207 - UPSC 2007 medical entrance mcqs with answers part 17

81. Regarding rheumatic heart disease, consider the following statements:

1. Rheumatic carditis is a pancarditis.
2. Carey-Coombs murmur is a delayed systolic munnur heard during the course of acute rheumatic fever.
3. Mitral regurgitation is the most common manifestation of acute rheumatic carditis.

Which of the statements given above is/are correct?

(a) 1 only
(b) 1 and 2
(c) 2 and 3
(d) 1 and 3

answer will post soon

82. Which one of the following does not cause pulsus paradoxus ?

(a) Severe aortic regurgitation
(b) Cardiac tamponade
(c) Constrictive pericarditis
(d) Acute severe bronchial asthma

answer a . severe aortic regurgitation causes of pulsus paradoxus are : 1. hypovolemic shock 2. acute obstructive airway disease 3. chronic obstructive airway disease ( asthma ) 4. pulmonary embolus 5. cardiac tamponade 6. constrictive pericarditis

83. Match List I with List II and select the correct answer using the code given below the Lists:

List-I List- II

(Heart sound) (Disease)

A. Loud S1 1.Valvular pulmonary stenosis
B. Loud S2 2.Atrial septal defect
C. Soft S2 3.Mitral stenosis
D. Wide and fixed S2 4. Pulmonary arterial Hypertension

Code:

a. A B C D
3 4 1 2

b. A B C D
3 1 4 2

c. A B C D
2 4 1 3

d. A B C D
2 1 4 3

answer a . A3 B4 C1 D2 loud S1 is seen in mitral stenosis and tricuspid stenosis loud S2 is seen in pulmonary arterial hypertension ( it is loud P2 actually ) soft S2 is seen in valvular pulmonary stenosis wide and fixed S2 is seen in atrial septal defect

84. Ghon's complex is not characterised by

(a) Hilar lymph nodes
(b) Pleural effusion
(c) Prominent draining lymphatics
(d) Subpleural focus

answer b . pleural effusion

85. Which one of the following is the drug of choice in the case of ventricular tachycardia in myocardial infarction?

(a) Xylocard
(b) Digitalis
(c) Quinidine
(d) Disopyramide

answer will post soon