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