ONE PYQ

#1. Which of the following heart sounds are best heard with the bell of stethoscopе?
I. Opening snap
II. Systolic click
III. Third heart sound
IV. Mid diastolic murmur

Select the correct answer using the code given below:
1. I and IV
2. II and III only
3. III and IV
4. I, II and III

#2. Consider the following statements for diagnosing ventricular aneurysm in a patient with recent myocardial infarction:
I. Paradoxical impulse on chest wall
II. Persistent ST elevation on ECG
III. Unusual bulge from cardiac silhouette on X-ray
IV. Presence of pulsus paradoxsus

Which of the above are correct?
1. I and II only
2. I and IV
3. I, II and III
4. II, III and IV

#3. Which one of the following statements is correct for subcutaneous nodules in Rheumatic fever?
1. They are present over flexor aspect of forearm
2. They are painful tender nodules
3. The usual size of these nodules is 3-5 cm
4. They typically appear more than 3 weeks after onset of other clinical manifestations

#4. Which one of the following is correct with regard to Carey Coombs murmur?
1. Soft systolic murmur due to mitral regurgitation
2. Soft mid-diastolic murmur due to mitral valvulitis
3. Harsh early diastolic murmur due to aortic regurgitation
4. Blowing late systolic murmur due to aortic stenosis

#5. Which of the following statements is correct regarding the Opening Snap (OS) in a patient of mitral stenosis?
1. OS is best heard with the bell of stethoscopе
2. Intensity of OS becomes louder when the valve is calcified
3. OS moves closer to the second sound (S2) as the stenosis becomes more severe
4. OS is best heard at the second left intercostal space

#6. Which one of the following responses to intravenous adenosine is correctly matched regarding Arrhythmia – Response?
1. Atrial fibrillation – Termination
2. Atrio-ventricular nodal re-entrant tachycardia – Termination
3. Ventricular tachycardia – Termination and complete recovery.
4. Atrial flutter – Termination and complete recovery

#7. Consider the following steps for using a metered dose inhaler (MDI):
I. Incline the head backward to minimize oropharyngeal deposition
II. Remove the cap and shake the inhaler
III. Breathe out gently and place the mouthpiece into the mouth
IV. Hold the breath for 10 seconds
V. Simultaneously, begin a slow deep inspiration, depress the canister and continue to inhale
Which one of the following is the correct sequence of using MDI?
1. III, II, I, V, IV
2. II, I, IV, III, V
3. II, III, I, V, IV
4. III, I, II, IV, V

#61. Which of the following bones are commonly affected in Osteoarthritis?
I. First metatarsophalangeal joint
II. Proximal interphalangeal joint
III. Ankle joint
IV. 5th and 6th cavical vertebrae joint

Select the correct answer using the code given below:
(a) I and Il only
(b) III and IV only
(c) I, Il and IV only
(d) I, Il, III and IV

#62. Which of the following are causes of reversible dementia?
I. Hypothyroidism
II. Vitamin B12 deficiency
III. Dementia with lewy body
IV. Thiamine deficiency

Select the correct answer using the code given below?
(a) I, II and III
(b) I, Il and IV
(c) I, Ill and IV
(d) II, III and IV

#63. Which of the following are clinical features of Fronto-Temporal dementia?
I. Personality change
II. Language disturbance
III. Memory may be preserved in early stages
IV. Anti-cholinesterases are the drug of choice for treatment

Select the correct answer using the code given below:
(a) I, Il and Ill
(b) I, II and IV
(c) I, Ill and IV
(d) II, III and IV

#64. Which one of the following is the myelinating cell of the Central Nervous System?
1. Astrocyte
2. Mycroglia
3. Schwann cell
4. Oligodendrocyte

#65. Which of the following is the correct description of Mee\'s lines, seen in chronic arsenic poisoning?
1. Transverse white lines on nails of fingers and toes
2. Transverse red lines on the skin of palms and soles
3. Transverse white lines on the skin of palms and soles
4. Transverse red lines on nails of fingers and toes

#66. Fomipezole is an antidote used to treat poisoning from which of the following substances?
I. Methanol
II. Digoxin
III. Cocaine
IV. Ethylene glycol

Select the correct answer using the code given below:
(a) I and Il
(b) Il and Ill
(c) III and IV
(d) I and IV

#67. The 4A Test is a screening tool for detection of delirium. Which of the following parameters are included in the 4AT tool?
I. Alertness
II. Apnea
III. Abbreviated Mental Test (AMT4)
IV. Attention

Select the correct answer using the code given below:
(a) I, II and III
(b) I, II and IV
(c) I, Ill and IV
(d) II, III and IV

#68. Which of the following combinations of lab test results is indicative of heavy alcohol consumption, with more than 60% sensitivity and specificity?
1. Gamma glutamyl transferase (GGT) > 35 U/L and alkaline phosphatase > 45 U/L
2. Carbohydrate-deficient transferrin (CDT) >20 U/L and serum uric acid 91 fL and CDT < 20 U/L
4. CGT > 35 U/L and CDT > 20 U/L

#69. What is the antidote for belladonna poisoning?
1. Physostigmine
2. Amitriptyline
3. Atropine
4. Flumazenil

#70. Which one of the following prevents gastrointestinal absorption of thallium?
1. Calcium carbonate
2. Prussian blue
3. Penicillamine
4. Potassium permanganate

#71. A 45-year old farmer came with accidental consumption of a pesticide. He complained of frequent urination and excessive salivation.
Which one of the following toxidromes is most likely to be associated with this poisoning ?
(a) Serotonergic
(b) Cholinergic
(c) Adrenergic
(d) Hypnotic

#72. Consider the following regarding salicylate poisoning:
I. Arterial pH of 7-25, anion gap of 18 mmol/L
II. Arterial pH of 7-25, anion gap of 10 mmol/L
III. pCO, of 20 mm Hg
IV. pCO, of 48 mm Hg
Which disturbance is likely to be cncountered ?
(a) I and III
(b) II and III
(c) I and IV
(d) II and IV

#73. Which of the following statements are typical for classic heat stroke?
I. Older patient
II. Nomokalemia
III. Hyponatremia
IV. Marked lactic acidosis
Select the correct answer using the code given below:
(a) I and III
(b) I and II
(c) II and IV
(d) II and IV