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