MHMS • 2021 • Technical Subject Paper-II
First line treatment for keloid is:
A)
Intralesional injection of keloid
B)
Local steroid
C)
Radiotherapy
D)
Wide excision
Intralesional corticosteroid therapy is first-line treatment for most keloids; the option describing local steroid is the intended answer.
MHMS • 2021 • Technical Subject Paper-II
In BPH most common lobe involved is:
A)
Lateral
B)
Posterior
C)
Median
D)
Anterior
Benign prostatic hyperplasia classically arises from the periurethral/transition tissue corresponding clinically to the lateral lobes.
MHMS • 2021 • Technical Subject Paper-II
A patient at 22 weeks gestation is diagnosed with IUD which occurred at 17 weeks but did not have a miscarriage. The patient is at increased risk for
A)
Septic abortion
B)
Future infertility
C)
Consumptive coagulopathy with hypofibrinogenemia
D)
Ectopic pregnancy
A retained dead fetus for several weeks can cause consumptive coagulopathy with low fibrinogen.
MHMS • 2021 • Technical Subject Paper-II
The highest volume overload in a parturient due to maximum cardiac output is seen at
A)
During 2nd stage of labour
B)
At term
C)
Immediately post delivery
D)
After a heavy meal
Cardiac output and venous return rise sharply immediately after delivery due to relief of uterine compression and autotransfusion.
MHMS • 2021 • Technical Subject Paper-II
A clean incised wound heals by:
A)
Primary intention
B)
Secondary intention
C)
Excessive scaring
D)
None of the above
A clean, uncontaminated incised wound with closely apposed edges heals by primary intention.
MHMS • 2021 • Technical Subject Paper-II
B Lynch suture is applied on
A)
Cervix
B)
Uterus
C)
Fallopian tubes
D)
Ovaries
The B-Lynch compression suture is applied to the uterus to control atonic postpartum haemorrhage.
MHMS • 2021 • Technical Subject Paper-II
Gestational diabetes is diagnosed by
A)
Glucose tolerance test
B)
Random blood sugar
C)
Fasting and post-prandial blood sugar
D)
24 hours blood glucose profile
Gestational diabetes is diagnosed using glucose tolerance testing with specified pregnancy thresholds.
MHMS • 2021 • Technical Subject Paper-II
Concentration of Mgso4 in the treatment of Eclampsia in meq/L
A)
7-10
B)
10-15
C)
2-4
D)
4-7
Therapeutic magnesium concentration is commonly maintained around 4–7 mEq/L in eclampsia.
MHMS • 2021 • Technical Subject Paper-II
What is the treatment of choice in severe flail chest?
A)
IPPV
B)
Strapping
C)
Wiring
D)
Nasal Oxygen
Severe flail chest with respiratory failure is treated with positive-pressure ventilation (IPPV).
MHMS • 2021 • Technical Subject Paper-II
True about appendicular mass is all except:
A)
Ochsner-Sherren regime followed
B)
Develops after 72 hours
C)
Fever is present
D)
Operation is to be done immediately
Appendicular mass is usually treated initially conservatively with the Ochsner-Sherren approach; immediate operation is not routine.
MHMS • 2021 • Technical Subject Paper-II
Varicocele is common on left testis because:
A)
Left testicular vein drains into IVC which has high pressure
B)
Left testicular vein drains into left renal vein which has high pressure
C)
Left testis is lower situated
D)
Compression of testicular vein by rectum
The left testicular vein drains into the left renal vein and is more susceptible to higher venous pressure/compression.
MHMS • 2021 • Technical Subject Paper-II
Best diagnostic test in stable patient with blunt trauma abdomen is:
A)
CECT scan
B)
MRI
C)
DPL
D)
FAST
In a stable patient with blunt abdominal trauma, contrast-enhanced CT is the best definitive imaging test.
MHMS • 2021 • Technical Subject Paper-II
Which of the following is not included in Active Management of Third stage of labor?
A)
Uterotonic within 1 minute of delivery
B)
Immediate clamping and cutting of umbilical cord
C)
General massage of the uterus
D)
Controlled cord traction
Immediate clamping/cutting of the cord is not an essential component of modern active management; uterotonic, controlled cord traction and uterine assessment/massage are emphasized.
MHMS • 2021 • Technical Subject Paper-II
Vaginal delivery is allowed in all except
A)
Monochorionic Monoamniotic twin
B)
First twin cephalic and second twin breech
C)
Extended breech
D)
Mento- anterior position
Monochorionic monoamniotic twins are generally delivered by caesarean because of high risk of cord entanglement.
MHMS • 2021 • Technical Subject Paper-II
All of the following are true about hernia surgery except:
A)
Surgery should not be done unless patient becomes symptomatic
B)
Hernia in children is treated with herniotomy
C)
Absorbable mesh should not be used for surgery
D)
Surgery can be done using laparoscopy
The statement that hernia surgery should wait until symptoms is false; elective repair is generally advised because of incarceration/strangulation risk.
MHMS • 2021 • Technical Subject Paper-II
Alvarado scale is for:
A)
Diverticulitis
B)
Mesenteric lymphadenitis
C)
Acute appendicitis
D)
Pelvic abscess
The Alvarado score is a clinical scoring system used for suspected acute appendicitis.
MHMS • 2021 • Technical Subject Paper-II
The antidote for mgso4 toxicity in eclampsia is
A)
Calcium gluconate
B)
Sodium chloride
C)
Calcium chloride
D)
Calcium carbonate
Calcium gluconate is the antidote for magnesium sulphate toxicity.
MHMS • 2021 • Technical Subject Paper-II
Recurrent abortion in first trimester is most often due to
A)
Chromosomal anbnormalities
B)
Uterine anomaly
C)
Hormonal imbalance
D)
Infection
First-trimester recurrent miscarriage is most commonly related to chromosomal abnormalities.
MHMS • 2021 • Technical Subject Paper-II
Femoral hernia is characteristically….. the public tubercle:
A)
Lateral and below
B)
Medial and above
C)
Lateral and above
D)
Medial and below
A femoral hernia lies below and lateral to the pubic tubercle.
MHMS • 2021 • Technical Subject Paper-II
Nephrolithiasis occurs with the toxicity of:
A)
Ritonavir
B)
Saquinavir
C)
Indinavir
D)
Nelfinavir
Indinavir is classically associated with crystalluria and nephrolithiasis.
MHMS • 2021 • Technical Subject Paper-II
The narrowest part of the ureter is at the:
A)
Ureteropelvic junction
B)
Iliac vessel crossing
C)
Pelvic ureter
D)
Ureterovesicle junction
The ureterovesical junction is the narrowest of the classic ureteric constrictions.
MHMS • 2021 • Technical Subject Paper-II
Cardinal movements in mechanism of labour are
A)
Engagement→descent→flexon→Internal rotation→extension→restitution→external rotation→expulsion
B)
Engagement→flexon→descent→Internal rotation→extension→expulsion
C)
Engagement→flexon→descent→Internal rotation→expulsion
D)
Engagement→extension→Internal rotation→external rotation→expulsion
The complete sequence includes engagement, descent, flexion, internal rotation, extension, restitution, external rotation and expulsion.
MHMS • 2021 • Technical Subject Paper-II
Monochorionic monoamniotic twin occurs if division occurs
A)
Before 24hours
B)
1-4 days
C)
4-8days
D)
> 8days
Division later than about 8 days can produce monochorionic monoamniotic twins.
MHMS • 2021 • Technical Subject Paper-II
Common causes of retained placenta
A)
Atonic uterus
B)
Constriction ring
C)
Placenta accreta
D)
Poor voluntary effort
Placenta accreta causes abnormal adherence and failure of placental separation, making it a major cause of retained placenta.
MHMS • 2021 • Technical Subject Paper-II
Induction of labour by amniotomy can lead to the following complications
A)
Prolonged labour
B)
Cord prolapse
C)
Abruptio placentae
D)
Rupture uterus
Artificial rupture of membranes can allow the presenting part to float and cause umbilical cord prolapse, especially with a high head.
