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