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