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UPSC CMS Surgery - Hepato-Pancreato-Biliary (HPB) & Spleen

Attempt UPSC CMS Surgery - Hepato-Pancreato-Biliary (HPB) & Spleen under real exam conditions. Features timed computer-based test interface, textbook explanations, and detailed subject rank analytics.

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Real CBT Simulator Grid & Percentile
Duration
15 Mins
Countdown timer with review palette.
Marking Scheme
+4.00 / -1.00
Exact negative marking as per official exam rules.
Textbook Citations
Harrison & Bailey
Standard medical textbook solution references.
Target Exam
UPSC CMS
Official paper pattern & syllabus coverage.

📝 Sample Question Preview from UPSC CMS Surgery - Hepato-Pancreato-Biliary (HPB) & Spleen

Below is a preview of sample questions included in this mock test. Launch the live simulator to attempt the complete test.

Question 1

A 55-year-old male presents with recurrent episodes of epigastric pain radiating to the back, associated with steatorrhea and weight loss. Imaging reveals pancreatic calcifications and ductal dilation. Which of the following statements regarding the surgical management of this condition is/are CORRECT?

1. Pancreaticojejunostomy (Puestow procedure) is indicated for a dilated pancreatic duct without significant head mass.

2. Frey procedure involves coring out the head of the pancreas while preserving the duodenum and bile duct.

3. Distal pancreatectomy is the preferred surgical option for diffuse pancreatic calcifications.

 4. Segmental pancreatectomy is generally preferred over pancreaticoduodenectomy for chronic pancreatitis involving the head.

A.

1 and 2 only

B.

1, 2 and 3 only

C.

1, 3 and 4 only

D.

1, 2, 3 and 4

Textbook Explanation Highlight:
Puestow procedure (pancreaticojejunostomy) is a drainage procedure indicated for chronic pancreatitis with a dilated pancreatic duct (>7-8 mm) to relieve pain. The Frey procedure is a hybrid drainage and resection procedure, specifically coring ou...
Question 2
A 48-year-old female undergoes cholecystectomy for symptomatic cholelithiasis. Post-operatively, she develops severe right upper quadrant pain, fever, and jaundice. Investigations reveal a dilated common bile duct with a filling defect. Which of the following statements regarding choledocholithiasis is INCORRECT?
A. Endoscopic Retrograde Cholangiopancreatography (ERCP) is both diagnostic and therapeutic for choledocholithiasis.
B. The Charcot's triad of right upper quadrant pain, fever, and jaundice is pathognomonic for acute cholangitis.
C. Magnetic Resonance Cholangiopancreatography (MRCP) is the preferred initial diagnostic imaging modality for suspected choledocholithiasis due to its non-invasiveness.
D. Laparoscopic common bile duct exploration is an alternative to ERCP for stone removal in selected patients.
Textbook Explanation Highlight:
While Charcot's triad (right upper quadrant pain, fever, and jaundice) is highly suggestive of acute cholangitis, it is not pathognomonic. Only about 50-70% of patients with acute cholangitis present with the complete triad. Reynolds' pentad adds hyp...
Question 3
A 60-year-old male with a history of alcohol abuse presents with severe epigastric pain radiating to the back, nausea, and vomiting. On examination, he has tenderness in the epigastrium and a bluish discoloration around the umbilicus. Labs show elevated amylase and lipase. Which of the following interventions is CONTRADICTED as an initial treatment in this patient?
A. Aggressive intravenous fluid resuscitation
B. Administration of broad-spectrum antibiotics
C. Early enteral nutrition
D. Opioid analgesia for pain control
Textbook Explanation Highlight:
The patient presents with signs and symptoms suggestive of severe acute pancreatitis, possibly necrotizing pancreatitis given Cullen's sign (bluish discoloration around the umbilicus). Prophylactic broad-spectrum antibiotics are generally contraindic...
Question 4
Which of the following eponymous signs is associated with splenic rupture manifesting as ecchymosis in the flanks?
A. Grey Turner's sign
B. Cullen's sign
C. Kehr's sign
D. Balance's sign
Textbook Explanation Highlight:
Grey Turner's sign refers to ecchymosis or discoloration of the flanks, often indicating retroperitoneal hemorrhage, which can be seen in severe acute pancreatitis or splenic rupture. Cullen's sign is periumbilical ecchymosis. Kehr's sign is referred...
Question 5
A 35-year-old male involved in a high-speed motor vehicle collision presents to the emergency department with abdominal pain and hemodynamic instability. Focused Assessment with Sonography for Trauma (FAST) reveals free fluid in the abdomen. His hemoglobin is dropping. Which of the following is the most likely diagnosis?
A. Acute appendicitis with perforation
B. Splenic injury with hemorrhage
C. Acute cholecystitis
D. Small bowel obstruction
Textbook Explanation Highlight:
Given the history of high-speed motor vehicle collision, abdominal pain, hemodynamic instability, free fluid on FAST, and dropping hemoglobin, splenic injury with hemorrhage is the most likely diagnosis. The spleen is the most commonly injured solid...
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