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