MHMS • 2022 • Paper-IV (Technical)
Congenital hydrocele is best treated by-
A)
Eversion of sac
B)
Excision of sac
C)
Lords procedure
D)
Herniotomy
Herniotomy is the preferred standard management for this clinical situation.
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)
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)
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)
A 5 year old male child has been brought with a complaint that there is only one testis in the scrotum. On examination, it is found that the testis on the opposite side is felt in the inguinal canal. The patient should be advised-
A)
Orchidopexy
B)
To wait till puberty
C)
Orchidectomy
D)
Administration of androgens
Orchidectomy 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.
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)
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)
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)
A new born baby presents with absent anal orifice and meconuria. What is the most appropriate management?-
A)
Transverse colostomy
B)
Conservative
C)
Posterior saggital anorectoplasty
D)
Perineal V-Y plasty
Conservative is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-IV (Technical)
Renal tuberculosis is characterized by-
A)
Loin pain
B)
Painful hematuria
C)
Sterile pyuria
D)
Constitutional symptoms
Renal TB classically presents with sterile pyuria, with or without hematuria.
MHMS • 2022 • Paper-IV (Technical)
Commonest cause for mortality in Iver Lewis operations-
A)
Pulmonary atelectasis
B)
Anastomotic leak
C)
Thoracic duct fistula
D)
Subdiaphragmatic collection
Anastomotic leak is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
Patient with pelvic fracture presents with anuria. After 24 hours bladder is not palpable. Probable diagnosis includes:
A)
Bulbar urethral injury
B)
Posterior urethral injury
C)
Exttraperitoneal rupture of bladder
D)
Penile urethral injury
Pelvic fracture with extraperitoneal bladder rupture leads to urinary extravasation into perivesical space, anuria and non-palpable bladder; posterior urethral injury would give palpable bladder.
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)
Unilateral hydronephrosis is due to-
A)
Bladder neck contracture
B)
Stricture urethra
C)
Carcinoma of prostate
D)
Ureterocele
Bladder neck contracture, stricture urethra and prostatic carcinoma cause bilateral hydronephrosis; ureterocele causes unilateral ureteric obstruction.
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)
In Medullary carcinoma thyroid, tumor marker is-
A)
TSH
B)
Calcitonin
C)
T3,T4 &TSH
D)
Alpha Fetoprotein
Calcitonin 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)
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.
