2020 P2 Q24
Q1. A 50-year old male with significant smoking history presented in the surgical emergency with sudden severe breathlessness. Chest X-ray shows right sided Pneumothorax. The appropriate management requires:
- Aspiration of air using a 16-18 G cannula
- Right chest drain of size 8-14 Fr
- Administration of oxygen via face mask
- Implementation of mechanical ventilation
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 44
2020 P2 Q34
Q2. During subclavian vein puncture in a surgical ward suddenly a patient developed severe breathlessness. On auscultation breath sound was absent and the ipsilateral chest was tympanitic on percussion. The probable diagnosis is:
- Iatrogenic pneumothorax
- Iatrogenic hemothorax
- Spontaneous pneumothorax
- Tension pneumothorax
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 46
2021 P2 Q33
Q3. A patient of Road Traffic Accident presents to the emergency with increasing restlessness and difficulty in breathing. The respiratory rate is 26 breaths/minute; there are distended neck veins; trachea is deviated to the right side with hyper-resonant chest on left side and absence of breath sounds on left side. Which of the following steps are correct?
1. The most probable clinical diagnosis is left tension pneumothorax
2. Immediate chest decompression using wide bore cannula in left second intercostal space should be done
3. Immediate chest X-ray should be done to confirm the clinical diagnosis
4. Definitive chest tube insertion in left fifth intercostal space should be done
Select the correct answer using the code:
- 1, 2 and 3
- 2, 3 and 4
- 1, 3 and 4
- 1, 2 and 4
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 116
2025 P1 Q88
Q4. A 56 year male came with acute onset breathlessness and found to have pneumothorax. The resident doctor decided to insert intercostal drain. Which one of the following sites is suitable for such a procedure?
- Hesselbach’s triangle
- Petit’s triangle
- Triangle of safety
- Triangle of auscultation
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 402
