GMDC APRIL MOCK

A child presents with acute asthma. Nebulized salbutamol is given but no improvement seen. Next step?

A “step ladder” appearance on X-ray is seen in:

A 5-year-old child is diagnosed with asthma. Parents ask about preventing attacks. What is the best advice?

Normal blood pressure is lower than:

A patient presents with high blood pressure and episodic headaches

During which stage of labor postpartum bleeding may happen if not accomplished probably:

Classically

What is the anatomical definition of a contracted pelvis?

which of the following is longest stage of labor:

A known asthmatic child with URI presents with worsening wheeze. There is no fever. What’s the likely cause?

Pancreatic pseudocyst is called so because:

Which of the following is true about the cardiovascular adaptations to pregnancy?

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.” What’s the likely issue?

A patient with a long history of untreated hypertension develops progressive shortness of breath

Which biomarker is commonly elevated in myocardial infarction?

What is the primary pathophysiological abnormality in heart failure?

What is the organ through which the baby is delivered called?

Which of the following changes is a consequence of the increased progesterone levels during pregnancy?

HIDA scan is particularly useful when:

What is the most common cause of right-sided heart failure?

Cullen’s sign indicates:

What is the clinical pelvimetry method used to measure the diagonal conjugate in a contracted pelvis?

Which organism is most commonly isolated in acute cholecystitis?

Which of the following is a sign of complete obstruction?

Which of the following findings on a plain abdominal X-ray suggests intussusception?

which of the following stimulate prostaglandins production :

What kind of feedback mechanism is engaged in childbirth?

Which is the fluid of choice in initial resuscitation of pancreatitis?

The most common cause of death in hypertensive patients is:

Which of the following is the most common cause of small bowel obstruction in adults?

Which of these is an alternative to the vaginal passage?

Which of these involves making a cut to the opening of the vagina?

Prostaglandin stimulate uterine contractions indirectly by:

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?

What is the medical science of the female reproductive system?

Which of these is not a method of relieving pain during labor?

Which physical exam finding is least helpful in appendicitis?

Which of the following is a change in the immune system during pregnancy?

Which electrolyte imbalance is commonly seen in bowel obstruction?

Which of the following is a key symptom of left-sided heart failure?

Which complication can occur if intussusception is not treated promptly?

Long-term uncontrolled hypertension can lead to:

Which anatomical position of the appendix is most common?

In which condition is recurrence of intussusception most likely?

Which class of antihypertensive drugs should be avoided in pregnancy?

A child has frequent exacerbations despite therapy and lives in a damp home with mold. What should be addressed?

The most common type of myocardial infarction is:

How many stages are in the childbirth process?

What is the first-line treatment for patients presenting with STEMI (ST-Elevation Myocardial Infarction)?

A child has chronic asthma and difficulty sleeping due to night cough. Which medication will help best?

Which sign indicates pain on passive extension of the right hip?

Pain in RLQ when pressing on LLQ is called:

How many are the stages of cephalic delivery?

stretch which of the following cause positive feedback mechanism:

A 4-year-old has asthma and is admitted for an acute exacerbation. You hear bilateral wheezing. What does this indicate?

The classic triad of symptoms in acute cholecystitis includes all EXCEPT:

A child is on low-dose ICS and still has daily symptoms and weekly night-time awakenings. What should be the next management step?

What color are the stools in intussusception typically described as?

A 9-year-old with asthma has persistent symptoms every day and frequent night-time awakenings. What is the asthma severity?

Hypertension can lead to which eye condition?

Progesterone inhibits uterine contractility through:

In sigmoid volvulus

What is the typical symptom of bowel obstruction?

Which of the following medications is used to prevent clot formation in ACS?

Which of the following conditions is most commonly associated with intussusception in children?

What is the typical position of the mass felt in intussusception?

Contraction during labor start at:

A patient with long-standing hypertension presents with vision problems. Fundoscopy reveals arteriovenous nicking and flame-shaped hemorrhages. What is the most likely diagnosis?

Which of the following is not a typical symptom of intussusception?

What is the impact of progesterone on the uterus during pregnancy?

Which of the following signs suggests strangulated obstruction?

Which radiological sign is characteristic of small bowel obstruction?

Obturator sign is positive in which appendix position?

Which change in the cardiovascular system occurs due to hormonal influences during pregnancy?

DASH diet recommendations include:

Pancreatic abscess is usually:

Which of these is not a complication of childbirth?

What is the most common cause of acute cholecystitis?

McBurney's point tenderness is found in which condition?

What is the maximum time the second stage of labor expected to last?

Which of the following is a local complication of pancreatitis?

Which intervention is used to remove gallstones causing pancreatitis?

Nutrition in acute pancreatitis should be:

When are antibiotics indicated in pancreatitis?

Surgical intervention in pancreatitis is indicated in all EXCEPT:

Which symptom is most specific for acute appendicitis?

Murphy’s sign is:

Best initial imaging modality for suspected acute cholecystitis:

In ACS

What is the organ through which the baby is delivered called?

A 65-year-old man is diagnosed with hypertension. He has no history of diabetes

Complication presenting weeks after pancreatitis with a palpable mass:

A child presents with wheezing and uses salbutamol inhaler 3 times/day. His PEFR is consistently less than 80 percent. What does this suggest?

What is the initial imaging choice in suspected intussusception?

Which symptom is typically intermittent in intussusception?

A 60-year-old with constipation

Grey Turner’s sign is a sign of:

What is the primary objective of early treatment in ACS?

Which of the following is the most common cause of heart failure?

Which diagnostic test is most useful for assessing heart failure severity?