MHMS • 2021 • 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
Orchiopexy for undescended testis is generally recommended around 6–18 months; 12 months is the best listed choice.
MHMS • 2021 • Technical Subject Paper-II
Best parameter for ultrasound evaluation of IUGR is
A)
Placental membrane
B)
Abdominal circumference
C)
Length of femur
D)
BPD
Fetal abdominal circumference is particularly sensitive for identifying fetal growth restriction.
MHMS • 2021 • Technical Subject Paper-II
Ulceration of vulva is seen in the following except:
A)
Syphillis
B)
chancroid
C)
Herpes genitalis
D)
Trichomoniasis
Trichomoniasis causes vulvovaginitis rather than the characteristic genital ulceration seen with syphilis, chancroid and herpes.
MHMS • 2021 • 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
In young people epistaxis most commonly arises from Little’s area (Kiesselbach plexus).
MHMS • 2021 • Technical Subject Paper-II
Which of the following vaccines is contraindicated in pregnancy
A)
Hepatitis B
B)
Yellow fever
C)
Rabies
D)
Cholera
Yellow fever vaccine is a live vaccine and is generally contraindicated during pregnancy unless travel-related benefit outweighs risk.
MHMS • 2021 • Technical Subject Paper-II
In case of hypothyroidism which investigation is most informative and most commonly used:
A)
Serum TSH level
B)
Serum T3, T4 level
C)
Serum calcitonin assay
D)
Serum TRH assay
Serum TSH is the most useful routine initial test for primary hypothyroidism.
MHMS • 2021 • Technical Subject Paper-II
Which of the following would be the best treatment for a 2 cm thyroid nodule in a 50 year old man with FNAC revealing it to be a papillary carcinoma?
A)
Hemithyroidectomy
B)
Total thyroidectomy with left sided modified neck dissection
C)
Near total thyroidectomy with radiotherapy
D)
Hemithyroidectomy with modified neck dissection
For a small, localized papillary thyroid carcinoma without nodal disease, hemithyroidectomy is an accepted limited surgical treatment in the older guideline context.
MHMS • 2021 • Technical Subject Paper-II
Minimal Glasgow coma scale is:
A)
0
B)
1
C)
2
D)
3
The lowest possible Glasgow Coma Scale is 3: E1, V1, M1.
MHMS • 2021 • Technical Subject Paper-II
A female at 37 weeks gestation has a mild labor pain for 10 hours and cervix is persistently 1cm dilated, but un-effaced. What will be next course of action?
A)
Sedation and wait
B)
Augmentation with oxytocin
C)
Caesarian section
D)
Amniotomy
At 1 cm dilation with an un-effaced cervix and mild pain, this is not established active labour; sedation/observation is appropriate.
MHMS • 2021 • Technical Subject Paper-II
Feto Maternal transfusion is detected by
A)
Kleihauer Test
B)
Spectrophotometry
C)
Benzidine test
D)
None of the above
The Kleihauer–Betke test detects fetal red cells in maternal blood and estimates fetomaternal hemorrhage.
MHMS • 2021 • Technical Subject Paper-II
Ovarian artery is a branch of
A)
Internal iliac artery
B)
common iliac artery
C)
Aorta
D)
External iliac artery
The ovarian artery arises directly from the abdominal aorta.
MHMS • 2021 • Technical Subject Paper-II
Diameter of engagement in brow presentation is
A)
Mento vertical
B)
Suboccipitobregmatic
C)
Submentobregmatic
D)
Suboccipitofrontal
The engaging diameter in brow presentation is the mento-vertical diameter.
MHMS • 2021 • Technical Subject Paper-II
What is the size of green cannula?
A)
20G
B)
18G
C)
16G
D)
22G
A green IV cannula is conventionally 18 gauge.
MHMS • 2021 • Technical Subject Paper-II
In a pregnant woman with heart disease, the following drug is contraindicated
A)
Oxytocin
B)
Misoprostol
C)
Methylergometrine
D)
Carboprost
Methylergometrine causes vasoconstriction and is contraindicated in significant cardiac disease/hypertension.
MHMS • 2021 • Technical Subject Paper-II
A pregnant lady develops chicken pox. During which part of her pregnancy will it lead to highest chance of fetal infection?
A)
Last 5 days
B)
12-16 weeks
C)
8-12 week
D)
16-20 weeks
Congenital varicella syndrome risk is greatest with maternal infection in the first half of pregnancy, particularly around 12–16 weeks among the listed choices.
MHMS • 2021 • Technical Subject Paper-II
Ventouse delivery in 2nd stage labor is contraindicated in
A)
Persistent occipito posterior position
B)
Heart disease
C)
Uterine inertia
D)
Premature baby
Ventouse is contraindicated in significant prematurity because of the risk of intracranial injury.
MHMS • 2021 • Technical Subject Paper-II
A 30 year old posted for laparoscopic sterilization. All of the following are contraindication except
A)
Hiatus Hernia
B)
Obesity
C)
Heart disease
D)
Hb < 8gm%
Obesity is not an absolute contraindication to laparoscopic sterilization, though it may increase technical/anesthetic risk.
MHMS • 2021 • Technical Subject Paper-II
Fertilized ovum reaches the uterine cavity by
A)
4-5 days after fertilization
B)
6-7 days after fertilization
C)
7-9 days after fertilization
D)
2-3 days after fertilization
The fertilized ovum reaches the uterine cavity about 4–5 days after fertilization, before implantation.
MHMS • 2021 • 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 the standard crystalloid for burn resuscitation, especially using the Parkland formula.
MHMS • 2021 • Technical Subject Paper-II
The following is always an indication for caesarian section except
A)
Untreated stage 1b carcinoma cervix
B)
Abruptio placentae
C)
Active genital herpes
D)
Type 4 placenta praevia
Abruptio placentae is not an absolute indication for caesarean section; mode of delivery depends on maternal/fetal status, whereas the listed cervical cancer, active herpes and major placenta previa generally mandate caesarean.
MHMS • 2021 • Technical Subject Paper-II
A 16-Fr catheter is approx what cm in outer diameter
A)
16
B)
10.4
C)
8.7
D)
5.3
French gauge divides millimetres by 3; 16 Fr ≈ 16/3 = 5.3 mm.
MHMS • 2021 • Technical Subject Paper-II
In a patient with tension pneumothorax, wide bore needle is Inserted at which intercostal space?
A)
2nd
B)
4th
C)
5th
D)
None of the above
The traditional emergency needle decompression site is the 2nd intercostal space in the mid-clavicular line.
MHMS • 2021 • Technical Subject Paper-II
Circumcision is contraindicated in:
A)
Paraphimosis
B)
Meatal stenosis
C)
Hypospadias
D)
Phimosis
Hypospadias is a contraindication to routine circumcision because the prepuce may be needed for reconstructive surgery.
MHMS • 2021 • Technical Subject Paper-II
Lucid interval is classically seen in:
A)
Intracerebral hematoma
B)
Acute subdural hematoma
C)
Chronic subdural hematoma
D)
Extradural hematoma
A lucid interval is classically associated with extradural (epidural) hematoma.
MHMS • 2021 • Technical Subject Paper-II
Percentage of burn in children is best assessed by?
A)
Rule of 9
B)
Rule of palm = 1%
C)
Lund and Browder chart
D)
Wallace rule
The Lund and Browder chart is more accurate than the adult Rule of Nines for estimating burn area in children.
