Question
A 22-year-old male presents with left-sided chest pain and breathlessness after a road traffic accident. Examination reveals absent left-sided breath sounds. CT Chest image is shown below (showing bowel loops within the left hemithorax). What is the diagnosis of this patient?
This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is
Bowel loops herniation
Following blunt trauma (RTA) with left-sided absent breath sounds and a CT chest showing bowel loops within the thoracic cavity, the diagnosis is traumatic diaphragmatic rupture with herniation of abdominal bowel loops into the thorax, not a simple pneumothorax or effusion.
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Important Questions from ICU Protocols
- Which of the following are the components of the SOFA (Sequential Organ Failure Assessment) ?
1. Serum bilirubin
2. Platelet count
3. Leucococyte count
4. Serum Creatinine
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1. Pericardial tamponade
2. Pulmonary thrombo-embolism
3. Hyperthermia
4. Hypokalemia
Select the correct answer using the code given below : Which one of the following is NOT an appropriate criterion for diagnosis of Systemic Inflammatory Response Syndrome (SIRS)?
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- Biphasic defibrillation in case of ventricular fibrillation is first done with:
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