MHMS • 2021 • Technical Subject Paper-III
Under the current NACO guidelines (2017), ART should be started on patients diagnosed with HIV/AIDS:
A)
If CD4 count is less than 200
B)
If CD4 count is less than 350
C)
Irrespective of the CD4 count
D)
If CD4 count is less than 400
Since 2017, India has followed a test-and-treat policy recommending ART irrespective of CD4 count after HIV diagnosis.
MHMS • 2021 • Technical Subject Paper-III
Chicken pox is infective during which period:
A)
2 days before and 2 days after rash appearance
B)
2 days before and 5 days after rash appearance
C)
4 days before and 4 days after rash appearance
D)
4 days before and 5 days after rash appearance
Varicella is infectious from about 1–2 days before the rash until the lesions crust, typically about 5 days after onset.
MHMS • 2021 • Technical Subject Paper-III
Time interval between receipt of infection by a host and maximum infectivity of that host is known as:
A)
Generation time
B)
Incubation period
C)
Serial interval
D)
Secondary attack rate
Generation time is the interval from acquiring infection to reaching maximum infectivity.
MHMS • 2021 • Technical Subject Paper-III
Delirium tremens seen in:
A)
Alcohol withdrawal
B)
Alcohol intoxication
C)
Opioid intoxication
D)
Opioid withdrawal
Delirium tremens is the severe withdrawal syndrome of alcohol.
MHMS • 2021 • Technical Subject Paper-II
Parkland formula is:
A)
Percentage of burns × weight (kg) × 4 = volume in ml
B)
Percentage of burns × weight (kg)/2 = 1 volume in ml
C)
Percentage of burns × weight (kg) × 9 = volume in ml
D)
500 ml/m2 BSA + 1500 ml/m2 = volume in ml
Parkland formula: 4 mL × body weight (kg) × % total body surface area burned, with half given in the first 8 hours.
MHMS • 2021 • Technical Subject Paper-II
Sebaceous cyst does not occur in the:
A)
Scalp
B)
Scrotum
C)
Back
D)
Sole
Sebaceous/epidermoid cysts are uncommon on the sole because true sebaceous glands are absent there.
MHMS • 2021 • Technical Subject Paper-II
Fetal stage starts at
A)
8 weeks
B)
12 weeks
C)
6 weeks
D)
9 weeks
The fetal period begins at the start of the 9th week after fertilization/conceptional development.
MHMS • 2021 • Technical Subject Paper-II
Most common tumor of parotid gland is:
A)
Squamous cell carcinoma
B)
Pleomorphic adenoma
C)
Adenolymphoma
D)
None of the above
Pleomorphic adenoma is the commonest benign and overall commonest parotid tumour.
MHMS • 2021 • Technical Subject Paper-II
Intrauterine Insemination means implantation of
A)
Semen
B)
Washed Semen
C)
Million of sperm
D)
Fertilized ova
IUI uses prepared/washed semen introduced into the uterine cavity around ovulation.
MHMS • 2021 • Technical Subject Paper-II
All are features of Mullerian agenesis except :
A)
46XX
B)
Absent ovary
C)
Absent vagina
D)
Normal breast development
Müllerian agenesis has absent/underdeveloped uterus and upper vagina but normal ovaries because they are not Müllerian in origin.
MHMS • 2021 • Technical Subject Paper-II
All the following are related to primary amenorrhoea except
A)
Sheehans syndrome
B)
Kallmans syndrome.
C)
Mayer Rokitansky kuster houser syndrome
D)
Turner syndrome
Sheehan syndrome causes secondary amenorrhea after pituitary injury, whereas the other listed conditions can cause primary amenorrhea.
MHMS • 2021 • Technical Subject Paper-II
Best non surgical management for stress urinary incontinence is
A)
Pelvic floor Muscle training
B)
Bladder training
C)
Electrical stimulation
D)
Vaginal weights
Pelvic-floor muscle training is the first-line conservative treatment for stress urinary incontinence.
MHMS • 2021 • Technical Subject Paper-II
Anal fissure best diagnosed by:
A)
Anoscopy
B)
History and superficial clinical examination
C)
PR examination
D)
Colonoscopy
Anal fissure is usually diagnosed clinically from history and inspection; forceful instrumentation can be painful and unnecessary.
MHMS • 2021 • 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 is mainly due to painful ureteric spasm and increased peristalsis against the obstruction.
MHMS • 2021 • Technical Subject Paper-II
Rotterdam criteria for PCOS are
A)
Oligo/Anovulation
B)
Hyperandrogenism with exclusion of other causes of hyperandrogenism
C)
Polycystic ovaries (either 12 or more or increased ovarian volume >10cm3
D)
All of the above
Rotterdam criteria require two of three: oligo/anovulation, hyperandrogenism, and polycystic ovaries after excluding other causes.
MHMS • 2021 • Technical Subject Paper-II
Choose the wrong statement about genital tuberculosis
A)
Usually secondary to tuberculosis elsewhere in the body
B)
Bacilli reaches genital tract by Lymphatic spread in 90%
C)
Genital TB is found in 10% of infertile women in India
D)
Fallopian tube is affected in 90-100% of cases
Genital tuberculosis most commonly spreads hematogenously from another focus; the claim that lymphatic spread accounts for 90% is false.
MHMS • 2021 • Technical Subject Paper-II
A psychiatric patient who had undergone electro convulsive therapy presented with pain over the shoulder. The arm was held in internal rotation and could not be rotated back to the normal position. What is the possible diagnosis?
A)
Rotator cuff injury
B)
Posterior dislocation of shoulder
C)
Anterior dislocation of shoulder
D)
Acromio-clavicular dislocation
Electroconvulsive therapy can cause posterior shoulder dislocation; the arm is typically held adducted and internally rotated.
MHMS • 2021 • Technical Subject Paper-II
Which of the following ovarian tumour is more prone to torsion during pregnancy?
A)
Serous cystadenoma
B)
Mucinous cystadenoma
C)
Dermoid cyst
D)
Theca lutein cyst
Dermoid cysts (mature cystic teratomas) are particularly prone to adnexal torsion.
MHMS • 2021 • Technical Subject Paper-II
Carcinoma cervix is caused by
A)
HIV
B)
Hepatitis B
C)
HPV
D)
HSV
Persistent infection with high-risk HPV is the essential cause of cervical carcinoma.
MHMS • 2021 • Technical Subject Paper-II
Hemorrhoids managed by manual reduction:
A)
I degree
B)
II degree
C)
III degree
D)
IV degree
Grade III hemorrhoids prolapse and require manual reduction.
MHMS • 2021 • Technical Subject Paper-II
Absolute contraindication for Hormone replacement Therapy is
A)
Thrombosis
B)
Fibroadenoma
C)
Fibrocystic disease
D)
Hemorrhage
Active or previous significant thromboembolic disease is an absolute contraindication to systemic hormone replacement therapy.
MHMS • 2021 • Technical Subject Paper-II
Major sources of androgen in female are all except:
A)
Ovary
B)
Adrenals
C)
Peripheral conversion of androgen precursors in the liver, GIT and adipose tissue
D)
Corpus Luteum
The corpus luteum is primarily a progesterone source; it is not a major androgen source in women.
MHMS • 2021 • Technical Subject Paper-II
Which of the following vessels is involved in extradural hematoma?
A)
Middle meningeal artery
B)
Venous sinuses
C)
Bridging veins
D)
Middle cerebral artery
Extradural hematoma classically follows rupture of the middle meningeal artery.
MHMS • 2021 • Technical Subject Paper-II
Most common cause of maternal Mortality in India is
A)
Hemorrhage
B)
Anemia
C)
Sepsis
D)
Heart Disease
Obstetric hemorrhage has been a leading cause of maternal mortality in India.
MHMS • 2021 • Technical Subject Paper-II
Most common site for putting chest drain in case of pleural effusion:
A)
2nd intercostal space mid-clavicular line
B)
7th intercostal space mid-axillary line
C)
5th intercostal space mid axillary line
D)
5th intercostal space just lateral to vertebral column
A pleural drain is commonly placed around the 5th intercostal space in the safe triangle near the mid-axillary line.
