MHMS • 2022 • Technical Subject Paper-II
Commonest cause of acute intestinal obstruction is:
A)
Adhesions
B)
Volvulus
C)
Inguinal Hernia
D)
Internal hernias
Postoperative adhesions are now commonest cause of acute small bowel obstruction worldwide, followed by obstructed hernia in India.
MHMS • 2022 • Technical Subject Paper-II
Parkland formula is:
A)
% of burns x weight x 4 = volume in ml
B)
% of burns x weight/2 = volume in ml
C)
% of burns x weight x 9 = volume in ml
D)
500 ml/m2 BSA + 1500ml/m2 = volume in ml
Parkland formula: 4 ml x weight(kg) x %TBSA burns = Ringer lactate volume in first 24h, half in first 8h.
MHMS • 2022 • Technical Subject Paper-II
Which of the following statements regarding the treatment of fractures is false?
A)
Not all fractures require reduction or stabilisation.
B)
Pain relief is a benefit of fracture treatment.
C)
Relative stability leads to primary bone healing.
D)
Absolute stability leads to primary bone healing
Relative stability leads to secondary bone healing with callus; absolute stability with compression plating leads to primary healing.
MHMS • 2022 • Technical Subject Paper-II
Water intoxication is a potential complication of labor induction with-
A)
Artificial Rupture of Membrane (ARM)
B)
Intra-uterine Foley catheter
C)
Prostaglandin E1
D)
Oxytocin
Oxytocin has ADH-like action; prolonged high-dose infusion with hypotonic fluids can cause water retention and hyponatremic intoxication.
MHMS • 2022 • Technical Subject Paper-II
Typhoid perforation occurs during:
A)
1st week
B)
2nd week
C)
3rd week
D)
4th week
Typhoid ulceration and perforation of Peyer's patches occurs in 3rd week of fever due to necrosis.
MHMS • 2022 • Technical Subject Paper-II
Thangliana was admitted with complains of ureteric stone. He developed radiating pain to the pubic area and medial aspect of thigh. What is the most probable site of lodgment of the stone?
A)
At renal pelvis
B)
At pelvic brim
C)
At the level of gonadal vessels
D)
Intramural portion of the ureter
Pain radiating to pubic region/medial thigh suggests stone lodged at intramural ureter/VUJ irritating genitofemoral nerve.
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 relation to congenital taclipes equinovarus (CTEV), which of the following statements are false?
A)
It is more common in boys.
B)
Spina bifida is associated with CTEV.
C)
Deformity is characterised by hindfoot equinus or varus and forefoot abduction or supination.
D)
Pirani scoring system is used to assess the severity of CTEV and guide prognosis.
Clubfoot has hindfoot equinus and varus with forefoot adduction and supination/cavus, not abduction; Pirani score assesses severity.
MHMS • 2022 • Technical Subject Paper-II
In triage green colour indicates
A)
Ambulatory patients
B)
Dead or moribund
C)
High priority treatment or transfer
D)
Medium priority or transfer
In triage, green tags minor/ambulatory patients who can walk and wait; red is high priority, black is dead/moribund.
MHMS • 2022 • Technical Subject Paper-II
First line of therapy in shock in patients of trauma:
A)
Crystalloids
B)
Colloids
C)
Ionotropes
D)
Blood transfusion
Trauma hemorrhagic shock first-line is balanced crystalloids for immediate volume; blood follows per massive transfusion protocol.
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
H Pylori causes carcinoma by which mechanism?
A)
Production of nitrosamines
B)
Gastric metaplasia
C)
Increasing acid secretion
D)
Causing mutation
H. pylori promotes gastric carcinoma via chronic inflammation, atrophy and increased nitrosamine formation.
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
Which of the following is most common neoplasm of salivary gland?
A)
Pleomorphic adenoma
B)
Adenoid cystic carcinoma
C)
Mucoepidermoid carcinoma
D)
Mixed tumour
Pleomorphic adenoma is the commonest benign and overall salivary gland tumor, most frequent in parotid.
MHMS • 2022 • Technical Subject Paper-II
Pulled up caecum is seen in:
A)
Ca Colon
B)
Carcinoid
C)
Ileocecal TB
D)
Crohn’s disease
Pulled-up, subhepatic caecum due to fibrotic contraction of mesentery is classic for ileocecal tuberculosis.
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
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
Morning Sickness in first trimester of pregnancy is mainly due to –
A)
Estrogen and progesterone
B)
b-Human Chorionic Gonadotrophin
C)
Follicle Stimulating Hormone and Luteinizing Hormone
D)
Prolactin
Morning sickness in first trimester is attributed to rising beta-hCG levels from trophoblast.
MHMS • 2022 • Technical Subject Paper-II
SDH is caused by injury of:
A)
Middle meningeal artery
B)
Cortical veins
C)
Superficial temporal artery
D)
NOTA
Subdural hematoma results from tearing of bridging cortical veins between cortex and dural sinuses.
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
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.
MHMS • 2022 • Technical Subject Paper-II
Funneling or Y-shaped Cervix on Ultrasonography is seen in –
A)
Chronic Cervicitis
B)
Cervical Incompetence
C)
Congenital elongation of Cervix
D)
Normal Multiparous cervix
Funneling Y-shaped cervix on ultrasound indicates cervical incompetence/insufficiency.
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
Normal duration of pregnancy is considered to be-
A)
280 days
B)
37 weeks
C)
365 days
D)
9 months
Normal pregnancy duration is 280 days or 40 weeks from last menstrual period.
