MBBS Surgery and Clinical Medicine 1

Question 1

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

Accepted Answer

8 or below

Answer

A GCS score of 8 or below defines severe TBI; endotracheal intubation is generally indicated at this level to protect the airway.

Question 2

What is the Charcot's triad of acute cholangitis?

Accepted Answer

Fever, jaundice, and right upper quadrant pain

Answer

Charcot's triad of acute cholangitis consists of fever (rigors), jaundice, and right upper quadrant pain, caused by biliary obstruction with ascending infection.

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

The ATLS primary survey follows the ABCDE sequence: Airway (with C-spine protection) is always assessed and managed first.

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

Polypropylene (Prolene) or slowly absorbable sutures like PDS are preferred for fascial closure due to their prolonged tensile strength reducing wound dehiscence risk.

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

Tension pneumothorax classically causes tracheal deviation to the contralateral side, absent breath sounds on the affected side, and hemodynamic compromise.

MBBS - Bachelor of Medicine and Bachelor of Surgery Practice Test

MBBS - Bachelor of Medicine and Bachelor of Surgery Practice Test

MBBS Surgery and Clinical Medicine 1