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