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UPSC CMS Surgery - Trauma, Burns & Critical Care
Attempt UPSC CMS Surgery - Trauma, Burns & Critical Care under real exam conditions. Features timed computer-based test interface, textbook explanations, and detailed subject rank analytics.
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 - Trauma, Burns & Critical Care
Below is a preview of sample questions included in this mock test. Launch the live simulator to attempt the complete test.
Question 1
A 45-year-old male presents to the emergency department after a high-speed motor vehicle collision. He is hypotensive (BP 80/50 mmHg), tachycardic (HR 130 bpm), and confused. Physical examination reveals a distended, tender abdomen with absent bowel sounds. FAST scan shows significant free fluid in the peritoneum. His hemoglobin is 7.2 g/dL. Following initial resuscitation with 2 liters of crystalloids, his blood pressure remains 90/60 mmHg. Which of the following is the most appropriate next step in management?
A. Repeat FAST scan and observe for hemodynamic stability.
B. Administer additional crystalloids and await blood product availability.
C. Perform an emergent exploratory laparotomy.
D. Order a contrast-enhanced CT scan of the abdomen and pelvis.
Textbook Explanation Highlight:
This patient presents with signs of hypovolemic shock refractory to initial fluid resuscitation, along with clinical and ultrasound evidence of significant intra-abdominal hemorrhage. In a hemodynamically unstable trauma patient with a positive FAST...
Question 2
A 28-year-old construction worker sustains a full-thickness burn to his left arm and hand involving approximately 9% TBSA. The burn area is dry, leathery, and insensate. He is otherwise stable. What is the most appropriate initial management for his burn wound?
A. Topical silver sulfadiazine cream and daily dressing changes.
B. Immediate tangential excision and skin grafting.
C. Application of a sterile saline-soaked dressing and close observation.
D. Administration of systemic antibiotics and tetanus prophylaxis.
Textbook Explanation Highlight:
For a full-thickness (third-degree) burn, the immediate priority after ensuring airway, breathing, and circulation is wound care. Topical antimicrobial agents, such as silver sulfadiazine, are standard initial treatments to prevent infection in parti...
Question 3
A 68-year-old male with a history of hypertension and hyperlipidemia presents with sudden onset of severe, tearing back pain radiating to his abdomen. He is hypotensive (BP 70/40 mmHg) and profoundly pale. Physical examination reveals a pulsatile mass in the epigastrium. Which of the following diagnostic findings would most strongly support a ruptured abdominal aortic aneurysm (AAA) as the cause of his symptoms?
A. Electrocardiogram showing ST-segment elevations.
B. Serum troponin I levels significantly elevated.
C. Point-of-care ultrasound demonstrating a retroperitoneal hematoma.
D. Abdominal X-ray showing calcification of the aortic wall.
Textbook Explanation Highlight:
The clinical presentation of sudden onset severe tearing back/abdominal pain, hypotension, and a pulsatile abdominal mass is classic for a ruptured abdominal aortic aneurysm. In a hemodynamically unstable patient with suspected ruptured AAA, a point-...
Question 4
A 35-year-old female presents with a 3-month history of a palpable lump in her right breast. Clinical examination reveals a well-defined, mobile, rubbery, non-tender mass, approximately 2 cm in diameter, in the upper outer quadrant. Mammography shows a circumscribed oval mass without calcifications. Ultrasound confirms a solid, hypoechoic mass with a smooth margin. What is the most likely diagnosis?
A. Invasive ductal carcinoma.
B. Fibroadenoma.
C. Cystosarcoma phyllodes.
D. Fat necrosis.
Textbook Explanation Highlight:
The clinical and imaging features (well-defined, mobile, rubbery, non-tender mass; circumscribed oval mass on mammography; solid, hypoechoic mass with smooth margins on ultrasound) are classic for a fibroadenoma, which is the most common benign breas...
Question 5
A 55-year-old male undergoes a total thyroidectomy for papillary thyroid carcinoma. Postoperatively, he develops perioral tingling, muscle cramps, and carpopedal spasm. His serum calcium level is 6.8 mg/dL (normal 8.5-10.2 mg/dL), and phosphorus is 4.5 mg/dL (normal 2.5-4.5 mg/dL). Which of the following is the most likely cause of these symptoms?
A. Hypomagnesemia due to surgical stress.
B. Transient recurrent laryngeal nerve palsy.
C. Inadvertent parathyroid gland removal or devascularization.
D. Postsurgical thyroid hormone withdrawal.
Textbook Explanation Highlight:
The symptoms of perioral tingling, muscle cramps, and carpopedal spasm, coupled with severe hypocalcemia (serum calcium 6.8 mg/dL) and borderline high phosphorus, are characteristic of hypoparathyroidism. This is a common complication of total thyroi...