Q-5. A patient of motor vehicle accident was admitted to the casualty. He does not speak but moans every now and then, eyes are closed but opens to pain, the right limb is not moving but the left limb shows movement to pain. Both the limbs are in extended posture. What will be the GCS score?
a) 5
b) 7
c) 9
d) 11
Answer: 9
Explanation:
Q-6. A child has scald burns on both of his hands due to hot water treatment. The lesion is pink, oozing and painful to air and touch. What is the most appropriate management?
a) Debride and leave the wound open
b) Collagen dressing
c) Observe only with silver sulfasalazine ointment application every alternate day
d) Excision and grafting
Answer: Collagen dressing
Explanation:
Q-7. All the following are true about imaging in primary survey of a trauma patient except:
a) Cervical X-ray is not mandatory
b) Chest X-Ray and pelvic X-Ray are taken as a part of primary survey
c) Hemo-dynamically stable patients should not be sent for CT scan
d) Patients should be shifted with neck support and cervical spine stabilization only
Answer: Hemo-dynamically stable patients should not be sent for CT scan
Explanation:
Q-8. In a trauma patient, with neck pain who is hemo-dynamically stable and with normal vitals, which of the following is the best statement regarding neck imaging?
a) Send the patient for X-ray on the same trolley with neck collar support and stabilization
b) Doctor should order a cervical X-ray and accompany and transfer the patient himself
c) X-ray cervical spine AP and lateral views are required
d) Patient should not be shifted for X-ray
Answer: Send the patient for X-ray on the same trolley with neck collar support and stabilization
Explanation:
Q-9. A patient underwent laparoscopic cholecystectomy and was discharged on the same day. On post-operative day 3, he presented to the hospital with fever. Ultra-sonography showed a 5 x 5 cm collection in the right sub diaphragmatic region. What will be the management?
a) Observe with antibiotic cover
b) Re-explore the wound with T-tube insertion
c) Pigtail insertion and drainage
d) ERCP and proceed