2022 P2 Q19
Q1. Hypotension in an unconscious head injury patient is most commonly due to:
- pontine hemorrhage
- extradural hemorrhage
- intracerebral hemorrhage
- associated injuries of abdomen or chest
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 179
2020 P2 Q21
Q2. The term mid-line shift is associated with:
- Head injury
- Chest injury
- Abdominal injury
- Limb injury
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 43
2021 P1 Q100
Q3. A 4-year-old comatose child is assessed by the Modified Glasgow Coma Scale. Which of the following is the correct interpretation of the score given as E2V3M2 for the best eye opening response, best verbal response and best motor response respectively?
- Eye opening to speech, makes incomprehensible sounds and abnormal flexion
- Eye opening to speech, inappropriate words and abnormal flexion
- Eye opening to pain, moans to pain and abnormal flexion
- Eye opening to pain, cries to pain and extension to pain
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 98
2021 P2 Q31
Q4. A patient with suspected head injury is brought to the emergency following road traffic accident. At the time of examination, patient is conscious with GCS 14/15 and stable vitals. There is bleeding from right ear and CSF leak from nose. Bruising is present behind the right ear. The most probable clinical diagnosis in this patient is
- Extradural hematoma
- Fracture of the base of skull
- Cerebral concussion
- Traumatic subarachnoid haemorrhage
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 116
2021 P2 Q37
Q5. A comatose patient after sustaining severe head injury has been admitted in neurosurgical ICU. Which of the following parameters should ideally be maintained in this patient?
1. pCO2 = 4.5 – 5.0 kPa (33-38 mm Hg)
2. MAP = 80 – 90 mm of Hg
3. pO2 > 11 kPa (> 80 mm Hg)
4. Na+ < 130 meq/L
Select the correct answer using the code below:
- 1, 2 and 3
- 1, 2 and 4
- 1, 3 and 4
- 2, 3 and 4
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 118
2022 P1 Q100
Q6. After sustaining a head injury, an 18-month-old child displays eye opening only to pain, moans on painful stimuli, and withdraws to painful stimuli. What is the modified Glasgow Coma Scale Score in this child?
- 6
- 8
- 10
- 12
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 166
2023 P2 Q36
Q7. A patient with a head injury and a Glasgow Coma Scale of 10 is classified as:
- Minor injury
- Mild injury
- Moderate injury
- Severe injury
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 251
2024 P2 Q33
Q8. A 30-year-old motorbike rider is brought to the emergency with history of a road traffic accident and altered consciousness. On secondary survey, the doctor notices presence of a bruise over the left mastoid process. The finding indicates
- fracture of mastoid process
- injury to the external auditory meatus
- fracture of the skull base
- soft tissue injury to the neck
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 330
2025 P2 Q18
Q9. Which of the following statements are correct regarding primary survey/management of traumatic head injury patient?
I. Ensure adequate oxygenation and circulation
II. Exclude hypoglycaemia
III. Check for mechanism of injury
IV. Check pupil size and response Select the answer
using the code given below:
- I, II and III
- II, III and IV
- I, II and IV
- I, III and IV
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 424
