UPSC CMS 2015 Surgery, Gynaecology & Obstetrics Paper 2 Question Paper (28-Jun-2015)

Question 1

A 20 year old female was operated for perforation peritonitis and after closing the rectus sheet her abdominal wound was left open to heal with proliferative granulation tissue which contracted and epithelized to form a scar. This patient had undergone healing by:

Accepted Answer

Tertiary Intention

Answer

Primary intention

Answer

Secondary intention

Answer

Delayed primary intention

Question 2

A 50 year old patient had a haematoma in his left gluteal region which was large, painful and causing some neural deficit. The next plan of management will be to:

Accepted Answer

Incise or aspirate the haematoma

Answer

Apply some superficial ointment for it to subside

Answer

Get an CECT or MRI done

Answer

Leave it alone

Question 3

An 18 year old boy had a closed lower limb injury while riding his motorbike. He was brought to hospital where on examination he had severe pain which increased on passive movement of effected limb with distal sensory disturbances. What is the probable diagnosis?

Accepted Answer

Compartment syndrome

Answer

Degloving Injury

Answer

High Pressure Injection injury

Answer

Deep Vein thrombosis

Question 4

A surgeon told the patient's attendant that his patient has "flesh eating bug" which is the cause of such severe infection in his dirty wound on his lower limb. Which organism was the surgeon referring to?

Accepted Answer

Steptococcus pyogenes

Answer

Staphylococcus aureus

Answer

Pseudomonas aeruginosa

Answer

Clostridium difficile

Question 5

In Hernia repair, polypropylene suture is used because

Accepted Answer

It is synthetic monofilament dyed non absorbable suture with low tissue reaction and high tensile strength

Answer

It is a synthetic braided dyed absorbable suture with low tissue reaction and high tensile strength

Answer

It is a synthetic monofilament undyed absorbable suture with high tissue reaction and low tensile strength

Answer

It is a synthetic monofilament undyed non absorbable suture with high tissue reaction and which degrades at 15-20% per year