GMDC APRIL MOCK /100 27 Created on April 22, 2025 By Medent Editor GMDC APRIL MOCK 1 / 100 Which symptom is typically intermittent in intussusception? Abdominal pain Vomiting Fever Diarrhea 2 / 100 A child presents with wheezing and uses salbutamol inhaler 3 times/day. His PEFR is consistently less than 80 percent. What does this suggest? Anxiety Poor asthma control step up therapy Inhaler not needed Normal asthma control 3 / 100 Which sign indicates pain on passive extension of the right hip? Rovsings sign Obturator sign Psoas sign Murphys sign 4 / 100 What is the first-line treatment for patients presenting with STEMI (ST-Elevation Myocardial Infarction)? Heparin infusion Primary PCI (Percutaneous Coronary Intervention) Oral aspirin IV morphine 5 / 100 A child is on low-dose ICS and still has daily symptoms and weekly night-time awakenings. What should be the next management step? Prescribe antibiotics Step up therapy (add LABA or increase ICS) Reduce ICS dose Stop ICS 6 / 100 Hypertension can lead to which eye condition? Glaucoma Retinopathy Myopia Cataract 7 / 100 Which symptom is most specific for acute appendicitis? Diarrhea Nausea Fever Right lower quadrant pain 8 / 100 Which of the following is not a typical symptom of intussusception? Bloody stools Vomiting Lethargy Productive cough 9 / 100 which of the following stimulate prostaglandins production : Prostacyclin Estrogen Cytokines Nitric oxide 10 / 100 What is the primary objective of early treatment in ACS? To control blood pressure To restore blood flow to the heart muscle To reduce the risk of stroke To relieve pain and anxiety 11 / 100 A child has chronic asthma and difficulty sleeping due to night cough. Which medication will help best? Low-dose ICS at night Antibiotics SABA before bed Oral antihistamines 12 / 100 A 9-year-old with asthma has persistent symptoms every day and frequent night-time awakenings. What is the asthma severity? Mild persistent Moderate persistent Intermittent Severe persistent 13 / 100 Complication presenting weeks after pancreatitis with a palpable mass: Abscess Hematoma Pseudocyst Fistula 14 / 100 Which of these is not a method of relieving pain during labor? Administration of spinal blocks Administration of normal saline Administration of opiods Relaxation techniques 15 / 100 Which of the following is the most common cause of small bowel obstruction in adults? Tumor Adhesions Volvulus Hernia 16 / 100 Which of the following medications is used to prevent clot formation in ACS? 17 / 100 Best initial imaging modality for suspected acute cholecystitis: CT scan MRI HIDA scan Abdominal ultrasound 18 / 100 Which change in the cardiovascular system occurs due to hormonal influences during pregnancy? 19 / 100 Which of the following is true about the cardiovascular adaptations to pregnancy? Increased stroke volume Decreased blood volume Decreased cardiac output Increased peripheral vascular resistance 20 / 100 A child presents with acute asthma. Nebulized salbutamol is given but no improvement seen. Next step? Add oral or IV corticosteroids Try oral salbutamol Start antibiotics Continue nebulization every 8 hours 21 / 100 Which of these involves making a cut to the opening of the vagina? Caesarean section Mastectomy Laparascopy Episiotomy 22 / 100 Long-term uncontrolled hypertension can lead to: Dementia Tuberculosis Migraine Osteoporosis 23 / 100 Which complication can occur if intussusception is not treated promptly? Bowel necrosis and perforation Esophageal rupture Hydrocephalus GERD 24 / 100 Which of the following signs suggests strangulated obstruction? Loud bowel sounds Visible peristalsis Fever and leukocytosis Constipation only 25 / 100 What kind of feedback mechanism is engaged in childbirth? Feedforward control Negative feedback mechanism Positive feedback mechanism Reverse mechanism 26 / 100 What is the typical position of the mass felt in intussusception? Left upper quadrant Left lower quadrant Right upper quadrant or epigastrium Suprapubic region 27 / 100 A 4-year-old has asthma and is admitted for an acute exacerbation. You hear bilateral wheezing. What does this indicate? Generalized airway narrowing Pneumonia Congestive heart failure Foreign body aspiration 28 / 100 Classically Right upper quadrant Periumbilical region Epigastric area Right iliac fossa 29 / 100 Grey Turners sign is a sign of: Bowel ischemia Retroperitoneal hemorrhage Peritonitis Ascites 30 / 100 What is the most common cause of right-sided heart failure? Pulmonary embolism Hypertension Aortic stenosis Left-sided heart failure 31 / 100 A 30-year-old woman with no history of hypertension is diagnosed with high blood pressure during pregnancy. What is the most appropriate first-line antihypertensive medication? Methyldopa Amlodipine Enalapril Lisinopril 32 / 100 Pancreatic pseudocyst is called so because: It is in the pancreas It lacks an epithelial lining It contains blood It contains gas 33 / 100 McBurney's point tenderness is found in which condition? Cholecystitis Pancreatitis Gastritis Appendicitis 34 / 100 What is the typical symptom of bowel obstruction? Hematemesis Abdominal distension Jaundice Dysuria 35 / 100 Which is the fluid of choice in initial resuscitation of pancreatitis? Normal saline Dextrose Ringer's lactate Colloids 36 / 100 What is the maximum time the second stage of labor expected to last? 3.5 hours 3 hours 2 hours 2.5 hours 37 / 100 Which physical exam finding is least helpful in appendicitis? Obturator sign Psoas sign Murphys sign Rovsing's sign 38 / 100 What is the clinical pelvimetry method used to measure the diagonal conjugate in a contracted pelvis? Tip of the middle finger reaching the sacral promontory Tip of the middle finger touching the tip of the sacrum Palpating the shape of the sacrum Measuring the distance between the ischial spines 39 / 100 stretch which of the following cause positive feedback mechanism: fundus of uterine cervix vaginal muscle body of uterine 40 / 100 Obturator sign is positive in which appendix position? Pelvic Pre-ileal Subhepatic Retrocecal 41 / 100 Cullens sign indicates: Periumbilical ecchymosis due to pancreatitis Gastric ulcer Diaphragmatic rupture Liver failure 42 / 100 Which electrolyte imbalance is commonly seen in bowel obstruction? Hypokalemia Hyperchloremia Hypernatremia Hyperkalemia 43 / 100 A 65-year-old man is diagnosed with hypertension. He has no history of diabetes Thiazide diuretics Alpha-blockers Loop diuretics Beta-blockers 44 / 100 Progesterone inhibits uterine contractility through: Increase GAP junctions Increase PGs Decrease oxytocin receptors Increase oxytocin receptors 45 / 100 A 6-year-old girl with asthma is prescribed an MDI (metered-dose inhaler) but continues to have symptoms. The mother reports the child never liked the spray. Whats the likely issue? Poor inhaler technique or compliance Allergy to medication Medication resistance Incorrect diagnosis 46 / 100 Which of the following is a local complication of pancreatitis? Sepsis ARDS Pancreatic pseudocyst Hypocalcemia 47 / 100 Which of the following findings on a plain abdominal X-ray suggests intussusception? Double bubble sign Soft tissue mass and absence of gas in colon String sign Free air 48 / 100 Which biomarker is commonly elevated in myocardial infarction? Hemoglobin Blood urea nitrogen (BUN) C-reactive protein (CRP) Troponin 49 / 100 Which of the following is a key symptom of left-sided heart failure? Ascites Peripheral edema Jugular venous distention Dyspnea (shortness of breath) 50 / 100 In sigmoid volvulus Thumbprinting Lead pipe appearance Bird beak Coffee bean sign 51 / 100 What color are the stools in intussusception typically described as? Bright green Dark black Pale Red currant jelly 52 / 100 Prostaglandin stimulate uterine contractions indirectly by: Upregulation of myometrial gap junctions. Their own receptors Downregulation of oxytocin receptors Upregulation of oxytocin receptors 53 / 100 DASH diet recommendations include: Increased potassium and fiber intake Low vegetable consumption High sodium intake High sugar intake 54 / 100 Which of the following is the most common cause of heart failure? Atrial fibrillation Myocardial infarction Coronary artery disease Pericarditis 55 / 100 Which of the following changes is a consequence of the increased progesterone levels during pregnancy? Relaxation of smooth muscles Increased renal sodium excretion Increased gastrointestinal motility Increased blood pressure 56 / 100 Normal blood pressure is lower than: 140 over 90 100 over 70 120 over 80 130/85 57 / 100 A patient with long-standing hypertension presents with vision problems. Fundoscopy reveals arteriovenous nicking and flame-shaped hemorrhages. What is the most likely diagnosis? Macular degeneration Hypertensive retinopathy Glaucoma Diabetic retinopathy 58 / 100 A patient with a long history of untreated hypertension develops progressive shortness of breath Stroke Left ventricular hypertrophy Chronic kidney disease Heart failure 59 / 100 During which stage of labor postpartum bleeding may happen if not accomplished probably: Dilation Explusion Vaginal stage Placental stage 60 / 100 A patient presents with high blood pressure and episodic headaches Hyperaldosteronism Primary hypertension Pheochromocytoma Chronic kidney disease 61 / 100 How many stages are in the childbirth process? 5 3 6 4 62 / 100 which of the following is longest stage of labor: All of them have same duration Expulsion Dilation Placental 63 / 100 A 60-year-old with constipation Peptic ulcer disease Large bowel obstruction Appendicitis Cholecystitis 64 / 100 What is the initial imaging choice in suspected intussusception? MRI CT scan Ultrasound Barium enema 65 / 100 Pain in RLQ when pressing on LLQ is called: Cullen's sign Rovsings sign Grey-Turner sign Obturator sign 66 / 100 In which condition is recurrence of intussusception most likely? In newborns After air enema reduction without lead point removal After full recovery After surgical resection 67 / 100 HIDA scan is particularly useful when: Gallstone pancreatitis is suspected Ultrasound is inconclusive MRI is contraindicated Ultrasound is inconclusive 68 / 100 When are antibiotics indicated in pancreatitis? Infected necrosis All cases Gallstone pancreatitis Sterile fluid collections 69 / 100 What is the medical science of the female reproductive system? Neurology Gynecology Nephrology Obstetrics 70 / 100 Surgical intervention in pancreatitis is indicated in all EXCEPT: Infected necrosis not responding to medical therapy Sterile necrosis Pancreatic abscess Pseudocyst with symptoms 71 / 100 Which intervention is used to remove gallstones causing pancreatitis? CT-guided drainage ERCP Open cholecystectomy NG tube suction 72 / 100 Pancreatic abscess is usually: Late complication requiring drainage Viral Treated with steroids Self-limiting 73 / 100 Which diagnostic test is most useful for assessing heart failure severity? ECG Chest X-ray Echocardiography Cardiac catheterization 74 / 100 Which organism is most commonly isolated in acute cholecystitis? Clostridium perfringens Pseudomonas aeruginosa Escherichia coli Staphylococcus aureus 75 / 100 What is the most common cause of acute cholecystitis? Acalculous cholecystitis Pancreatitis Gallstone obstruction of the cystic duct Biliary dyskinesia 76 / 100 A known asthmatic child with URI presents with worsening wheeze. There is no fever. Whats the likely cause? Otitis media Sinusitis Pneumonia Viral-induced asthma exacerbation 77 / 100 A child has frequent exacerbations despite therapy and lives in a damp home with mold. What should be addressed? 78 / 100 The classic triad of symptoms in acute cholecystitis includes all EXCEPT: Fever Nausea/vomiting Hematemesis Right upper quadrant pain 79 / 100 What is the organ through which the baby is delivered called? Rectum Birth canal Uterus Clitoris 80 / 100 Which of these is not a complication of childbirth? Obstructed labor Eclampsia Dyspneoa Postpartum bleeding 81 / 100 Which class of antihypertensive drugs should be avoided in pregnancy? Beta-blockers Calcium channel blockers Diuretics ACE inhibitors 82 / 100 What is the anatomical definition of a contracted pelvis? A pelvis with no abnormalities in pelvic diameters pelvis in which one or more of the pelvic diameters is reduced below the average by one or more centimeters A pelvis with reduced pelvic capacity A pelvis in which all pelvic diameters are increased 83 / 100 How many are the stages of cephalic delivery? 4 7 9 3 84 / 100 A step ladder appearance on X-ray is seen in: Small bowel obstruction Pancreatitis Gastric outlet obstruction Large bowel obstruction 85 / 100 Which of the following is a sign of complete obstruction? Diarrhea Hyperactive bowel sounds Absolute constipation Increased flatus 86 / 100 What is the organ through which the baby is delivered called? Birth canal Rectum Clitoris Uterus 87 / 100 Which of these is an alternative to the vaginal passage? Laparoscopy Lopectomy Mastectomy Caesarean section 88 / 100 Which anatomical position of the appendix is most common? Subhepatic Pelvic Retrocecal Pre-ileal 89 / 100 A 5-year-old child is diagnosed with asthma. Parents ask about preventing attacks. What is the best advice? Avoid running Take antibiotics when coughing Avoid known triggers and follow asthma action plan Use inhaler only if breathless 90 / 100 What is the impact of progesterone on the uterus during pregnancy? Increases uterine contractions Relaxes uterine smooth muscle Decreases blood flow to the uterus Increases uterine sensitivity to oxytocin 91 / 100 Contraction during labor start at: Cervix of uterus Body of uterus Fundus of uterus Vagina. 92 / 100 What is the primary pathophysiological abnormality in heart failure? Increased systemic vascular resistance Impaired cardiac output Decreased myocardial oxygen demand Increased blood volume 93 / 100 The most common cause of death in hypertensive patients is: Aortic aneurysm Myocardial infarction Stroke Kidney failure 94 / 100 In ACS Morphine Nitroglycerin Metoprolol Digoxin 95 / 100 Murphys sign is: Pain in the left upper quadrant Referred pain to the left shoulder Arrest of inspiration on palpation of the right upper quadrant Rebound tenderness 96 / 100 Nutrition in acute pancreatitis should be: High-fat oral diet Early enteral nutrition via nasojejunal route NPO until full recovery Total parenteral nutrition 97 / 100 Which of the following conditions is most commonly associated with intussusception in children? Appendicitis Pyloric stenosis Viral gastroenteritis GERD 98 / 100 The most common type of myocardial infarction is: Type 3 MI Type 1 MI Type 2 MI Type 4 MI 99 / 100 Which of the following is a change in the immune system during pregnancy? Decreased inflammation response Increased antibody production Increased immune tolerance toward the fetus Decreased immune function 100 / 100 Which radiological sign is characteristic of small bowel obstruction? Multiple air-fluid levels Ground-glass appearance Crescent sign Coffee bean sign Your score is Send feedback