UPSC CMS 2022 General Medicine and Pediatrics Paper 1 Question Paper (17-Jul-2022)

Question 1

A 52 year old man with history of coronary artery disease is currently on sublingual nitroglycerin 0.5 mg, SOS, metoprolol 50 mg twice a day, aspirin 75 mg once a day, enalapril 5 mg once a day, for the last one year. The patient is now complaining of breathlessness and wheeze. Which one of the following drugs is most likely to be implicated for this new symptom ?

Accepted Answer

Metoprolol

Answer

Enalapril

Answer

Nitroglycerin

Answer

Aspirin

Question 2

A patient with ischaemic heart disease on regular follow-up has a resting heart rate of 90 beats/minute. The patient is taking metoprolol 50 mg twice a day. Which one of the following drugs may be added to his prescription if he also has signs of heart failure ?

Accepted Answer

Ivabradine

Answer

Ranolazine

Answer

Diclofenac

Answer

Prednisolone

Question 3

An 18 year old boy got frost bite of left feet after working in a snowy field for 5-6 hours. He complained of pain, numbness and limited moment of his toes. The skin appeared white and waxy. Which one of the following is contradicted as initial treatment ?

Accepted Answer

Massage

Answer

Rewarming by immersion of feet in water bath at 40-44°C

Answer

Use of analgesia and sterile dressing

Answer

Cleaning of injured area with soap

Question 4

Which of the following anti-coagulant agents can be administered by oral route ?1. Rivaroxaban2. Fondaparinux3. Apixaban4. DabigatranSelect the correct answer using the code given below :

Accepted Answer

1, 3 and 4

Answer

1 and 3 only

Answer

1, 2 and 4

Answer

2, 3 and 4

Question 5

Which of the following drugs may be associated with leg swelling ?1. Calcium channel blockers2. NSAIDs3. Glucocorticoids4. MineralocorticoidsSelect the correct answer using the code given below :

Accepted Answer

1, 2, 3 and 4

Answer

1 and 2 only

Answer

2, 3 and 4 only

Answer

3 and 4 only