MHMS • 2022 • Technical Subject Paper-II
Couvelaire Uterus is seen in –
A)
Placenta Previa
B)
Uterine rupture
C)
Abruptio Placenta
D)
Vasa Previa
Couvelaire uterus or uteroplacental apoplexy with extravasation of blood into myometrium is seen in severe abruptio placentae.
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
Upper GI endoscopy and biopsy from lower esophagus in a 48 year old lady with chronic heart burn shows presence of columnar epithelium with goblet cells. The feature is most likely consistent with:
A)
Dysplasia
B)
Hyperplasia
C)
Carcinoma in situ
D)
Metaplasia
Columnar epithelium with goblet cells in esophagus indicates Barrett esophagus, an intestinal metaplasia from chronic reflux.
MHMS • 2022 • Technical Subject Paper-II
Following are criteria of Polycystic Ovarian Syndrome except-
A)
Oligo/Anovulation
B)
Hyper-androgenism
C)
Obesity
D)
Polycystic Ovary in Ultrasonography
Rotterdam criteria are oligo-anovulation, hyperandrogenism and PCO on USG; obesity is associated but not a criterion.
MHMS • 2022 • Technical Subject Paper-II
Investigations for Dysfunctional uterine bleeding includes-
A)
Ultrasonography
B)
Dilatation and Curettage
C)
Hysteroscopy
D)
All of the above
DUB workup includes ultrasonography, D&C for histology and hysteroscopy, so all of above.
MHMS • 2022 • Technical Subject Paper-II
Fully mature Graffian follicle of Ovary, just prior to ovulation measures about
A)
15 mm
B)
20 mm
C)
24 mm
D)
18 mm
Mature Graafian follicle just before ovulation measures about 18-24 mm, commonly 20 mm.
MHMS • 2022 • Technical Subject Paper-II
A psychiatric patient who had undergone electro convulsive therapy presented with pain over the shoulder. The arm was held in internal rotation and could not be rotated back to the normal position. What is the possible diagnosis?
A)
Rotator cuff injury
B)
Posterior dislocation of shoulder
C)
Anterior dislocation of shoulder
D)
Acromio-clavicular dislocation
ECT/seizure can cause posterior shoulder dislocation; arm is locked in internal rotation and external rotation impossible.
MHMS • 2022 • Technical Subject Paper-II
The average weight gain during the second half of pregnancy is –
A)
1 kg a fortnight
B)
2 kg a fortnight
C)
5 kg in a month
D)
1.5 kg in a month
Second half weight gain averages ~0.5 kg/week, i.e. 1 kg per fortnight, totaling ~5-6 kg in second half.
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
Bleeding per vagina is usually painless in –
A)
Placenta previa
B)
Abruptio Placenta
C)
Inevitable abortion
D)
All of the above
Placenta previa presents with painless bright red bleeding in late pregnancy without uterine contractions.
MHMS • 2022 • Technical Subject Paper-II
Immunoglobulin Injection is given to the mother soon after delivery in –
A)
Hepatitis C infection
B)
Hepatitis B infection
C)
HIV infected mother
D)
All of the above
Hepatitis B immunoglobulin with vaccine is given to newborn of HBV-infected mother; in exam framing, option B represents hepatitis B indication.
MHMS • 2022 • Technical Subject Paper-II
Formula for calculation of Expected Date of Delivery (EDD) by adding 9 months and 7 days from the first day of last menstrual period is called-
A)
Shephard’s Formula
B)
Hadlock’s formula
C)
Johnson’s formula
D)
Naegele’s formula
Naegele's formula calculates EDD as first day of LMP + 9 months + 7 days.
MHMS • 2022 • Technical Subject Paper-II
The following are features of Abruptio placenta except-
A)
Painful vaginal bleeding, often associated with PIH, trauma etc.
B)
Character of blood is dark-coloured
C)
USG reveals placenta in lower segment
D)
Features of Pre-ecclampsia may be present
Abruptio placenta shows dark retroplacental clots and contracted uterus; placenta in lower uterine segment on USG is feature of placenta previa, not abruption.
MHMS • 2022 • Technical Subject Paper-II
The following are complications of Diabetes in pregnancy except-
A)
Miscarriage
B)
Intra-uterine Growth Restriction
C)
Infection
D)
Polyhydramnios
Diabetes in pregnancy causes macrosomia and polyhydramnios; IUGR is not typical except with severe vasculopathy, so it is the exception.
MHMS • 2022 • Technical Subject Paper-II
Most common blood transfusion reaction is:
A)
Febrile non-hemolytic transfusion reaction
B)
Hemolysis
C)
Transmission of infections
D)
Electrolyte imbalance
Febrile non-hemolytic transfusion reaction due to recipient antibodies to donor leukocytes is commonest transfusion reaction.
MHMS • 2022 • Technical Subject Paper-II
Episiotomy is a surgical procedure done during-
A)
3rd stage of labor
B)
Latent phase labor
C)
1st stage labor
D)
2nd stage labor
Episiotomy is performed in second stage of labor to enlarge vaginal outlet.
MHMS • 2022 • Technical Subject Paper-II
The following are absolute contra-indications of pregnancy due to high maternal mortality-
A)
Primary Pulmonary Hypertension
B)
Eisenmenger’s Syndrome
C)
Pulmonary Veno-occlusive disease
D)
All of the above
Primary pulmonary hypertension, Eisenmenger syndrome and pulmonary veno-occlusive disease all carry >30% maternal mortality and are absolute contraindications to pregnancy.
MHMS • 2022 • Technical Subject Paper-II
The commonest benign ovarian epithelial tumour is-
A)
Mucinous cyst adenoma
B)
Brenner Tumor
C)
Serous Cyst adenoma
D)
Endometroid tumor
Serous cystadenoma is the commonest benign ovarian epithelial tumour.
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
Abortion associated with clinical evidences of infection of the uterus and its content is called-
A)
Inevitable abortion
B)
Missed Abortion
C)
Septic Abortion
D)
Recurrent abortion
Infected abortion with uterine infection is termed septic abortion.
MHMS • 2022 • Technical Subject Paper-II
Regarding diagnostic imaging, which of the following imaging modalities would be most appropriate for assessing an x-ray confirmed L1 fracture of the spine in a polytrauma patient?
A)
CT
B)
Ultrasound
C)
MRI
D)
Bone scan
CT spine is most appropriate in polytrauma to delineate fracture type, retropulsion, canal compromise and posterior elements.
MHMS • 2022 • Technical Subject Paper-II
The most sensitive index of Iron deficiency Anemia is-
A)
MCV
B)
MCHC
C)
PCV
D)
MCV
Among red cell indices, decreased MCV indicating microcytosis is the most sensitive early index of iron deficiency in this list.
MHMS • 2022 • Technical Subject Paper-II
Anemia in pregnancy is diagnosed when the Hemoglobin level is below-
A)
9 g/dl
B)
12 g/dl
C)
11 g/dl
D)
10 g/dl
WHO defines anemia in pregnancy as hemoglobin below 11 g/dL, with 9-10 g/dL as moderate anemia.
MHMS • 2022 • Technical Subject Paper-II
Common indications of primary Cesarean section are all except-
A)
Failed induction and Non-progress labor
B)
Fetal distress
C)
Cephalo-pelvic disproportion
D)
Previous Cesarean delivery
Failed induction, fetal distress and CPD are primary cesarean indications; previous cesarean indicates repeat cesarean.
MHMS • 2022 • Technical Subject Paper-II
Which of the following is used to define penetrating neck injury?
A)
2cm depth of wound
B)
Injury to vital structures
C)
Breach of platysma
D)
Through and through wound
Penetrating neck injury is defined by breach of platysma muscle, indicating penetration beyond superficial fascia.
