All India Institute of Medical Sciences 2003 Post Graduate Diploma med surgery upsc - Question Paper

a. Varying intensity of 1st Heart sound
b. Pulse deficit AI P PG
c. Disappearance of Presystolic accentuation of mid diastolic murmur.
d. Prominent ‘a’ wave on JVP

Ans: D

57. Infective Endocarditis is a very rare feature of
a. Patent ductus arteriosus
b. Osteum Secondum Atrial septal defect
c. Tetralogy of Fallot
d. Ventricular septal defect

Ans: B

58. Match List I (Clinical signs) with List II (Cardiac disease) and choose the accurate ans using the codes provided beneath the Lists
List I List II
(Clinical signs) (Caradiac disease )
A. Hill’s sign 1. Pericardial
effusion
B. Ewart’s sign 2. Hypertrophic
Cardiomyopathy
C. Double systolic 3.Junctional rhythm
impulse
D. Cannon waves 4. Aortic regurgitation
Codes :
(a) A B C D
4 2 1 3
(b) A B C D
3 1 2 4
(c) A B C D
4 1 2 3
(d) A B C D
3 2 1 4

Ans : C

43. Match List I (Type of pulse ) with List II (Cardiac pathology) and choose the accurate ans using the codes provided beneath the Lists
List I List II
(Type of pulse) (Cardiac pathology)
A. Pulsus parvus 1. Aortic stenosis
B. Bisferiens pulse 2. Cardiac tamponade
C. Pulsus alternans 3.Aortic stenosis and
regurgitation
D. Pulsus paradoxus 4.left ventricular
failure
Codes :
(a) A B C D
1 4 3 2
(b) A B C D
1 3 4 2
(c) A B C D
2 4 3 1
(d) A B C D
2 3 4 1

Ans: B

60. Consider the subsequent statements :
The features of severe asthma include
1. Central cyanosis.
2. disturbance of consciousness.
3. pulsus paradoxus.
4. heart rate less than 60/minute.
Which of these statements are accurate ?
a. 2,3 and 4
b. 1,3 and 4
c. 1,2 and 3
d. 1,2 and 4

Ans: C

61. A patient presents with breathlessness. He has bilateral basal crepitations. Lung functions tests reveal reduce in total lung capacity (TLC) and vital capacity (VC) with normal FEV1/VC ratio. The most likely diagnosis is
a. chronic bronchitis
b. idiopathic pulmonary fibrosis
c. cystic fibrosis
d. allergic bronchopulmonary aspergillosis

Ans : B

62. An otherwise healthy young man presented with sudden onset of breathlessness which was increasing rapidly. On examination, it was obtained that the left chest movement was grossly restricted, breath sounds were absent and tympanitic on percussion. The most likely diagnosis is

Earning:   Approval pending.