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Past Questions

MHMS • 2022 • Paper-III (Technical)

The commonest site of Branchial cysts is-

A) Upper 1/3rd of the SCM
B) Lower 1/3rd of the SCM
C) Upper 2/3rd of the SCM
D) Lower 2/3rd of the SCM
Lower 1/3rd of the SCM is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)

Use of tamoxifen in carcinoma of breast patients DOES NOT lead to the following side effects-

A) Thromboembolic events
B) Endometrial carcinoma
C) Cataract
D) Cancer in opposite breast
Endometrial carcinoma is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)

Which of the following group constitute Frey’s syndrome-

A) Hyperhydrosis, enophthalmos and miosis
B) Anhidrosis, enophthalmos and miosis
C) Redness and sweating over the auriculotemporal during meal
D) Pain over the distribution of the auriculotemporal nerve during meal
Redness and sweating over the auriculotemporal during meal is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)

After exploration of CBD, the T-tube is removed on which of the following days-

A) 3rd post-op day
B) 4th post-op day
C) 12th post-op day
D) 6th post-op day
12th post-op day correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

What complication commonly occurs in anterior duodenal ulcer-

A) Bleeding
B) Penetration
C) Perforation
D) Stricture formation
Anterior duodenal ulcer faces free peritoneum so its classic complication is free perforation; posterior ulcer erodes gastroduodenal artery causing bleed.
MHMS • 2022 • Paper-III (Technical)

Commonest cause of pyogenic liver abscess-

A) Biliary sepsis
B) Biliary colic
C) Appendicitis
D) Sigmoid diverticulitis
Biliary tract infection via ascending cholangitis is now the most common cause of pyogenic liver abscess, overtaking appendicitis.
MHMS • 2022 • Paper-III (Technical)

In children most common type of polyp is-

A) Juvenile polyp
B) Solitary polyp
C) Familial polyposis
D) Multiple adenomatous polyp
Juvenile polyp is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)

Structures preserved in radical dissection of the neck-

A) Internal jugular vein
B) Sternomastoid
C) Submandibular gland
D) Vagus nerve
Submandibular gland correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

All are component of Saint’s triad EXCEPT-

A) Renal stones
B) Hiatus hernia
C) Diverticulosis coli
D) Gall stones
Renal stones is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)

The Couinaud’s segmental nomenclature is based on the position of the-

A) Hepatic veins and portal vein
B) Hepatic veins and biliary ducts
C) Portal vein and biliary ducts
D) Portal vein and hepatic artery
Couinaud segmentation divides liver into 8 segments based on portal vein distribution within and hepatic veins between segments.
MHMS • 2022 • Paper-III (Technical)

Vascular inflow occlusion of the liver is by-

A) Clamping the hepatic artery
B) Occluding the portal vein
C) Clamping the hepatic vein
D) The Pringle manoeuvre
The Pringle manoeuvre correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Allen’s test is useful in evaluating-

A) Thoracic outlet compression
B) Presence of cervical rib
C) Integrity of palmar arch
D) Digital blood flow
Integrity of palmar arch correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Recurrent laryngeal nerve is in close association with-

A) Superior thyroid artery
B) Inferior thyroid artery
C) Middle thyroid vein
D) Superior thyroid vein
Inferior thyroid artery correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Dumping syndrome is due to-

A) Diarrhoea
B) Presence of hypertonic content in small intestine
C) Vagotomy
D) Reduced gastric capacity
Presence of hypertonic content in small intestine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Duodenal blow out following Billroth gstrectomy most commonly occurs on which day-

A) 2nd day
B) 4th day
C) 6th day
D) 12th day
Duodenal stump blowout after Billroth II typically occurs around day 4-5.
MHMS • 2022 • Paper-III (Technical)

Complications of total thyroidectomy include all EXCEPT-

A) Hoarseness
B) Airway obstruction
C) Hemorrhage
D) Hypercalcemia
Hemorrhage is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)

A surgeon excises a portion of liver to the left of the attachment of the falciform ligament. The segments that have been resected are-

A) Segment 1 to 4
B) Segment 1 and 4b
C) Segment 2 and 3
D) Segment 2 to 4
Anatomical left lobe to left of falciform ligament corresponds to left lateral segmentectomy = Couinaud segments II and III.
MHMS • 2022 • Paper-III (Technical)

Radical dissection of neck includes all EXCEPT-

A) Cervical lymph nodes
B) Sternocleidomastoid
C) Phrenic nerves
D) Internal jugular vein
Radical neck dissection removes levels I-V nodes, SCM, IJV, accessory nerve and submandibular gland but spares phrenic nerve, carotid and vagus.
MHMS • 2022 • Paper-III (Technical)

Fogarty’s catheter is used for-

A) Drainage of urinary bladder
B) Parenteral hyperalimentation
C) Removal of embolus from blood vessels
D) Ureteric catheterization
Drainage of urinary bladder correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)

Most common tumor of parotid gland is-

A) Squamous cell carcinoma
B) Pleomorphic adenoma
C) Adenolymphoma
D) None of the above
Adenolymphoma is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)

Triple assessment for carcinoma breast includes-

A) History, clinical examination and mammogram
B) History, clinical examination and FNAC
C) USG, mammogram and FNAC
D) Clinical examination, Mammogram and FNAC
Clinical examination, Mammogram and FNAC is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)

Which of the following is the most common site for carcinoma of pancreas-

A) Head
B) Ampulla
C) Body
D) Tail
Head is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)

Budd Chiari syndrome is due to thrombosis of-

A) Infra renal IVC
B) Renal part of IVC
C) Superior mesenteric vein thrombosis
D) Hepatic veins
Budd-Chiari is hepatic venous outflow obstruction due to thrombosis of major hepatic veins or suprahepatic IVC.
MHMS • 2022 • Paper-III (Technical)

Commonest site of peptic ulcer perforation

A) Anterior aspect of the 1st part of duodenum
B) Posterior aspect of the 1st part of duodenum
C) Greater curvature of the stomach
D) Anterior aspect of 2nd part of duodenum
Most duodenal ulcers are anterior in first part; anterior perforation into free peritoneal cavity is classic, posterior causes bleeding from gastroduodenal artery.
MHMS • 2022 • Paper-III (Technical)

A 25 year old female complains of discharge of blood from a single duct in her breast. The most appropriate treatment is-

A) Radical excision
B) Microdochectomy
C) Radical mastectomy
D) Biopsy to rule out carcinoma
Microdochectomy correctly describes the definition or characteristic asked in the question.
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