MHMS • 2021 • Technical Subject Paper-II
Use of folic acid to prevent congenital malformation should be best initiated :
A)
During 1st trimester of pregnancy
B)
Preconception
C)
During second trimester of pregnancy
D)
During 3rd trimester of pregnancy
Folic acid should ideally begin before conception because neural-tube closure occurs very early in pregnancy.
MHMS • 2021 • Technical Subject Paper-II
FNAC needle size:
A)
18-22
B)
22-26
C)
27-29
D)
16-18
FNAC typically uses a fine needle around 22–26 gauge.
MHMS • 2021 • Technical Subject Paper-II
Sterile pyuria is characteristically seen in:
A)
Renal tuberculosis
B)
Chronic Hydronephrosis
C)
Wilm’s Tumor
D)
Neuroblastoma
Sterile pyuria is classically associated with genitourinary tuberculosis.
MHMS • 2021 • 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 is associated with otitis/hearing problems, commonly repaired around 9–18 months, and is often associated with cleft lip.
MHMS • 2021 • Technical Subject Paper-II
Skin grafting is absolutely contraindicated in which skin infection
A)
Staphylococcus
B)
Pseudomonas
C)
Streptococcus
D)
Proteus
Active Pseudomonas infection is a major contraindication to grafting because it can destroy the graft.
MHMS • 2021 • Technical Subject Paper-II
In a patient with Down’s syndrome, Triple test was done. Expected results are
A)
High HCG, Low ue3, low AFP
B)
Low HCG, High ue3, high AFP
C)
High HCG, high ue3, Low AFP
D)
Low HCG, low ue3,high AFP
Down syndrome classically gives high β-hCG with low AFP and low unconjugated estriol.
MHMS • 2021 • Technical Subject Paper-II
Which colour of triage is given the highest priority?
A)
Red
B)
Green
C)
Yellow
D)
Black
Red triage indicates immediate/highest priority for life-threatening conditions.
MHMS • 2021 • Technical Subject Paper-II
Complication of diabetes of pregnancy are all except
A)
Macrosomia
B)
Shoulder dystocia
C)
Hyperglycemia in newborn
D)
IUGR
Diabetic pregnancy commonly causes macrosomia, shoulder dystocia and neonatal hypoglycaemia; IUGR is not the usual complication.
MHMS • 2021 • Technical Subject Paper-II
Which of the following is associated with Virchow’s triad?
A)
Hypercoagulability
B)
Disseminated malignancy
C)
DVT
D)
All of the above
Virchow’s triad comprises hypercoagulability, endothelial injury/stasis and is linked to conditions such as DVT; the listed options are accepted together in this question’s framing.
MHMS • 2021 • Technical Subject Paper-II
Lord’s and Jaboulay’s operation is done for:
A)
Rectal prolapsed
B)
Fistula in ano
C)
Inguinal hernia
D)
Hydrocele
Lord’s and Jaboulay procedures are operations for hydrocele.
MHMS • 2021 • Technical Subject Paper-II
Indication for caesarian hysterectomy are all except
A)
Placenta accreta
B)
Couvelaire Uterus
C)
Atonic Uterus with uncontrolled PPH
D)
Rupture Uterus
Couvelaire uterus itself is not a standard indication for caesarean hysterectomy; placenta accreta, uncontrolled atonic PPH and rupture can lead to hysterectomy.
MHMS • 2021 • Technical Subject Paper-II
The following indicate severe preeclampsia except:
A)
Blood Pressure>160/110
B)
Severe headache
C)
Oliguria
D)
Pedal edema
Pedal edema alone is not a defining feature of severe preeclampsia, unlike severe hypertension, headache or oliguria.
MHMS • 2021 • Technical Subject Paper-II
In a patient presenting with abdominal trauma, fracture rib and bruise over left hypochondrium probable diagnosis is:
A)
Rupture left lobe of liver
B)
Rupture right lobe of liver
C)
Splenic rupture
D)
Rupture stomach
Left hypochondrial trauma with lower rib fracture strongly suggests splenic injury.
MHMS • 2021 • Technical Subject Paper-II
SRY gene is located in
A)
Long arm of Y chromosome
B)
Short arm of Y chromosome
C)
Short arm of X chromosome
D)
Long arm of X chromosome
The SRY gene is located on the short arm of the Y chromosome (Yp).
MHMS • 2021 • Technical Subject Paper-II
A 60 years old male with poor stream of urine, post void residual urine is 400 ml, bilateral hydronephrosis and prostate weighing 70g. His urea is 120 and creatinine 3.5. Ideal “next immediate” step:
A)
Catheterize with Foley catheter
B)
Bilateral PC nephrostomies
C)
CT to rule out carcinoma
D)
MRI pelvis
With bladder outlet obstruction, hydronephrosis and azotemia, immediate decompression with a Foley catheter is the first step.
MHMS • 2021 • Technical Subject Paper-II
Light bulb sign is seen in:
A)
Anterior shoulder dislocation
B)
Posterior shoulder dislocation
C)
Distal humerus fracture
D)
Proximal humerus fracture
The light-bulb sign is characteristic of posterior shoulder dislocation on AP radiography.
MHMS • 2021 • Technical Subject Paper-II
All the following are indication for termination of pregnancy in placenta praevia except
A)
37 weeks
B)
Transverse lie
C)
IUD
D)
Continuous bleeding
Intrauterine fetal death by itself is not a specific indication for termination/delivery in placenta previa; the other listed situations can prompt delivery depending on circumstances.
MHMS • 2021 • Technical Subject Paper-II
Hematuria during labor in previous caesarian is a sign of
A)
Impending scar rupture
B)
Urethral trauma
C)
Prolong labour
D)
Cystitis
Hematuria during labour after previous caesarean can indicate bladder involvement from an impending/actual scar rupture.
MHMS • 2021 • Technical Subject Paper-II
A patient presents with sudden onset of breath lessness after subclavian vein cannulation. On examination, breath sounds are absent while the chest is hyper-resonant on percussion on one side. Most likely cause is:
A)
Iatrogenic pneumothorax
B)
Subclavian vein air embolus
C)
Malposition of cannula
D)
Cardiac arrhythmia
Sudden dyspnoea, unilateral absent breath sounds and hyper-resonance after subclavian cannulation indicate iatrogenic pneumothorax.
MHMS • 2021 • Technical Subject Paper-II
All are test for tubal patency except
A)
Hysterosalpingography
B)
Laparoscopic chromopertubation
C)
Saline Sonosalpingography
D)
Folliculometry
Folliculometry assesses ovulation/foollicular development, not tubal patency.
MHMS • 2021 • Technical Subject Paper-II
Not true about urethral injuries is:
A)
Catheterize the patient immediately
B)
Can be associated with fracture pelvis
C)
Bladder injury is associated with post urethral injuries
D)
Blood at the external urethral meatus is an imp feature
Suspected urethral injury should not be catheterized blindly, especially with blood at the meatus and pelvic fracture.
MHMS • 2021 • Technical Subject Paper-II
Choriocarcinoma commonly metastasize to
A)
Liver
B)
Lung
C)
Brain
D)
Cervix
The lung is the most common site of distant metastasis from choriocarcinoma.
MHMS • 2021 • Technical Subject Paper-II
The treatment of choice for inguinal hernia in infants is:
A)
Herniotomy
B)
Herniorrhaphy
C)
Truss
D)
Hernioplasty
Inguinal hernia in infants is treated by herniotomy because the sac is the primary problem and the posterior wall is usually sound.
MHMS • 2021 • Technical Subject Paper-II
Amniotic fluid embolism causes
A)
Shock
B)
DIC
C)
Bleeding tendency
D)
All of the above
Amniotic fluid embolism can cause sudden cardiopulmonary collapse, DIC and severe bleeding.
MHMS • 2021 • Technical Subject Paper-II
All are the true about krukenberg’s tumour except :
A)
Has a rough surface
B)
Usually bilateral
C)
Arises from stomach carcinoma
D)
Shape of ovary is maintained
Krukenberg tumours are commonly bilateral and metastatic, but the ovaries are typically enlarged and the normal ovarian shape is not simply maintained.
