Union Public Service Commission

Combined Medical Services Exam, 2014

Surgery, Gynaecology and Social Medicine Paper - II

Exam Name: Combined Medical Services Exam

Year: 2014

File Size: 1.95 MB

File Type: PDF

1. A 40 year old man presented with a flat 1x1cm. scaly, itchy black mole on the front of thigh. Examination did not reveal any inguinal lymphodenopathy. The best course of management would be:

(a) FNAC of lesion
(b) Incision biopsy
(c) Excision biopsy
(d) Wide excision with inguinal lymphadenectomy.

2. Indications of TURP for Benign Hyperplasia Prostate (BHP) include

1. Urinary flow rate of less than 10cc/second
2. Residual volume of urine >100cc
3. Serum level of prostatic specific antigen>10nmol/L
4. Trabeculated Urinary bladder

Select the correct answer using the code given below:

(a) 1, 2 and 3
(b) 2, 3 and 4
(c) 1, 2 and 4
(d) 1, 3 and 4

3. Ankyloglossia in a patient with carcinoma tongue is staged as

(a) T₁
(b) T₂
(c) T₃
(d) T₄

4. Which is the most commonly used chemotherapy regimen in the adjuvant treatment following modified radical mastectomy in the estrogen receptor negative 35 year old female with breast cancer?

(a) Cyclophosphamide + 5 – Fluro-uracil
(b) Cyclophosphamide + Methotrexate + 5–Fluoro-uracil
(c) Cyclophosphamide + Adriamycin + 5–Fluro-uracil
(d) Adriamycin + 5–Fluro-uracil

5. Consider the following statements:
The clinical features of tension pneumothorax include

1. tracheal shift to contralateral side
2. absent breath sounds on the affected side
3. low output circulatory failure
4. peripheral cyanosis

Which of the statements given above is/are correct?

(a) 1, 2 and 3
(b) 1 and 3 only
(c) 2 and 4
(d) 1 and 4

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