Hello future doctors these 10 are those aspects which should never
ever go wrong in FMG licensure exam conducted by Indian government. Check out
the crisp explanations
1. An electrician is brought to ER with burns. You estimate 45%
TBSA to be involved. What is the fluid
to be given in first 8 hours?
A. 6 L
B. 8 L
C. 9 L
D. 4.5 L
Answer: C. 9 L
Since patient is having electrical
burns, use Parkland formula: 4 mL × kg × %TBSA. For a 50 kg patient: 4 × 50 ×
45 = 9000 mL. Half is given in first 8 hours from time of burn, not hospital
arrival. If electrical burns is not mentioned we will use formula of 2ml per kg
per percentage of BSA.
2. Which is the most sensitive investigation for detecting early
pancreatic necrosis?
A. X-ray abdomen
B. Serum lipase
C. CT with contrast
D. MRI abdomen
Answer: C. CT with contrast
Contrast-enhanced CT is the gold
standard for identifying pancreatic necrosis, best done after 48–72 hours of
symptom onset. MRI may show ductal anatomy but is less preferred in acute
necrosis.
3. Most reliable sign of brain death:
A. Absent corneal reflex
B. No respiratory effort after apnea
test
C. Fixed pupils
D. Absent doll’s eye movement
Answer: B. No respiratory effort after
apnea test
Apnea test confirms brainstem failure.
It’s the most definitive criterion. Other signs may be present in other
comatose conditions.
4. Which of the following is gold standard investigation for
diagnosis of DVT?
A. D-dimer
B. Venography
C. Doppler USG
D. MRI
Answer: B. Venography
Venography is the gold standard and
most sensitive, it’s invasive. IOC is Doppler USG and is commonly used due to
ease and non-invasiveness. D-dimer is sensitive but nonspecific.
5. Most common immediate complication of thyroid surgery is
___________?
A. Hypoparathyroidism
B. Tension Hematoma
C. Recurrent laryngeal nerve injury
D. Seroma
Answer: B: Tension hematoma
Hematoma is the most common immediate
(within hours) complication after thyroidectomy.
It can compress the trachea and lead
to life-threatening airway obstruction.
Presents with neck swelling, stridor,
and respiratory distress.
It is a surgical emergency — needs
immediate decompression by opening the wound at the bedside if necessary.
RLN injury manifests later. It can
cause hoarseness or airway compromise. Superior laryngeal nerve injury affects
pitch.
6. Which hernia is most prone to strangulation?
A. Indirect inguinal
B. Direct inguinal
C. Femoral
D. Umbilical
Answer: C. Femoral
Though inguinal hernias are more
common, femoral hernias have a narrow neck, making them prone to strangulation,
especially in elderly females.
7. Triple assessment for breast lump includes all except?
A. FNAC
B. Mammography
C. Clinical examination
D. BRCA-1
Answer: D. BRCA-1
Triple assessment = Clinical + Imaging
+ Pathology (FNAC/Core biopsy).
8. Sentinel lymph node biopsy is indicated in?
A. Inflammatory breast cancer
B. DCIS
C. Paget’s disease
D. T1 N0 MO
Answer: D. T1 N0 MO (Early breast
cancer without palpable nodes)
Sentinel lymph node biopsy helps avoid
full axillary clearance. Not done in inflammatory carcinoma or if nodes are
already involved clinically.
9. Best initial step in management of blunt abdominal trauma in crashing
patient is?
A. CT abdomen
B. FAST scan
C. Diagnostic peritoneal lavage
D. Laparotomy
Answer: D: Laparotomy
If patient is crashing then Laparotomy
is best.
REBOA: Resuscitative Endovascular Balloon Occlusion of the Aorta. It’s a
life-saving, minimally invasive procedure used to temporarily control massive
bleeding (especially non-compressible torso haemorrhage) in trauma patients.
In an unstable patient, FAST (Focused Assessment with Sonography
in Trauma) is quick, non-invasive, and can detect free fluid. CT requires
stability.
10. Glasgow Coma Scale motor response score for localizing to
pain:
A. 3
B. 4
C. 5
D. 6
Answer: C. 5
GCS motor component:
Score:
Response
6 -Obeys commands
5 –Localizes pain
4 -Withdraws from pain
3 -Abnormal flexion (decorticate)
2 -Extension (decerebrate)
1 -No response