MHMS • 2025 • Technical Subject Paper-II
In which diameter of the presenting part is vaginal delivery impossible?
A)
Occipito -frontal
B)
Sub Occipito frontal
C)
Sub mento Bregmatic
D)
Mento-vertical
Option A is correct: Occipito -frontal.
MHMS • 2025 • Technical Subject Paper-II
A 30 year-old pregnant woman has a history of mitral valve replacement. She is on warfarin. At 6 weeks pregnancy, what is the best management?
A)
Continue warfarin as before
B)
Switch to LMWH unit until 12 weeks , then resume warfarin
C)
Switch to aspirin
D)
Stop all anticoagulants
Option A is correct: Continue warfarin as before.
MHMS • 2025 • Technical Subject Paper-II
Site for maximum absorption of iron is:
A)
Duodenum
B)
Jejunum
C)
Ileum
D)
Stomach
Option A is correct: Duodenum.
MHMS • 2025 • Technical Subject Paper-II
Which vaccination is not contraindicated during pregnancy?
A)
MMR
B)
Varicella
C)
Influenza
D)
HPV
Option A is correct: MMR.
MHMS • 2025 • Technical Subject Paper-II
25 years old, 10 weeks pregnant woman was found to have 7 cm ovarian cyst with thin wall and clear fluid on routine ultrasound. Next action would be:
A)
Immediate Surgery
B)
MRI Pelvis
C)
Start progesterone support
D)
Repeat scan after 6 weeks
Option D is correct: Repeat scan after 6 weeks.
MHMS • 2025 • Technical Subject Paper-II
Which of the following is not seen in impending eclampsia?
A)
Blurring of vision
B)
Occipital Headache
C)
Epigastric pain
D)
Lower abdominal pain
Option A is correct: Blurring of vision.
MHMS • 2025 • Technical Subject Paper-II
A grand multipara complains of scanty, painless, bleeding per vagina at 38 weeks of pregnancy. On examination, patient is stable, bleeding is not copious, but there is fetal heart deceleration. The likely cause of bleeding is:
A)
Abruptio placentae
B)
Vasa previa
C)
Placenta previa
D)
Combined Abruption with placenta previa
Option B is correct: Vasa previa.
MHMS • 2025 • Technical Subject Paper-II
A G4P3 female patient who is agricultural worker presents with fatigue at 38 weeks of gestation. On examination, pallor, mild pedal edema is seen . Her Hemoglobin is 6.8gm%. Name the appropriate treatment:
A)
Iron sucrose infusion after calculating total dose required
B)
Ferric carboxymaltose injection
C)
Packed RBC transfusion
D)
Iron dextran
Option C is correct: Packed RBC transfusion.
MHMS • 2025 • Technical Subject Paper-II
Which of the following infections causes sensori-neural deafness, especially if contracted in the first trimester?
A)
Rubella
B)
Toxoplasmosis
C)
HSV
D)
Varicella
Option B is correct: Toxoplasmosis.
MHMS • 2025 • Technical Subject Paper-II
One 300mcg dose of anti D will neutralize how much of fetal blood?
A)
15 ml of fetal red cells
B)
40 ml of fetal whole blood
C)
20 ml of fetal red cells
D)
15 ml of fetal whole blood
Option D is correct: 15 ml of fetal whole blood.
MHMS • 2025 • Technical Subject Paper-II
The most common organism responsible for Asymptomatic bacteriuria in pregnancy is:
A)
Klebsiella
B)
E coli
C)
Pseudomonas
D)
Proteus
Option B is correct: E coli.
MHMS • 2025 • Technical Subject Paper-II
A pregnant woman in her first trimester is diagnosed with Primary syphilis. What is the choice of treatment?
A)
Azithromycin
B)
Benzathine Penicillin
C)
Doxycycline
D)
Ceftriaxone
Option B is correct: Benzathine Penicillin.
MHMS • 2025 • Technical Subject Paper-II
What is the treatment of red degeneration in pregnancy?
A)
Myomectomy
B)
Conservative
C)
Termination of pregnancy by medical induction
D)
Early artificial rupture of membrane
Option B is correct: Conservative.
MHMS • 2025 • Technical Subject Paper-II
A 35 year old woman in early pregnancy presents with a large, obstructing cervical fibroid. What complication is likely during labor?
A)
Uterine rupture
B)
Placenta previa
C)
Obstructed labor
D)
Preeclampsia
Option A is correct: Uterine rupture.
MHMS • 2025 • Technical Subject Paper-II
Consumptive coagulopathy is more likely with:
A)
Revealed abruption
B)
Placenta praevia
C)
Concealed abruption
D)
Grade 1 abruptio placentae
Option C is correct: Concealed abruption.
MHMS • 2025 • Technical Subject Paper-II
The most typical type of anal carcinoma is:
A)
Squamous cell carcinoma
B)
Adenocarcinoma
C)
Adenoacanthoma
D)
Papillary type
Option A is correct: Squamous cell carcinoma.
MHMS • 2025 • Technical Subject Paper-II
Which of the malarial drugs is safest in pregnancy?
A)
Chloramphenicol
B)
Quinine
C)
Chloroquine
D)
Primaquine
Option C is correct: Chloroquine.
MHMS • 2025 • Technical Subject Paper-II
Which of the following diameters is considered most important in assessing pelvic inlet adequacy?
A)
True conjugate
B)
Transverse diameter
C)
Diagonal conjugate
D)
Obstetric conjugate
Option C is correct: Diagonal conjugate.
MHMS • 2025 • Technical Subject Paper-II
Most common abdominal organ injured in blunt trauma abdomen is:
A)
Spleen
B)
Liver
C)
Pancreas
D)
Stomach
Option B is correct: Liver.
MHMS • 2025 • Technical Subject Paper-II
Ileal obstruction due to roundworm obstruction treatment is:
A)
Resection with end-to-end anastomosis
B)
Resection with side-to-side anastomosis
C)
Enterotomy removal of worms and primary closure
D)
Diversion
Option C is correct: Enterotomy removal of worms and primary closure.
MHMS • 2025 • Technical Subject Paper-II
Neurosurgery is indicated in all, except:
A)
SDH
B)
EDH
C)
Intracranial bleed
D)
Diffuse axonal injury
Option D is correct: Diffuse axonal injury.
MHMS • 2025 • Technical Subject Paper-II
A 16 years old girl is brought to the clinic with a complaint of fever, foul smelling vaginal discharge, hypotension and bleeding after MTP done illegally 3 days back. Immediate step of management would be:
A)
USG to confirm retained products
B)
Stabilise and start broad spectrum antibiotics
C)
Start misoprostol
D)
Schedule evacuation immediately
Option C is correct: Start misoprostol.
MHMS • 2025 • Technical Subject Paper-II
Most common site of hypertrophied keloid is:
A)
Face
B)
Leg
C)
Presternal Area
D)
Arm
Option C is correct: Presternal Area.
MHMS • 2025 • Technical Subject Paper-II
Best prognostic factor for head injury is:
A)
Glasgow coma scale
B)
Age
C)
Mode of injury
D)
CT Scan
Option A is correct: Glasgow coma scale.
MHMS • 2025 • Technical Subject Paper-II
Which of the following agents is safest for cervical ripening in a case of previous caesarean section?
A)
Misoprostol
B)
Dinoprostone gel
C)
Foleys intracervical catheter
D)
Mifepristone
Option B is correct: Dinoprostone gel.
