Union Public Service Commission

(Download) UPSC GDMO, MO Gr-II & Doctor Gr-II Exam Paper

1. Which one of the following infections is mainly responsible for recurrent exacerbation of COAD in elderly?

(a) Rota virus
(b) Mycobacterium tuberculosis
(c) Staphylococcus aureus
(d) Haemophilus influenza

2. The following diseases have autosomal dominant inheritance except :

(a) Polycystic kidney disease
(b) Peutz Jegher syndrome
(c) Phenylketonuria
(d) Von Willebrand disease

3. A young female presents with right heart failure. On examination she has an elevated JVP with giant a wave, systolic murmur at left sternal border, soft delayed P2 with an ejection sound. The ECG shows right ventricular hypertrophy. She is likely to have:

(a) Pulmonary stenosis
(b) Tricuspid regurgitation
(c) Atrial septal defect
(d) Ventricular septal defect

4. Nocturnal hypoxaemia in COPD is due to all the following except:

(a) An increase in upper airway resistance because of muscle tone
(b) Stimulation of peripheral chemoreceptors
(c) Shallow breathing in REM sleep, reduced ventilation
(d) Inhibition of intercostals and accessory muscles in REM sleep

5. A 50 year old male presented with acute onset dyspnoea, orthopnoea and pinkish frothy sputum. The clinical diagnosis is:

(a) Acute bronchial asthma
(b) Acute pulmonary oedema
(c) Acute pulmonary embolism
(d) Pneumonia

6. Pseudo membranous colitis is caused by which of the following organisms?

(a) Shigella
(b) E. coli
(c) Clostridium perfringens
(d) Clostridium difficile

7. The ventricular tachycardia can respond to all of the following except:

(a) D C Cardioversion
(b) I.V. Amiodarone
(c) I.V. Lidocaine
(d) I.V. Digitalis

8. Which one of the following cardiac enzymes does not remain elevated for more than 48 hours after myocardial infarction?

(a) Creatinine kinase M B
(b) Troponin T
(c) Lactic dehydrogenase
(d) Aspartate amino transferase

9. All the following are helpful in the management of acute pulmonary oedema except :

(a) Administration of high flow high concentration oxygen
(b) Use of Morphine
(c) Administration of loop diuretics
(d) Make the patient lie in supine position

10. All of the following aggravate heart failure except :

(a) Intercurrent Infection
(b) Arrhythmia
(c) Fluid restriction
(d) Anaemia

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Courtesy: UPSC