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
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
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.
MHMS • 2022 • Technical Subject Paper-II
22 Gauge IV canula colour is:
A)
Greena
B)
Grey
C)
Blue
D)
Pink
Color coding: 22G blue, 20G pink, 18G green, 16G grey; blue is used for small veins.
MHMS • 2022 • Technical Subject Paper-II
PPI’s for peptic ulcer disease should be taken:
A)
Before breakfast
B)
After lunch
C)
Before Lunch
D)
Bedtime
PPIs are most effective when taken 30 min before breakfast to inhibit active proton pumps.
MHMS • 2022 • Technical Subject Paper-II
The single most important measurement in fetal Ultrasonography which reflects fetal nutrition and growth restriction is –
A)
Head circumference
B)
Femur Length
C)
Abdominal circumference
D)
Bi-parietal diameter
Abdominal circumference reflects fetal liver size and glycogen stores, best single marker for IUGR and nutrition.
MHMS • 2022 • Paper-IV (Technical)
Prognosis of malignant melanoma depends on-
A)
Grade of tumor
B)
Spread of tumor
C)
Depth of invasion
D)
Metastasis
Depth of invasion correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Skin grafting is absolutely contra-indicated in which skin infection-
A)
Staphylococcus
B)
Pseudomonas
C)
Streptococcus
D)
Proteus
Staphylococcus correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Commonest presentation of Wilm’s tumor is-
A)
Hematuria
B)
Abdominal lump
C)
Hydronephrosis
D)
Pain in abdomen
Pain in abdomen is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Distressing complication after modified radical mastectomy-
A)
Lymphedema
B)
Axillary vein thrombosis
C)
Seroma
D)
Death
Lymphedema correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
After esophagectomy, best substitute of esophagus is-
A)
Stomach
B)
Jejunum
C)
Left colon
D)
Right colon
Stomach correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Ureter is diagnosed during operation by-
A)
Venous plexus
B)
High arterial supply
C)
Peristaltic movements
D)
Circumference
Venous plexus is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Which type of thyroid carcinoma has the best prognosis-
A)
Papillary ca.
B)
Anaplastic ca.
C)
Follicular ca.
D)
Medullary ca.
Papillary ca. correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
The typical appearance of ‘spider leg’ on excretory urography is seen in-
A)
Hydronephrosis
B)
Polycystic kidney
C)
Medullary sponge kidney
D)
Renal cell carcinoma
Polycystic kidney shows stretched, elongated calyces producing spider-leg appearance on IVU due to cysts compressing collecting system.
MHMS • 2022 • Paper-IV (Technical)
Best procedure to be done after an injury to leg associated with exposure of underlying bone and skin loss-
A)
Pedicle flap
B)
Split skin grafting
C)
Full thickness skin grafting
D)
Skin flap
Pedicle flap is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-IV (Technical)
Triad of renal colic, swelling in loin which disappears after passing urine is called-
A)
Kocher’s triad
B)
Saint’s triad
C)
Dietel’s crisis
D)
Charcot’s triad
Dietel’s crisis correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
Secondary deposits from prostatic carcinoma is commonest in-
A)
Bone
B)
Kidney
C)
Liver
D)
Brain
Bone is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Precancerous lesion of Gall bladder is-
A)
Porcelain Gall bladder
B)
Mirrizi syndrome
C)
Cholesterosis
D)
Acalculous cholecystitis
Acalculous cholecystitis correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
A 25 year old male presents to emergency department following a road traffic accident. On examination there is pelvic fracture and blood at urethral meatus. Following are true about the patient EXCEPT-
A)
Anterior urethra is the most likely site of injury
B)
Retrograde urethrography should be done after the patient is stabilized
C)
Foley catheter may be carefully passed if the RGU is normal
D)
Rectal examination may reveal a large pelvic hematoma with the prostate displaced superiorly
Anterior urethra is the most likely site of injury is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-IV (Technical)
Medullary carcinoma thyroid arises from-
A)
Para-follicular cells
B)
Cells lining the acini
C)
Capsule of thyroid
D)
Stroma of the gland
Para-follicular cells correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
True about torsion of testis is all EXCEPT-
A)
Presents with sudden pain in testis
B)
Commonly associated with pyuria
C)
Doppler ultrasound shows decreased blood flow to the testis
D)
Simultaneous orchidopexy of the other side should also be done
Commonly associated with pyuria is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-IV (Technical)
TURP was done in an old patient of BPH, after which he developed altered sensorium. Cause is-
A)
Hypernatremia
B)
Hypokalemia
C)
Hyponatremia
D)
Hypomagnesemia
Hyponatremia correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
A 48 year old sports photographer has noticed a small nodule over the upper lip from four months. The nodule is pearly white with central necrosis, telangiectasia. The most likely diagnosis would be-
A)
Basal cell carcinoma
B)
Squamous cell carcinoma
C)
Atypical melanoma
D)
Kaposis sarcoma
Basal cell carcinoma correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
All are true statement about Meckel’s diverticulum EXCEPT-
A)
Occurs in 2 % of the population
B)
Common on antimesenteric border
C)
Diarrhea very common
D)
Contains ectopic gastric tissue
Diarrhea very common is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
