UPSC CMS 2014 Surgery, Gynaecology & Obstetrics Paper 2 Question Paper (22-Jun-2014)

Question 1

A 40 year old man presented with a flat $1 	imes 1$ cm. scaly, itchy black mole on the front of thigh. Examination did not reveal any inguinal lymphodenopathy. The best course of management would be:

Accepted Answer

Excision biopsy

Answer

FNAC of lesion

Answer

Incision biopsy

Answer

Wide excision with inguinal lymphadenectomy.

Question 2

Indications of TURP for Benign Hyperplasia Prostate (BHP) include
1. Urinary flow rate of less than 10cc/second
2. Residual volume of urine $>100$cc
3. Serum level of prostatic specific antigen $>10$nmol/L
4. Trabeculated Urinary bladder
Select the correct answer using the code given below:

Accepted Answer

1, 2 and 4

Answer

1, 2 and 3

Answer

2, 3 and 4

Answer

1, 3 and 4

Question 3

Ankyloglossia in a patient with carcinoma tongue is staged as

Accepted Answer

$T_4$

Answer

$T_1$

Answer

$T_2$

Answer

$T_3$

Question 4

Which is the most commonly used chemotherapy regimen in the adjuvant treatment following modified radical mastectomy in the estrogen receptor negative 35 year old female with breast cancer?

Accepted Answer

Cyclophosphamide + Adriamycin + 5-Fluro-uracil

Answer

Cyclophosphamide + 5 - Fluro-uracil

Answer

Cyclophosphamide + Methotrexate + 5-Fluoro-uracil

Answer

Adriamycin + 5-Fluro-uracil

Question 5

Consider the following statements:
The clinical features of tension pneumothorax include
1. tracheal shift to contralateral side
2. absent breath sounds on the affected side
3. low output circulatory failure
4. peripheral cyanosis
Which of the statements given above is/are correct?

Accepted Answer

1, 2 and 3

Answer

1 and 3 only

Answer

2 and 4

Answer

1 and 4