)
Acid phosphatase
C)
Alkaline phosphatase
D)
Prostate specific antigen
Beta hCG correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
For posterior urethral valve investigation of choice is-
A)
Cystoscopy
B)
MCU
C)
Cystorethroscopy
D)
Retrograde urethroscopy
MCU is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Commonest stone in case of UTI
A)
Phosphate
B)
Urate
C)
Cysteine
D)
Calcium oxalate
Urease-positive Proteus infections alkalinize urine producing struvite/phosphate (magnesium ammonium phosphate) stones, commonest infection stone.
MHMS • 2022 • Paper-IV (Technical)
TURP was done in an old patient of BPH, after which he developed altered sensorium. Cause is-
A)
Hypernatremia
B)
Hypokalemia
C)
Hyponatremia
D)
Hypomagnesemia
Hyponatremia correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
The most important prognostic factor in breast carcinoma is-
A)
Histological grade of the tumor
B)
Stage of the tumor at the time of diagnosis
C)
Status of estrogen and progesterone receptors
D)
Over expression of p53 tumor suppressor gene
Histological grade of the tumor is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Most common type of choledochal cyst-
A)
Type 1
B)
Type 2
C)
Type 3
D)
Type 6
Type 1 is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
A Warthin’s tumor is-
A)
An adenolymphoma of parotid gland
B)
A pleomorphic adenoma of parotid
C)
A carcinoma of the parotid
D)
A carcinoma of submandibular salivary gland
An adenolymphoma of parotid gland correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
‘Chain of lakes’ appearance seen in-
A)
Acute pancreatitis
B)
Chronic pancreatitis
C)
Carcinoma pancreas
D)
Strawberry gall bladder
Chronic pancreatitis is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Surgery in varicose veins is NOT attempted in presence of-
A)
Deep vein thrombosis
B)
Multiple incompetent perforators
C)
Varicose veins with leg ulcer
D)
All of the above
Varicose veins with leg ulcer correctly describes the definition or characteristic asked in the question.
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.
MHMS • 2022 • Paper-III (Technical)
The commonest site of obstruction in Gall stone ileus is-
A)
Proximal ileum
B)
Distal ileum
C)
Ileocecal junction
D)
Transverse colon
Distal ileum is the standard/commonest association or the most appropriate choice for this presentation.
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)
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)
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)
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 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)
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)
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)
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)
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)
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)
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)
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)
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)
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.
