UPSC CMS 2024 Surgery Answer Key

1. Damage control surgery Indication :	(d) Coagulopathy
2. Benefits of fracture management :	(c) Pain relief,prevention of infection & Restoration of anatomy
3. Bruise over mastoid	(c) Skull base fracture
4. Hangman :	(b) Axis C2 vertebrae
5. SIRS :	(c) 1,3,4 Bacteraemia & SIRS are different .
6. Checklist :	(d) WHO surgical safety check list
7. Hypertrophic scar Mx :	(b) 1,2,4 Vitamin E used rather than Vitamin A
8. Common electrolytes :	(c) 1,3,4 Calcium 5 mM/day (You can solved this question by thinking Ca is required more than the Mg but in options Ca & Mg requirement same is given.)
9. Distributive shock	(d) 1,2,3 High cardiac output is seen in distributive shock
10. Best monitor of adequacy of shock therapy :	(c) urine output

11. ADPKD :	(c) 1,3,4 Never manifest before age of 30
12. ESWL :	(b) urinary tract stones
13. Brain tumor presentation :	(c) 1,2,3 Raised ICP, seizures,Focal deficit
14. NF-1	(a) astrocytoma
15. Morgagni hernia	(d) 2,3,4 It occurs anteriorly in chest
16. A 40 year old lady…morning stiffness…ulnar deviation	(c) Rheumatoid arthritis
17. Diabetic female, joint issue	(b) Frozen shoulder
18. swelling on dorsum of wrist	(a) Ganglion cyst
19. UMN lesion	(b) 1,2,4 Plantar present rather than absent
20. ASA grading	(c) ASA 2

21. Barrett’s esophagus *	(c) 1,2,4
22. Complications of Liver trauma	(b) 1,2,4 Liver failure, biliary fistula, Liver failure
23. Local complications of acute pancreatitis:	(c) 1,2,4 Pseudocyst,pleural effusion,acute fluid collection
24. Risk factor for pancreas carcinoma	(c) 1,2,4 Cigarette smoking, diabetes mellitus, male gender
25. Metabolic causes of splenic enlargement :	(b) amyloid & gaucher
26. Mesenteric cyst :	(c) painless abdominal swelling
27. umbilical hernia in adults :	(b) 1,2,4 women > men
28. esophagus perforation mcc :	(c) Iatrogenic perforation
29. Damage control surgery :	(a) 1,2,3 Patient selection, control of H’age, Resuscitation in ICU
30. RCC :	(c) 1,3,4 Male > Female

31. Wound infection :	(b) 1,2,4 Malnutrition, poor perfusion, foreign material
32. Ionizing radiation :	(c) 1,3,4 Leukemia, breast Ca, Lymphoma
33. Li-fraumeni syndrome :	(b) 1,3,4 AD inheritance
34. Cramping pain	(c) Intermittent claudication
35. Sistrunk operation + Post op thyroxine replacement	(d) Thyroglossal cyst with only functional thyroid tissue
36. Leukoplakia :	(c) Edge biopsy
37. Acute visual loss	(c) 1,2,4 Obstruction of central retinal artery, Vitrous H’age, Retinal detachment
38. 60 year old lady….	(c) malignant transformation
39. Brain tumour association	(b) 1,2,4 NF-1, NF-2, HNPCC
40. Witch milk :	(a) Only seen in full term neonate caused by stimulation of the fetal breast by prolactin in response to the drop in maternal oestrogens