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