UPSC CMS 2025 General Medicine and Pediatrics Question Paper (20-Jul-2025)

Question 1

Which of the following heart sounds are best heard with the bell of stethoscope?

I. Opening snap

II. Systolic click

III. Third heart sound

IV. Mid diastolic murmur

Select the correct answer using the code given below:

Accepted Answer

III and IV

Answer

I and IV

Answer

II and III only

Answer

I, II and III

Question 2

Consider the following statements for diagnosing ventricular aneurysm in a patient with recent myocardial infarction:

I. Paradoxical impulse on chest wall

II. Persistent ST elevation on ECG

III. Unusual bulge from cardiac silhouette on X-ray

IV. Presence of pulsus paradoxsus

Which of the above are correct?

Accepted Answer

I, II and III

Answer

I and II only

Answer

I and IV

Answer

II, III and IV

Question 3

Which one of the following statements is correct for subcutaneous nodules in Rheumatic fever?

Accepted Answer

They typically appear more than 3 weeks after onset of other clinical manifestations

Answer

They are present over flexor aspect of forearm

Answer

They are painful tender nodules

Answer

The usual size of these nodules is 3-5 cm

Question 4

Which one of the following is correct with regard to Carey Coombs murmur?

Accepted Answer

Soft mid-diastolic murmur due to mitral valvulitis

Answer

Soft systolic murmur due to mitral regurgitation

Answer

Harsh early diastolic murmur due to aortic regurgitation

Answer

Blowing late systolic murmur due to aortic stenosis

Question 5

Which of the following statements is correct regarding the Opening Snap (OS) in a patient of mitral stenosis?

Accepted Answer

OS moves closer to the second sound (S2) as the stenosis becomes more severe

Answer

OS is best heard with the bell of stethoscope

Answer

Intensity of OS becomes louder when the valve is calcified

Answer

OS is best heard at the second left intercostal space