CMS 2024

A 52-year-old female complains of increasing pain in the right shoulder. She is also finding it increasingly difficult to do overhead abduction of the affected joint. She had been diagnosed as a diabetic 20 years back and is on treatment since then. What is the most likely cause of her clinical condition?

1. Proton-pump inhibitor is taken with two antibiotics.
2. Treatment is prescribed for at least 7 days.
3. Treatment of Helicobacter pylori infection leads to vitamin B12 deficiency.  
4. Patients requiring long-term NSAIDs should undergo Helicobacter pylori eradication therapy to reduce ulcer risk.

Onset of labour is initiated by which of the following?

1. Uterine distension
2. Increased CRH and ACTH from foetal hypothalamic-pituitaryadrenal axis
3. Increased level of progesterone immediately before labour
4. Increased synthesis of myometrial receptors for oxytocin due to effect of oestrogen

Which one of the following statements is correct regarding Upper Gastro Intestinal Bleeding (UGIB)?

Which of the following are stages of damage control surgery?

1. Patient's selection
2. Control of haemorrhage
3. Resuscitation in ICU
4. Preventive surgery

Select the correct answer using the code given below.

The most common cause of maternal mortality in India is

What is the most common cause of perforation of the oesophagus?

A 28-year-old female G2P1L1 with history of previous caesarean presents to the gynecology emergency in labour. On examination, she is hypotension, foetal heart sounds are absent and foetal parts are easily palpable. What is her diagnosis?

When the serum ascites to albumin gradient (SAAG) is less than 1.1 gm/dL, then which of the following causes of ascites may be considered ?

1. Infection
2. Malignancy
3. Cardiac ascites
4. Portal hypertension

A 48-year-old smoker presents to the OPD with complaints of cramping pain in both the calves on walking to about 100-150 metres. The pain is relieved on taking rest for about 2-3 minutes and  the patient is able to walk for some more distance again before the pain appears. This presentation is suggestive of

Consider the following management methods/ techniques
1. System analysis
2. Organizational design
3. Personnel management
4. Information systems
Which of the above methods/ techniques are based on behavioural sciences?

Consider the following definition:
"A high level of infection beginning early in life and affecting most of the child Population, leading to a state of equilibrium such that the adult population shows evidence of the disease much less commonly than the
children."
Which one of the following terms best fits this definition?

Consider the following statements about human breast milk:

1. 75% of breast milk content is water.
2. Breast milk is poor in taurine and cysteine.
3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids.
4. High lactose content of breast milk helps in absorption of calcium.

Which of the following are major criteria under the Jones Criteria for Acute Rheumatic Fever?

1. Chorea
2. Erythema Marginatum
3. Subcutaneous Nodules
4. Polyarthralgia

A 70-year-old man with dyspnoea on exertion has been found to have a single second heart sound and a loud diamond-shaped, rough quality systolic murmur best heard at the right 2nd intercostal space, radiating to the right carotid artery. Which one of the following is the likely diagnosis?

As per the United Nations definition of a vital events registration system, 'vital events' include which of the following?

1. Foetal deaths
2. School adtnissions
3. Legal separations
4. College graduations

Which among the following is the first intermediate host for the parasitic fluke Clonorchis sinensis ?