MBBS Surgery and Clinical Medicine

Question 1

Which Glasgow Coma Scale (GCS) score indicates severe traumatic brain injury?

Accepted Answer

8 or below

Answer

13–15

Answer

9–12

Answer

5–7

Question 2

What is the Charcot's triad of acute cholangitis?

Accepted Answer

Fever, jaundice, and right upper quadrant pain

Answer

Fever, nausea, and epigastric pain

Answer

Jaundice, dark urine, and pale stools

Answer

Right upper quadrant pain, Murphy's sign, and leukocytosis

Question 3

In ATLS (Advanced Trauma Life Support), what is the first priority in the primary survey?

Accepted Answer

Airway maintenance with cervical spine protection

Answer

Breathing and ventilation

Answer

Circulation and hemorrhage control

Answer

Disability (neurological status)

Question 4

Which suture material is most appropriate for closing the abdominal fascia (linea alba) in a midline laparotomy?

Accepted Answer

Polypropylene (non-absorbable monofilament)

Answer

Chromic catgut (absorbable)

Answer

Silk (non-absorbable braided)

Answer

Rapid-absorbing polyglactin

Question 5

Which clinical sign is pathognomonic of a tension pneumothorax?

Accepted Answer

Tracheal deviation away from the affected side with absent breath sounds

Answer

Dullness to percussion on the affected side

Answer

Bilateral decreased breath sounds

Answer

Subcutaneous emphysema alone

Question 6

Which investigation is considered the gold standard for diagnosing deep vein thrombosis (DVT)?

Accepted Answer

Contrast venography

Answer

D-dimer blood test

Answer

CT pulmonary angiography

Answer

Compression ultrasonography