UPSC CMS 2011 General Medicine and Pediatrics Paper 1 Question Paper (16-Jan-2011)

Question 1

A 38-year-old man presents with chest pain and shortness of breath. His pulse rate is $85$/min, blood pressure is $180/118$ mmHg and the cardiac auscultation reveals an ejection systolic murmur. The ECG shows LVH pattern and ST depression in the anterior leads. His Troponin T test is positive. The echocardiogram of the person is likely to reveal

Accepted Answer

Aortic stenosis

Answer

Aortic regurgitation

Answer

Mitral regurgitation

Answer

Mitral valve prolapse

Question 2

A young woman in the mid-20s with abnormally low body weight reports binge eating and purging 5 - 10 times a week for the last several years. She has intense fear of becoming fat and has a feeling that she is fat despite an objectively low weight. She has also developed amenorrhoea. What is the most appropriate diagnosis ?

Accepted Answer

Anorexia nervosa

Answer

Bulimia nervosa

Answer

Endogenous depression

Answer

Schizophrenia

Question 3

A patient is admitted with severe diarrhoea and vomiting. On examination, he is hypotensive and dehydrated. His haemoglobin is $19$ gm%. The most likely reason for raised haemoglobin is

Accepted Answer

Relative polycythaemia

Answer

Secondary polycythaemia

Answer

Polycythaemia vera

Answer

Essential thrombocythaemia

Question 4

Consider the following statements :During an acute attack of asthma :1. Pulsus paradoxus develops when the $FEV_1$ is less than 25 per cent of the predicted value.2. A normal to increased $PaCO_2$ signals a severe airway obstruction and impending respiratory failure.3. The arterial $PaCO_2$ decreases and the arterial pH increases.4. The presence of cyanosis is a reliable prognostic sign.Which of the statements given above are correct ?

Accepted Answer

1, 2 and 3

Answer

2, 3 and 4

Answer

1, 3 and 4

Answer

1, 2 and 4

Question 5

A 30-year-old man presents with fever and progressively increasing breathlessness since the last two weeks. His clinical examination reveals : pulse $120$/min regular, BP $100/60$ mmHg, and muffled $S_1$ and $S_2$ heart sounds. The distended jugular vein has a rapid X descent, with an absent Y descent. What is the probable diagnosis ?

Accepted Answer

Cardiac tamponade

Answer

Right ventricular failure

Answer

Constrictive pericarditis

Answer

Left ventricular failure