Score — UPSC CMS MCQs (Surgery)

Question 1

The recent classification system for listing a patient as a candidate for liver transplantation is:

Accepted Answer

C. MELD score

Answer

Child Pugh score

Answer

APACHE score

Answer

Metavir score

Question 2

Which one of the following is NOT an appropriate criterion for diagnosis of Systemic Inflammatory Response Syndrome (SIRS)?

Accepted Answer

C. Total leucocyte count > 16 × 10⁹ per litre

Answer

Respiratory rate > 20/min

Answer

Heart rate > 90/min

Answer

Temperature > 38°C

Question 3

The Child-Turcotte-Pugh (CTP) score for quantifying the severity of chronic liver disease includes all variables EXCEPT:

Accepted Answer

C. Serum creatinine

Answer

Serum bilirubin

Answer

Serum albumin

Answer

INR

Question 4

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?

Accepted Answer

D. Eye opening to pain, cries to pain and extension to pain

Answer

Eye opening to speech, makes incomprehensible sounds and abnormal flexion

Answer

Eye opening to speech, inappropriate words and abnormal flexion

Answer

Eye opening to pain, moans to pain and abnormal flexion

Question 5

The Model for End Stage Liver Disease (MELD) score includes which of the following variables?
1. Serum bilirubin
2. Serum albumin
3. Serum creatinine
4. International Normalized Ratio (INR)
Select the correct answer using the code:

Accepted Answer

C. 1, 3 and 4

Answer

1, 2 and 3

Answer

1, 2 and 4

Answer

2, 3 and 4

Question 6

Which of the following are the components of the SOFA (Sequential Organ Failure Assessment)?
1. Serum bilirubin
2. Platelet count
3. Leukocyte count
4. Serum Creatinine
Select the correct answer using the code:

Accepted Answer

B. 1, 2 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 7

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?

Accepted Answer

B. 8

Answer

6

Answer

10

Answer

12

Question 8

In seat belt syndrome, the most common site of bleeding is from:

Accepted Answer

B. Mesentery

Answer

Bowel

Answer

Liver

Answer

Spleen

Question 9

A patient with a head injury and a Glasgow Coma Scale of 10 is classified as:

Accepted Answer

C. Moderate injury

Answer

Minor injury

Answer

Mild injury

Answer

Severe injury

Question 10

Which one of the following is the appropriate scoring system used to assess the risk of stroke in patients of non-valvular chronic atrial fibrillation on oral anticoagulation?

Accepted Answer

D. CHA2DS2VASc

Answer

HAS-BLED

Answer

AMT-4

Answer

CURB-65

Question 11

Which of the following are correct in respect of Systemic Inflammatory Response Syndrome (SIRS)?
1. It is caused by the release of lipopolysaccharide endotoxin from dying E. coli bacteria.
2. It is same as bacteremia.
3. It results in Multiple Organ Dysfunction Syndrome (MODS).
4. White cell counts of more than 12 × 10⁹/litre are present.
Select the correct answer using the code:

Accepted Answer

C. 1, 3 and 4

Answer

1, 2 and 3

Answer

1, 2 and 4

Answer

2, 3 and 4

Question 12

Which of the following are components of SOFA scoring system?
I. PaO₂/FiO₂ ratio
II. Mean arterial pressure
III. Glasgow coma scale
IV. Prothrombin Time with INR
Select the correct answer using the code:

Accepted Answer

A. I, II and III

Answer

I, II and IV

Answer

I, III and IV

Answer

II, III and IV

Q1. The recent classification system for listing a patient as a candidate for liver transplantation is:

Q2. Which one of the following is NOT an appropriate criterion for diagnosis of Systemic Inflammatory Response Syndrome (SIRS)?

Q3. The Child-Turcotte-Pugh (CTP) score for quantifying the severity of chronic liver disease includes all variables EXCEPT:

Q4. 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?

Q5. The Model for End Stage Liver Disease (MELD) score includes which of the following variables? 1. Serum bilirubin 2. Serum albumin 3. Serum creatinine 4. International Normalized Ratio (INR) Select the correct answer using the code:

Q6. Which of the following are the components of the SOFA (Sequential Organ Failure Assessment)? 1. Serum bilirubin 2. Platelet count 3. Leukocyte count 4. Serum Creatinine Select the correct answer using the code:

Q7. 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?

Q8. In seat belt syndrome, the most common site of bleeding is from:

Q9. A patient with a head injury and a Glasgow Coma Scale of 10 is classified as:

Q10. Which one of the following is the appropriate scoring system used to assess the risk of stroke in patients of non-valvular chronic atrial fibrillation on oral anticoagulation?

Q12. Which of the following are components of SOFA scoring system? I. PaO₂/FiO₂ ratio II. Mean arterial pressure III. Glasgow coma scale IV. Prothrombin Time with INR Select the correct answer using the code: