UPSC CMS 2015 General Medicine and Pediatrics Paper 1 Question Paper (28-Jun-2015)

Question 1

The following statements in relation to right ventricular myocardial infarction are correct except:

Accepted Answer

The treatment includes intravenous diltiazem

Answer

It may occur along with inferior wall myocardial infarction

Answer

The ECG shows segment elevation in right precordial leads

Answer

Prognosis in right ventricular infarction is worse than the left ventricular myocardial infarction

Question 2

Atrial myxoma is associated with the following except:

Accepted Answer

Systolic murmur at apex

Answer

Fever

Answer

Weight loss

Answer

Subungual splinter haemorrhage

Question 3

Match List I with List II and select the correct answer using the code given below the lists: List I (Auscultatory findings) List II (Cardiac condition)AWide fixed split in the second heart sound1Pulmonary hypertensionBContinuous machinery murmur2Atrial septal defectC Muffled heart sounds3Patent ductus arterioususDWide variable split in the second heart sound4Pericardial effusion

Accepted Answer

ABCD2341

Answer

ABCD2431

Answer

ABCD1432

Answer

ABCD1342

Question 4

Match List I with List II and select the correct answer using the code given below the lists:  List I (Emergency drugs) List II (Clinical condition)AAmiodarone1A-V Block, mobitz type IIBAdenosine2Atrial fibrillationCDigoxin3Ventricular tachycardiaDAtropine4Paroxysmal supraventricular tachycardia

Accepted Answer

ABCD3421

Answer

ABCD1243

Answer

ABCD1423

Answer

ABCD3241

Question 5

Klebsiella pneumonia has the following characteristics except:

Accepted Answer

Lung abscess formation is very uncommon

Answer

Upper lobes are frequently involved

Answer

Pneumatocoele may occur commonly

Answer

Empyema is much more common

	List I (Auscultatory findings)		List II (Cardiac condition)
A	Wide fixed split in the second heart sound	1	Pulmonary hypertension
B	Continuous machinery murmur	2	Atrial septal defect
C	Muffled heart sounds	3	Patent ductus arteriousus
D	Wide variable split in the second heart sound	4	Pericardial effusion

	List I (Emergency drugs)		List II (Clinical condition)
A	Amiodarone	1	A-V Block, mobitz type II
B	Adenosine	2	Atrial fibrillation
C	Digoxin	3	Ventricular tachycardia
D	Atropine	4	Paroxysmal supraventricular tachycardia