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