UPSC CMS 2016 General Medicine and Pediatrics Paper 1 Question Paper (12-Jun-2016)

Question 1

A 40-year old male is admitted with acute inferior wall myocardial infarction. Half an hour later his B.P. is 80/50 mm Hg and heart rate is 40/minute with sinus rhythm. The most appropriate step in the management of this patient would be:

Accepted Answer

Intravenous administration of atropine sulfate

Answer

Administration of normal saline 300 ml over 15 minutes

Answer

Immediate insertion of temporary pacemaker

Answer

Intravenous administration of iso-prenaline 50 $\mu g$/minute

Question 2

The characteristic feature of tricuspid insufficiency in the jugular venous pulse is:

Accepted Answer

Obliteration of the 'x' descent and prominent 'CV' wave

Answer

Prominent 'a' wave

Answer

Exaggerated 'x' and 'y' descents

Answer

Cannon waves

Question 3

Match List I with List IIList I (Clinical Features)List II (Diagnosis)A. Osler's node 1. Patent ductus arteriosus witd reversal of shuntB. Differential cyanosis2. Aortic stenosis witd aortic regurgitationC. Bisferiens pulse3. Pulmonary hypertensionD. Graham Steell murmur 4. Subacute bacterial endocarditis

Accepted Answer

A-4, B-1, C-2, D-3

Answer

A-4, B-1, C-3, D-2

Answer

A-1, B-4, C-2, D-3

Answer

A-1, B-4, C-3, D-2

Question 4

Acute aortic regurgitation occurs in:

Accepted Answer

Infective endocarditis

Answer

Ankylosing spondylitis

Answer

Marfan's syndrome

Answer

Rheumatoid arthritis

Question 5

The following are early complications of acute myocardial infarction except:

Accepted Answer

Dressler's syndrome

Answer

Papillary muscle dysfunction

Answer

Ventricular septal defect

Answer

Ventricular free wall rupture

List I (Clinical Features)	List II (Diagnosis)
A. Osler's node	1. Patent ductus arteriosus witd reversal of shunt
B. Differential cyanosis	2. Aortic stenosis witd aortic regurgitation
C. Bisferiens pulse	3. Pulmonary hypertension
D. Graham Steell murmur	4. Subacute bacterial endocarditis