UPSC CMS 2020 General Medicine and Pediatrics Paper 1 Question Paper (22-Oct-2020)

Question 1

A chronic alcoholic develops a paroxysm of palpitations after alcohol binge. Which of the following Arrhythmia is most likely?

Accepted Answer

Atrial fibrillation

Answer

Ventricular fibrillation

Answer

Ventricular premature complex

Answer

Atrial flutter

Question 2

An elderly-man with history of Diabetes mellitus and Coronary Artery Disease comes for follow-up, with complaints of muscle pains. Which one of the following drugs could be the most likely cause?

Accepted Answer

Atorvastatin

Answer

Aspirin

Answer

Glimepiride

Answer

Enalapril

Question 3

A 40-year old lady comes to outdoor clinic with complaints of sudden onset chest pain. The chest X-ray shows bilateral Pneumothorax. Examination reveals abnormalities of body habitus-including long arms, legs and finger (arachnodactyly), scoliosis, high arched palate, joint hypermobility, and a pansystolic murmur at cardiac apex. Which one of the following diseases is most likely?

Accepted Answer

Marfan's syndrome

Answer

Takayasu's arteritis

Answer

Raynaud's syndrome

Answer

Rheumatic heart disease-Mitral regurgitation

Question 4

All of the following are indications for treadmill testing/exercise-testing EXCEPT:

Accepted Answer

To evaluate the treatment efficacy of antianginal drugs

Answer

To confirm the diagnosis of angina

Answer

To evaluate stable angina

Answer

To assess outcome after coronary revascularization

Question 5

Kussmaul's sign is present in all of the following conditions, EXCEPT:

Accepted Answer

Hypertrophic Cardiomyopathy

Answer

Massive Pulmonary Embolism

Answer

Restrictive Cardiomyopathy

Answer

Right Ventricular Infarction