MHMS • 2022 • Technical Subject Paper-III
True about rigor mortis are all, except:
A)
Seen immediately after death
B)
It last 18–36 h in summer
C)
It disappears in the sequence as it appears
D)
It last 24–48 h in winter
Rigor mortis appears 2-6 hours after death, lasts 18-36h summer and 24-48h winter, disappears in order of appearance.
MHMS • 2022 • Technical Subject Paper-III
Glycosylated haemoglobin reflects the mean blood glucose level of previous:
A)
15 days
B)
1 month
C)
3 months
D)
6 months
HbA1c reflects average glucose over lifespan of RBCs, about 8-12 weeks or 3 months.
MHMS • 2022 • Technical Subject Paper-III
‘Rule of Halves’ is associated with:
A)
CHD
B)
Hypertension
C)
Blindness
D)
Accidents and Injuries
Rule of Halves originally described for hypertension: half undetected, half of detected untreated, half of treated uncontrolled.
MHMS • 2022 • Technical Subject Paper-III
All of the following are non-modifiable risk factors for Diabetes Mellitus except is:
A)
Ethnicity
B)
Age
C)
Sex
D)
Dietary habits
Dietary habits are modifiable; ethnicity, age, sex and genetics are non-modifiable diabetes risk factors.
MHMS • 2022 • Technical Subject Paper-III
All of the following are micronutrient deficiency disorders except:
A)
Iron deficiency anemia
B)
Pellagra
C)
Beri-beri
D)
Protein Energy Malnutrition
Iron deficiency, pellagra and beri-beri are micronutrient deficiencies; protein energy malnutrition is macronutrient deficiency.
MHMS • 2022 • Technical Subject Paper-III
Bitot’s spots is seen in:
A)
Vitamin D deficiency
B)
Vitamin E deficiency
C)
Vitamin A deficiency
D)
Vitamin C deficiency
Bitot's spots are foamy triangular conjunctival lesions due to Vitamin A deficiency and xerosis.
MHMS • 2022 • Technical Subject Paper-III
Burns in children assessed by:
A)
Rule of nine
B)
Lund and Browder
C)
Palmer surface method
D)
Hasse’s rule
Lund and Browder chart corrects body surface proportion for age, making it accurate for children unlike Rule of Nine.
MHMS • 2022 • Technical Subject Paper-III
Recommended Dietary Allowance (RDA) is the level of dietary intake equal to:
A)
Mean + 1 Standard Deviation
B)
Mean + 2 Standard Deviation
C)
Mean + 2.5 Standard Deviation
D)
Mean + 3 Standard Deviation
RDA is set at mean requirement + 2 SD, covering 97.5% of healthy individuals.
MHMS • 2022 • Technical Subject Paper-III
25 = ? % of 125
A)
1/5
B)
5
C)
20
D)
31.25
25/125=0.20=20%.
MHMS • 2022 • Technical Subject Paper-III
Natural history of disease is best studied by:
A)
Cross sectional study
B)
RCT
C)
Case-control study
D)
Cohort study
Natural history from exposure to outcome is best tracked prospectively in a cohort study over time.
MHMS • 2022 • Technical Subject Paper-II
Labor, whether spontaneous or induced, is best monitored by –
A)
Cervicograph and fetal doppler
B)
Bishop’s Score
C)
Partograph
D)
Cardiotocography
Partograph is WHO recommended best tool for monitoring progress of labor and early detection of dystocia.
MHMS • 2022 • Technical Subject Paper-II
The commonest site of epistaxis in the young is:
A)
Little’s area
B)
Bony septum
C)
Superior Turbinate
D)
Lateral wall of nose
Little's area (Kiesselbach's plexus) on anterior nasal septum is commonest site of anterior epistaxis in young.
MHMS • 2022 • Technical Subject Paper-II
The commonest site of pelvic endometriosis is-
A)
Pouch of Douglas
B)
Utero-sacral ligament
C)
Myometrium
D)
Ovary
Ovary is the commonest site of pelvic endometriosis, followed by pouch of Douglas.
MHMS • 2022 • Technical Subject Paper-II
Best time for surgery of undescended testis is:
A)
Just after birth
B)
6 months of age
C)
12 months of age
D)
24 months of age
Orchidopexy for undescended testis recommended at 6-12 months, ideally by 12 months to preserve spermatogenesis.
MHMS • 2022 • Technical Subject Paper-II
‘25 year old unmarried woman presents with recurrent pain which appears in the mid menstrual period and situated in the hypogastrium or to one iliac fossa’. The most probable diagnosis is-
A)
Pre-menstrual Syndrome
B)
Pelvic Congestion syndrome
C)
Membranous Dysmenorrhea
D)
Mittelsmerz’s syndrome
Mid-cycle hypogastric/iliac fossa pain in young woman is Mittelschmerz from ovulation.
MHMS • 2022 • Technical Subject Paper-II
The primary organisms involved in Pelvic Inflammatory Disease includes-
A)
Neisseria gonorrhea
B)
Chlamydia trachomatis
C)
Mycoplasma hominis
D)
All of the above
PID is polymicrobial; Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasma hominis are all primary organisms.
MHMS • 2022 • Technical Subject Paper-II
Which of the following statements regarding the treatment of fractures is false?
A)
Not all fractures require reduction or stabilisation.
B)
Pain relief is a benefit of fracture treatment.
C)
Relative stability leads to primary bone healing.
D)
Absolute stability leads to primary bone healing
Relative stability leads to secondary bone healing with callus; absolute stability with compression plating leads to primary healing.
MHMS • 2022 • Technical Subject Paper-II
A 5 years old child presents to Casualty with burns. The burn area corresponding to the size of his palm is equal to
A)
1%
B)
2%
C)
3%
D)
4%
Patient's own palm including fingers approximates 1% TBSA across ages, useful for small burn estimation.
MHMS • 2022 • Technical Subject Paper-II
In BPH most common lobe involved is
A)
Lateral
B)
Posterior
C)
Median
D)
Anterior
BPH originates in transitional zone but lateral lobes show most prominent clinical enlargement palpably.
MHMS • 2022 • Technical Subject Paper-II
H Pylori causes carcinoma by which mechanism?
A)
Production of nitrosamines
B)
Gastric metaplasia
C)
Increasing acid secretion
D)
Causing mutation
H. pylori promotes gastric carcinoma via chronic inflammation, atrophy and increased nitrosamine formation.
MHMS • 2022 • Technical Subject Paper-II
In burns management, which of the following is the fluid of choice?
A)
Dextrose 5%
B)
Normal Saline
C)
Ringer Lactate
D)
Isolyte-M
Ringer lactate is preferred balanced crystalloid to avoid hyperchloremic acidosis from saline in large burns.
MHMS • 2022 • Technical Subject Paper-II
Parkland formula is:
A)
% of burns x weight x 4 = volume in ml
B)
% of burns x weight/2 = volume in ml
C)
% of burns x weight x 9 = volume in ml
D)
500 ml/m2 BSA + 1500ml/m2 = volume in ml
Parkland formula: 4 ml x weight(kg) x %TBSA burns = Ringer lactate volume in first 24h, half in first 8h.
MHMS • 2022 • Technical Subject Paper-II
Which of the following statements are true?
A)
Nasal polyps are a sign of cysticfibrosis in 10% of children with nasal polyps.
B)
Nasal polyps rarely present with nasal obstruction.
C)
Nasal polyps are characteristically painful when palpated with a probe.
D)
Oral steroids are never used in the treatment of simple nasal polyps.
Nasal polyps in children suggest cystic fibrosis in ~10-20%; they cause obstruction and are painless, steroids are used for medical management.
MHMS • 2022 • Technical Subject Paper-II
Contra-indication of operative vaginal delivery (Forceps and Ventouse) are all except-
A)
Inadequate pelvis
B)
Unengaged fetal head
C)
Fetus with bleeding diathesis (hemophilia)
D)
Inadequate expulsive force and maternal exhaustion
Inadequate pelvis, unengaged head and bleeding diathesis contraindicate operative vaginal delivery; inadequate expulsive force is an indication.
MHMS • 2022 • Technical Subject Paper-II
Oxytocic agent contra-indicated in pregnancy with Bronchial Asthma is –
A)
Carbetocin
B)
Oxytocin
C)
Prostaglandin F-2-alpha
D)
Local PG-E1 and PG-E2
Prostaglandin F2-alpha (carboprost) is contraindicated in asthma as it causes bronchospasm, unlike PGE analogues.
