MHMS • 2025 • Technical Subject Paper-II
Nerves of the brachial arch are derived from:
A)
Mesoderm
B)
Endoderm
C)
Neural crest
D)
Neuroectoderm
Option C is correct: Neural crest.
MHMS • 2025 • Technical Subject Paper-II
What is the treatment of red degeneration in pregnancy?
A)
Myomectomy
B)
Conservative
C)
Termination of pregnancy by medical induction
D)
Early artificial rupture of membrane
Option B is correct: Conservative.
MHMS • 2025 • Technical Subject Paper-II
A grand multipara complains of scanty, painless, bleeding per vagina at 38 weeks of pregnancy. On examination, patient is stable, bleeding is not copious, but there is fetal heart deceleration. The likely cause of bleeding is:
A)
Abruptio placentae
B)
Vasa previa
C)
Placenta previa
D)
Combined Abruption with placenta previa
Option B is correct: Vasa previa.
MHMS • 2025 • Technical Subject Paper-II
A G4P3 female patient who is agricultural worker presents with fatigue at 38 weeks of gestation. On examination, pallor, mild pedal edema is seen . Her Hemoglobin is 6.8gm%. Name the appropriate treatment:
A)
Iron sucrose infusion after calculating total dose required
B)
Ferric carboxymaltose injection
C)
Packed RBC transfusion
D)
Iron dextran
Option C is correct: Packed RBC transfusion.
MHMS • 2025 • Technical Subject Paper-II
Which of the following infections causes sensori-neural deafness, especially if contracted in the first trimester?
A)
Rubella
B)
Toxoplasmosis
C)
HSV
D)
Varicella
Option B is correct: Toxoplasmosis.
MHMS • 2025 • Technical Subject Paper-II
Which of the following is not seen in impending eclampsia?
A)
Blurring of vision
B)
Occipital Headache
C)
Epigastric pain
D)
Lower abdominal pain
Option A is correct: Blurring of vision.
MHMS • 2025 • Technical Subject Paper-II
Site for maximum absorption of iron is:
A)
Duodenum
B)
Jejunum
C)
Ileum
D)
Stomach
Option A is correct: Duodenum.
MHMS • 2025 • Technical Subject Paper-II
Which vaccination is not contraindicated during pregnancy?
A)
MMR
B)
Varicella
C)
Influenza
D)
HPV
Option A is correct: MMR.
MHMS • 2025 • Technical Subject Paper-II
One 300mcg dose of anti D will neutralize how much of fetal blood?
A)
15 ml of fetal red cells
B)
40 ml of fetal whole blood
C)
20 ml of fetal red cells
D)
15 ml of fetal whole blood
Option D is correct: 15 ml of fetal whole blood.
MHMS • 2025 • Technical Subject Paper-II
25 years old, 10 weeks pregnant woman was found to have 7 cm ovarian cyst with thin wall and clear fluid on routine ultrasound. Next action would be:
A)
Immediate Surgery
B)
MRI Pelvis
C)
Start progesterone support
D)
Repeat scan after 6 weeks
Option D is correct: Repeat scan after 6 weeks.
MHMS • 2025 • Technical Subject Paper-II
In which diameter of the presenting part is vaginal delivery impossible?
A)
Occipito -frontal
B)
Sub Occipito frontal
C)
Sub mento Bregmatic
D)
Mento-vertical
Option A is correct: Occipito -frontal.
MHMS • 2025 • Technical Subject Paper-II
The triple test in second trimester screening includes all except:
A)
Alpha fetoprotein
B)
Estradiol
C)
bHcg
D)
Inhibin A
Option D is correct: Inhibin A.
MHMS • 2025 • Technical Subject Paper-II
A 65-year-old female presents with a swelling in the neck, diagnosed as a solitary thyroid nodule. The patient undergoes investigation, and a scan reveals increased iodine uptake. Serum T3 and T4 are elevated. The most probable diagnosis is:
A)
Benign colloid goitre
B)
Follicular adenoma
C)
Toxic adenoma
D)
Toxic multinodular goitre
Option C is correct: Toxic adenoma.
MHMS • 2025 • Technical Subject Paper-II
In “Anemia Mukt Bharat operational guideline 2018” What is the recommended oral iron and folic acid supplementation in pregnancy by The Ministries of Health, Govt of India?
A)
Daily 100mg of elemental iron with 500 mg of folic acid from 14 weeks onwards for 100 days
B)
60 mg of elemental iron with 400 mg of folic acid daily for latter 6 months of pregnancy till 3 months post-partum
C)
60 mg of elemental iron plus 500 mg of folic acid daily starting from 2nd trimester for 180 days and to be continued for 180 days after delivery
D)
100 mg of elemental iron plus 400 mg of folic acid daily for latter 6 months of pregnancy till 6 months post-partum
Option D is correct: 100 mg of elemental iron plus 400 mg of folic acid daily for latter 6 months of pregnancy till 6 months post-partum.
MHMS • 2025 • Technical Subject Paper-II
What is the risk of vertical transmission of HIV during pregnancy and delivery and breastfeeding without ART?
A)
<10%
B)
10-30%
C)
30-50%
D)
>50%
Option C is correct: 30-50%.
MHMS • 2025 • Technical Subject Paper-II
The most common organism responsible for Asymptomatic bacteriuria in pregnancy is:
A)
Klebsiella
B)
E coli
C)
Pseudomonas
D)
Proteus
Option B is correct: E coli.
MHMS • 2025 • Technical Subject Paper-II
Most common chromosomal anomaly in abortion is:
A)
Monosomy
B)
Trisomy
C)
Translocation
D)
Triploidy
Option B is correct: Trisomy.
MHMS • 2025 • Technical Subject Paper-II
A 30 year-old pregnant woman has a history of mitral valve replacement. She is on warfarin. At 6 weeks pregnancy, what is the best management?
A)
Continue warfarin as before
B)
Switch to LMWH unit until 12 weeks , then resume warfarin
C)
Switch to aspirin
D)
Stop all anticoagulants
Option A is correct: Continue warfarin as before.
MHMS • 2025 • Technical Subject Paper-II
Choledochal cyst is a dilatation of:
A)
Gall bladder
B)
Hepatic artery
C)
Hepatic cyst
D)
Bile duct
Option D is correct: Bile duct.
MHMS • 2025 • Technical Subject Paper-II
Most crucial diagnostic feature of congenital hypertrophic pyloric stenosis:
A)
Metabolic alkalosis
B)
Non-bilious vomiting
C)
Jaundice
D)
Fever
Option B is correct: Non-bilious vomiting.
MHMS • 2025 • Technical Subject Paper-II
On examination, a primigravida who is 7 weeks amenorrhoeic is found to have bluish coloration of vaginal mucosa. This sign suggestive of pregnancy is called:
A)
Hegar’s sign
B)
Palmer’s sign
C)
Goodel’s sign
D)
Jacquemiers sign
Option D is correct: Jacquemiers sign.
MHMS • 2025 • Technical Subject Paper-II
When is the blood volume maximum in pregnancy?
A)
34th weeks
B)
36th weeks
C)
32nd weeks
D)
28th weeks
Option B is correct: 36th weeks.
MHMS • 2025 • Technical Subject Paper-II
What is the most common position of the appendix?
A)
Pelvic
B)
Paracolic
C)
Retrocaecal
D)
Retroperitoneal
Option C is correct: Retrocaecal.
MHMS • 2025 • Technical Subject Paper-II
A multigravida is in second stage of labour for 2 hours. Per vaginal examination show station at 0 with caput and +2 Moulding. Sagittal suture in right occipito transverse. Foetal heart rate is 140. Appropriate management will be:
A)
Emergency LSCS
B)
Mid pelvic Forceps delivery
C)
Fundal pressure
D)
Vacuum delivery
Option D is correct: Vacuum delivery.
MHMS • 2025 • Technical Subject Paper-II
On clinical examination per vaginally, you find that ala of sacrum is absent, what is this type of pelvis called?
A)
Robert’s pelvis
B)
Rachitic pelvis
C)
Android pelvis
D)
Osteomyelitic pelvis
Option A is correct: Robert’s pelvis.
