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UPSC CMS 2010 Paper 1
(Single Best Answer) Question 1: 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 beats per minute. What is the most likely diagnosis ?
A) Ventricular tachycardia
B) Atrial fibrillation
C) Sinus arrhythmia
D) Paroxysmal supraventricular tachycardia
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 66-year old lady presents to 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 (Select an option above to get the answer):
(Single Best Answer) Question 3: 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 hypoxaemia. What is the probable diagnosis ?
A) Acute bacterial pneumonia
B) Acute severe asthma
C) Acute pleurisy
D) Tension pneumothorax
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: 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) Gastric outlet obstruction
B) Zenker's diverticulum
C) Scleroderma
D) Diabetic gastroparesis
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: Which one of the following bacteria almost never cause cavities in the lungs ?
A) Staphylococcus aureus
B) Pseudomonas aeruginosa
C) Actinomyces
D) Haemophilus influenzae
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: A 24-year-old woman with the history of ulcerative colitis presented with progressive jaundice associated with pruritus 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 common bile duct
D) Stones
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: Early recurrent falls in elderly with ophthalmoplegia suggests the possibility of ?
A) Huntington's chorea
B) Parkinson's disease
C) Shy-Drager syndrome
D) Progressive supra nuclear palsy
Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: Consider the following:
Recognised causes of proximal type II Renal Tubular Acidosis (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 and 4
B) 1 and 2 only
C) 1, 2 and 3
D) 2, 3 and 4
Answer (Select an option above to get the answer):
(Single Best Answer) Question 9: Criteria for hospital admission of an adult with community acquired pneumonia includes all except ?
A) Respiratory rate > 28 / min
B) Total leukocyte count > 11000/cu mm
C) New onset confusion or impaired level of consciousness
D) Hypoxemia PaO2< 60 mm Hg
Answer (Select an option above to get the answer):
(Single Best Answer) Question 10: Consuming which of the following food products is most associated with Escherichia coli type 0157 infection ?
A) Eggs
B) Poultry
C) Beef
D) Soft cheese
Answer (Select an option above to get the answer):
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