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.
📝 Sample Question Preview from UPSC CMS Surgery - Trauma, Burns & Critical Care
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A patient of road traffic accident presents to the emergency with increasing restlessness and difficulty in breathing. The respiratory rate is 26 breaths/minute; there are distended neck veins; trachea is deviated to the right side with hyper-resonant note and absence of breath sounds on the left side. Which of the following statements are correct?
1. The most probable clinical diagnosis is left tension pneumothorax
2. Immediate chest decompression using wide bore cannula in left second intercostal space should be done
3. Immediate chest X-ray should be done to confirm the clinical diagnosis
4. Definitive chest tube insertion in left fifth intercostal space should be done
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Which of the following statements regarding a patient of liver trauma are correct?
1. Liver is the most common organ injured following abdominal trauma.
2. Surgical exploration (laparotomy) is required in haemodynamically unstable patients and patients with free intraperitoneal fluid on FAST.
3. Contrast enhanced CT abdomen should be done in haemo-dynamically stable patients.
4. Blunt injuries have a higher mortality as compared to penetrating injuries.
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A 30-year-old man met with an accident and presented with multiple fractures of the ribs and paradoxical movement. X-ray shows pulmonary contusion on the right side without pneumothorax or hemothorax. What is the initial choice of treatment?
Immediate internal fixation
Endotracheal intubation and mechanical ventilation
Thoracic epidural analgesia and O2 therapy
Stabilization with towel clips
A young 23-year-old male riding his motorcycle meets with a road accident. He is tachypnoeic with HR 110/m and BP 112/74 mmHg. On examination, he has tenderness over the left side of the chest with decreased air entry. His trachea is pushed to the opposite side. Abdominal examination is unremarkable. Most probably he is suffering from:
Haemothorax
Consolidation
Subcutaneous emphysema
Tracheal rupture
A comatose patient after sustaining severe head injury has been admitted in neurosurgical ICU. Which of the following parameters should ideally be maintained in this patient ?
1. pCO₂ = 4-5 – 5-0 kPa (33-38 mm Hg)
2. MAP = 80-90 mm of Hg
3. pO₂ > 11 kPa (> 80 mm Hg)
4. Na+ < 130 meq/L
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