338 - UPSC CMS 2010 Mcqs with answers - part 1

1q: A young college student having regular heart rate of 172 beats per minute attends OPD for uneasy sensation in chest. Carotid sinus pressure brings down the heart rate to 72 per minute. What is the most likely diagnosis ?
a. Ventricular tachycardia
b. Atrial fibrillation
c. Sinus arrythmia
d. PSVT

answer d. PSVT.

2q: A 66 year old lady presents to the emergency with 2 episodes of vomiting. Her ECG shows elevation of ST segment in inferior leads. Her BP is 80 mm systolic. The best way to start correcting her BP is ?
a. Immediate thrombolysis
b. Rescue PTCA
c. Normal saline infusion
d. Dopamine infusion

answer c. Normal saline infusion.

3q: A 15 year old boy is brought to the emergency room by the class teacher from the chemistry laboratory. The boy is an atopic individual with pulse rate of 116/minute regular, unable to speak in sentences and ABG shows severe hypoxemia. What is the probable diagnosis ?
a. Acute bacterial pneumonia
b. Acute severe asthma
c. Acute pleurisy
d. Tension pneumothorax

answer b. Acute severe asthma.

4q: A 45 year old man presented with regurgitated food particles eaten several days earlier. He has foul smelling breath and occasional dysphagia for solid food. What is the probable diagnosis ?
a. GOO
b. Zenker's diverticulum
c. Scleroderma
d. Diabetic gastroparesis

answer b. Zenker's diverticulum.

5q: Which one of the following bacteria almost never causes cavities in the lungs ?
a. Staphylococcus aureus
b. Pseudomonas aeruginosa
c. Actinomyces
d. Haemophilus influenzae

answer d. H.inflenza.

6q: A 24 year old woman with the history of ulcerative colitis presented with progressive jaundice associated with pruritis and intermittent right upper quadrant abdominal pain. What would be the most likely ERCP finding ?
a. Normal finding
b. Diffuse strictures of common bile duct
c. Malignant strictures of CBD
d. Stones

answer b. Diffuse strictures of CBD.

7q: Early recurrent falls in elderly with opthalmoplegia suggests the possibility of ?
a. Huntington's chorea
b. Parkinson's disease
c. Shy-Drager syndrome
d. Progressive Supra nuclear palsy

answer d. Progressive supranuclear palsy.

8q: Consider the following :
Recognised causes of Proximal Type II (RTA) include :
1. Amyloidosis
2. Heavy metal poisoning
3. Renal transplant rejection
4. Hyperparathyroidism

Select the correct answer using the code given below :
a. 1,3,4
b. 1 and 2 only
c. 1,2 and 3
d. 2,3 and 4

answer c. 1,2,3.

Causes of Proximal RTA :


Familial disorders
* Cystinosis
* Galactosemia
* Glycogen storage disease (type I)
* Hereditary fructose intolerance
* Lowe syndrome
* Tyrosinemia
* Wilson's disease

Acquired disorders
* Amyloidosis
* Multiple myeloma
* Paroxysmal nocturnal hemoglobinuria
* Kidney transplant rejection
* Toxins, such as HAART, ifosfamide, lead, and cadmium (heavy metals)

9q: Criteria for hospital admission of an adult with community acquired pneumonia includes all except ?
a. Respiratory rate greater than 28/min
b. TLC greater than 11,000/cu.mm
c. New onset confusion or impaired level of consciousness
d. Hypoxemia PaO2 less than 60 mm Hg

answer b. TLC greater than 11,000/cu.mm

*Go to this page to read more about PSI score and CURB-65 score.

10q: Consuming which of the following food products is most associated with E.Coli type 0157 infection ?
a. Eggs
b. Poultry
c. Beef
d. Soft cheese

answer c. Beef.

*Escherichia coli O157:H7 is an enterohemorrhagic strain of the bacterium Escherichia coli and a cause of foodborne illness. Infection often leads to hemorrhagic diarrhea, and occasionally to kidney failure, especially in young children and elderly. Most illness has been associated with eating undercooked, contaminated ground beef, drinking unpasteurized milk, swimming in or drinking contaminated water, and eating contaminated vegetables.