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