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