UPSC Recruitment Paper 2016 : Civilian Medical Officer in DGAF Medical Services

UPSC Recruitment Paper 2016 : Civilian Medical Officer in DGAF Medical Services

1. A 56 year old lady with osteoarthritis of both knees presents with severe calf pain localised to the left side. She is active and denies fever or trauma. Clinical examination is unremarkable except for mild non pitting oedema in the leg and tenderness in the popliteal fossa. She is worried that she may have a clot in the leg. What will be the next most appropriate investigation?

(a) D-Dimer
(b) Doppler USG
(c) X-Ray Knee-AP and Lateral View
(d) MRI venography

2. What is the single most important investigation in a patient with isolated Right sided pleural effusion?

(a) X Ray Chest PA and Lateral decubitus view
(b) Ultrasound chest
(c) Pleural fluid cytology
(d) Pleural fluid protein and LDH estimation

3. All EXCEPT one is the cause of chronic cough:

(a) Postnasal drip
(b) Gastroesophageal reflux
(c) Halitosis
(d) Left ventricular failure

4. A patient with COPD develops pneumothorax. What would be the immediate most appropriate intervention?

(a) Supplemental oxygen
(b) Needle aspiration
(c) Tube thoracotomy
(d) Thoracoscopy with stapling of blebs

5. What would be the best treatment for a patient with Bronchial Asthma with day time symptoms, nocturnal awakenings and frequent need for rescue medication?

(a) Low dose Inhalational corticosteroids (ICS)
(b) Oral corticosteroids (OCS)
(c) Low dose ICS and Long Acting Bronchodilators
(d) High dose ICS and Long Acting Bronchodilators

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Courtesy : UPSC