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