MHMS • 2022 • 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 results from vigorous ureteric peristalsis attempting to overcome obstructive stone.
MHMS • 2022 • Technical Subject Paper-II
The perception of first active fetal movement by pregnant woman (feeling of life) in the second trimester is called-
A)
Lightening
B)
External ballottement
C)
Quickening
D)
Fetal/Funic soufflé
First fetal movements felt by mother in second trimester is called quickening, the feeling of life.
MHMS • 2022 • Technical Subject Paper-II
Supplementary Iron therapy is needed for all pregnant mothers from-
A)
20 weeks onwards
B)
24 weeks
C)
16 weeks onwards
D)
From first trimester
Prophylactic iron 60 mg elemental iron daily is advised from second trimester onward, traditionally from 16 weeks after organogenesis.
MHMS • 2022 • Technical Subject Paper-II
Shock is clinically best assessed by:
A)
Urine output
B)
CVP
C)
BP
D)
Hydration
Urine output reflects tissue perfusion and is best clinical bedside indicator of shock severity.
MHMS • 2022 • Technical Subject Paper-II
True about cleft palate:
A)
Surgery should be done at 1 year
B)
Associated with hearing loss
C)
Associated with cleft lip in 45%
D)
All of the above
Cleft palate repair around 9-12 months prevents speech defects, predisposes to otitis media with hearing loss, and ~45% have cleft lip association.
MHMS • 2022 • Technical Subject Paper-II
Most common organ involved in blunt injury to the abdomen:
A)
Spleen
B)
Liver
C)
Intestines
D)
Kidney
Spleen is the most commonly injured organ in blunt abdominal trauma due to its vascularity and location.
MHMS • 2022 • Technical Subject Paper-II
The ideal mode of delivery in Contracted pelvis is-
A)
Caesarean section
B)
Instrumental delivery
C)
Trial of Labor
D)
McRobert’s maneuver
True contracted pelvis with reduced pelvic dimensions requires elective caesarean section as vaginal delivery impossible.
MHMS • 2022 • Technical Subject Paper-II
In elliptical incision, length to width ratio :
A)
4:1
B)
3:1
C)
2:1
D)
1:1
Elliptical excision is designed with length to width ratio 3:1 to allow linear closure without dog ears.
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
Bishop’s Score indicates assessment of –
A)
Fetal well-being and heart rate
B)
Intensity of uterine contraction
C)
Station of head as well as dilatation, effacement, consistency and position of Cervix
D)
All of the above
Bishop's score assesses cervical favorability: dilatation, effacement, consistency, position and head station.
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
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
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
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
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
‘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
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
Pulmonary maturity in fetus is assessed by–
A)
Doppler Ultrasonography
B)
Fetal cardio-tocography
C)
Non-Stress test
D)
Estimation of pulmonary Surfactant
Fetal lung maturity assessed by surfactant tests like L/S ratio, PG and lamellar body count in amniotic fluid.
MHMS • 2022 • Technical Subject Paper-II
Menorrhagia is defined as-
A)
Cyclic bleeding per vagina where the cycle is reduced to an arbitrary limit of 21 days or less
B)
Cyclic bleeding per vagina at normal intervals, with excessive amount or duration or both.
C)
Irregular, acyclic bleeding per vagina
D)
Menstrual bleeding occurring more than 35 days apart and which remains constant at that frequency
Menorrhagia is cyclic bleeding at normal intervals with excessive amount or duration.
MHMS • 2022 • Technical Subject Paper-II
The single most important measurement in fetal Ultrasonography which reflects fetal nutrition and growth restriction is –
A)
Head circumference
B)
Femur Length
C)
Abdominal circumference
D)
Bi-parietal diameter
Abdominal circumference reflects fetal liver size and glycogen stores, best single marker for IUGR and nutrition.
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
In a school bus accident, which of the victim will you attend first?
A)
A child with airway obstruction
B)
A child with shock
C)
A child with flail chest
D)
A child with severe head injury
Triage follows ABC; airway obstruction is immediately life-threatening and must be attended first.
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.
MHMS • 2022 • Technical Subject Paper-II
Commonest cause of spontaneous abortion is-
A)
Endocrine and metabolic factor
B)
Genetic factors
C)
Anatomical abnormalities
D)
Immunological disorders
Chromosomal/genetic factors are the commonest cause of spontaneous abortion in first trimester.
