Review of POST GRADUATE MEDICAL ENTRANCE EXAMINATION 22,000 MCQ’S FULLY REFERENCED AND TOPIC WISE ARRANGED VOL. 11 MEDICINE PATHOLOGY PAEDIATRICS PHARMACOLOGY E.N.T OPHTHALMOLOGY ORTHOPAEDICS By Arvind Arora M.S. Orthopaedics Assistant Professor Seth GS. Medical College & KEM Hospital, Mumbai Amit Tripathi M.B.B.S, B.R.D.M.C. M.S. Opthalmics (Stu.), AGRA swine aut Ashish Gupta | MBBS, M.D, (Radiodiagnosis) KGMCS* ea Ex SR, GB Pant Hospital, MAMC, New Delhi Assistant Prof. SRMS IMS, Bareilly PULSE PUBLICATIONS First Floor Ayodhya Das Trade Compound, Vijay Chowk, Gorakhpur-273001Review of Post Graduate Medical Entrance Examination 9th Edition : Sept 2013, Price Rs. : 675/- Published by : Dr. Rakesh Dubey & Rahul Singh PULSE PUBLICATIONS First flor Ayodhaya Das Trade Compound, Vijay Chowk, Gorakhpur- (0551) 2203494, 2341804 Mob. 09984628111, 09235392282, 09312784703 E-mail : pulserahul@yahoo.com, rakeshdubey11@yahoo.co.in Review of P.G.M.E, Exam. by Amit Tripathi, Arvind Arora & Ashish Gupta © 2013 Author & Publisher Both ‘No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise without the prior written permission from the publisher. This books has been published on good faith that the material provided by author(s) is original every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsibile for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Gorakhpur Jurisdiction only. Laser Typesetting at: Pulse Computer & Printing Techonology Printed in India by Magic International (P) Ied., Greater NoidaTABLE OF CONTENTS MEDICINE cvs - GENERAL = ARRYHTHMIA - CARDIOMYOPATHY AND PERICARDITIS - OTHER CARDIOMYOPATHY AND PERICARDITIS, - HOCM - VALVULAR AND CONGENITAL HEART DISEASE, ~ MYOCARDIAL INFARCTION = CONGESTIVE HEART FAILURE, = DIGITALIS - HYPERTENSION = SHOCK - RHEUMATIC FEVER ~ INFECTIVE ENDOCARDITIS - TUMOR > M1. &ANGINA, + DRUGS (C.V.S.) CVS MISCELLANEOUS RESPIRATORY - GENERAL = ARDS = PNEUMONIA - PULMONARY EMBOLISM - ASTHMA - COPD - LUNGCARCINOMA - PLEURAL EFFUSION AND PNEUMOTHORAX - PNEUMOCONIOSIS MISCELLANEOUS IMMUNE SYSTEM - GENERAL = RHEUMATOID ARTHRITIS - JOINTS - SLE - VASCULITIS - SARCOIDOSIS = HEMOCHROMATOSIS - WILSON'S DISEASE FLUID ELECTROLYTE HEMATOLOGY = ANEMIA - MYELOPROLIFERATIVE DISORDER - LYMPHOMA - BLEEDING DISORDER = MYELOMA - LEUKEMIA - TRANSFUSION QUESTION 3 8 2 B B SSSEFRERSSL SBLSRBBRBRBRGS BESRSSS LLVSSRBRS PAGE No. ANSWER 215 217 219 220 223 224 225 227 28 229 230 231 233 235 235 28 237 237 238 238 239 240 244 242 243 246 246 247 250 256 259 260 26110. " 12, 13, 14, - MISCELLANEOUS ENDOCRINOLOGY = GENERAL - PITUITARY - ADRENAL - BONE & MINERAL METABOLISM - DIABETES - THYROID - PARATHYROID = GONADS - MISCELLANEOUS GILT. ~ GENERAL + LIVER - HEPATITIS - GALLBLADDER + STOMACH - PANCREAS = DISORDER OF ABSORPTION - INTESTINE - OESOPHAGUS - SPLEEN KIDNEY CNS. - GENERAL - HEADACHE - EPILEPSY - CEREBROVASCULARACCIDENT + PERIPHERAL NERVE AND MUSCLE - PARKINSON'S DISEASE MENINGITIS = APHASIA = DRUGS (C.N.S.) - MISCELLANEOUS GENETICS INFECTION - VIROLOGY - BACTERIOLOGY - ENDOCARDITIS - DRUGS - FUNGUS - PARASITOLOGY = MISCELLANEOUS NUTRITION TOXICOLOGY ONCOLOGY > GENERAL - BRAIN - CARCINOID - TESTIS = LUNG Z88R 8 107 12 14 114 115 15 116 121 125 126 127 129 131 132 133, 133 146 152 153, 155 160 165 168 170 in m 7 181 187 190 190 191 191 193 198, 201 203 206 206 206 262 263 263 267 270 22 273 273 274 274 275 27 279 279 280 281 282 283 284 291 295 298 301 302 304 304 304 307 309 313 314 314 315 315 at 318 321 323 323, 32315. Noaeena " 12, 13, 14, 16. 16, 7. 18, 19. 20. 2 2, 23, - PANCREAS - COLON - KIDNEY - UVER MISCELLANEOUS PATHOLOGY CELLULAR PATHOLOGY INFLAMMATIONAND TISSUE REPAIR HEMODYNAMICS, IMMUNITY GENETICS NEOPLASIA CARDIOVASUCLAR SYSTEM BLOOD VESSELS -VASCULITIS TUMORS: RHEUMATIC FEVER - ENDOCARDITIS: MISCELLANEOUS (CVS) HEMATOLOGY RBC. ANEMIA - MISCELLANEOUS (RBC) HEMATOLOGY COAGULATION DISORDERS HEMATOLOGY WBC. LYMPHOMA LEUKEMIA -MYELOPROLIFERATIVE DISORDERS. -MULTIPLEMYELOMA, MISCELLANEOUS (WBC) RESPIRATORY SYSTEM URINARY TRACT GASTROINTESTINAL TRACT HEPATOBILIARY SYSTEM & PANCREAS MALE GENITAL TRACT FEMALE GENITAL TRACT BREAST MUSCULOSKELETAL SYSTEM NERVOUS SYSTEM ENDOCRINOLOGY DERMATOLOGY & INFEGTIOUS DISEASES PEDIATRICS, ENVIRONMENT AND NUTRITION PATHOLOGY MISCELLANEOUS PAEDIATRICS GROWTH AND DEVELOPMENT. ADOLESCENCE NUTRITION NEWBORN INFANTS BYSSS8sRBe FESERS geeegees See HRS Baas 507 512 81a 518 323 323 324 324 x SSRRRRSBRR BRST 474 475 476 a7 479 BESEREIER 500 502 595 598 598 sat5. CVS. 528 6. RESPIRATORY SYSTEM 537 7. GASTROINTESTINAL TRACT 541 8. URINARY TRACT 546 9. CENTRAL NERVOUS SYSTEM 553 40, METABOLIC S{SORDERS 560 11. CHILDHOOD TUMORS: 562 42. HEMATOLOGY 566 13. ENDOCRINOLOGY 570 14, MUSCULO SKELETAL DISORDERS 574 15, FLUID & ELECTROLYTE 576 16. GENETICSAND GENETIC DISORDERS, 578 17, INFECTIOUS DISEASE. 581 18, MISCELLANEOUS 588 PHARMACOLOGY 1. GENERAL PHARMACOLOGY 647 2, ADVERSE DRUG EFFECT 653 3. ANS: -CHOLINERGIC 656 -ANTI CHOLINERGIC 658 -ADRENERGIC SYSTEM 659 -ANTI ADRENERGIC 661 “MUSCLE RELAXANT 663 “MIGRAINE, 664 -MISCELLANEOUS 665 4, ANAESTHESIA 666 5. ANTI-HISTAMINICS 669 6. PROSTAGLANDINS 669 7. ASTHMA 670 8. ENDOCRINOLOGY -BROMOCRIPTINE 671 -ANTI-THYROID 672 -ANTI-DIABETES 673 “STEROID 675, -SEX HORMONE 676 -OXYTOCIN & DRUGS ACTING ON UTERUS 678 -CONTRACEPTIVES 678 -TOCOLYTICS 679 -MISCELLANEOUS 679 9. CNS. -ALCOHOL 880 -SEDATIVE & HYPONOTICS 631 -EPILEPSY 682 -ANTI-PARKINSONISM 684 -ANTI-PSYCHOTIC 685 -ANTI-DEPRESSANT 686 “LITHIUM 887 -ANXIOLYTIC 688 -NSAIDS 689 -OPIOIDS 691 -GOUT-ARTHRITIS 692 -MISCELLANEOUS 693 607 611 613 615 618 622 625 ear 629 631 633, 636 743 747 749 750 751 753 754 755 755 756 758 759 759 760 760 761 762 763 764 764 765 765 766 766 767 768 769 770 ™ ™m 712 773 774 71540. " 12. 13. 14. 15, 16. 17, 48. 19, 20. 21. 2 23. C@Namaenas 23 ous. -DIGITALIS “ANTIARRHYTHMIC -ANTL-ANGINAL -ANTI-HYPERTENSIVE DIURETIC ACE-INHIBITORS ANTI-COAGULANT HYPOLIPIDEMIC Gut. -ANTI-ULCER “ANTIEMETIC “MISCELLANEOUS ANTI MICROBIAL -GENERAL PROPERTY -SULFONAMIDE -QUINOLONES “PENICILLIN & CEPHALOSPORIN “TETRACYCLINE -CHLORAMPHENICOL -AMINOGLYCOSIDES UT. -ANTI-TUBERCULOSIS -ANTI-LEPROTIC -ANTI-FUNGAL “ANTIVIRAL “ANTIMALARIAL, -ANTI-AMOEBIC “ANTI-HELMINTH -ANTI-PSEUDOMONAL -MISCELLANEOUS. Doc. ANTI-CANCER IMMUNOMODULATOR. SKIN CHELATING AGENT VITAMIN MISCELLANEOUS PREGNANCY MISCELLANEOUS ANATOMY OF EAR PHYSIOLOGY OF EAR ASSESSMENT OF HEARING LOSS HEARING LOSS ASSESSMENT OF VESTIBULAR FUNCTION DISEASES OF EXTERNAL EAR OTITIS MEDIA OTOSCLEROSIS & MENIERE'S DISEASE FACIAL NERVE AND ITS DISORDERS ‘TUMORS, MISCELLANEOUS EAR ANATOMY OF NOSE 697 698 700 702 703 705 706 707 708 709 710 710 ™m 713, 713 13 714 714 716 716 m7 719 720 721 721 722 724 725 729 731 731 732 732 733 att 812 814 815 816 818 821 823, 826 775 776 a 778 779 781 781 783 783 7e4 784 785 786 786 796 788 788 788 788 788 790 790 791 792 793 793 794 794 796 796 799 800 801 801 801 802 BRARRRRSBS 870 am12, 13, 4 15. 16. v7. 18. 19. 20. 21. 23, DISEASE OF EXTERNAL NOSE & NASAL SEPTUM ‘GRANULOMATOUS DISORDERS OF NOSE, NASAL POLYP AND FOREIGN BODY EPISTAXISAND RHINITIS PARANASAL SINUSES MISCELLANEOUS (NOSE & PNS) “ANATOMY OF PHARYNXAND ADENOIDS TONSILS HEAD & NECK SPACE INFECTIONS: TUMOURS OF PHARYNX ‘ANATOMY OF LARYNX LARYNGEAL PARALYSIS. ; CONGENITALLESIONS, STRIDORAND INFLAMMATION OF LARYNX TUMOR OF LARYNX BENIGN TUMORS MALIGNANT TUMORS MISCELLANEOUS OF LARYNX ORAL CAVITY ESOPHAGUS DIAGNOSTICAND OPERATIVE ENT |. MISCELLANEOUS ENT OPHTHALMOLOGY ANATOMY, DEVELOPMENT & CLINICAL EXAMINATION. ELEMENTARY OPTICS ERRORS OF REFRACTION CONJUNCTIVA CORNEA SCLERA UVEAL TRACT LENS GLAUCOMA VITREOUS RETINA NEURO-OPHTHALMOLOGY OCULAR MOTILITY ‘STRABISMUS TUMORS ORBIT LIDS LACRIMAL APPARATUS OCULAR TRAUMA, MISCELLANEOUS: ORTHOPAEDICS ANATOMY & PHYSIOLOGY OF BONE AND. FRACTURE HEALING 829 829 831 33 SEERSRRS BEE 847 849) 49 853 aot 975 873 874 875 38 876 2339 88 381 S888 SESSRSRERERISERL SES 10192aEReNn 10. "1 12. B. 14. 15, 16. 7. 18. 19. 20. 24. SHOULDER AND ARM INJURIES ELBOW INJURY FOREARM, WRISTAND HAND INJURIES HAND INJURY PELVIS & HIP INJURIES - FRACTURE NECK FEMUR -DISLOCATION OF HiP INJURIES AROUND THE THIGH & KNEE INJURIES TO THE LEG ANKLE AND FOOT SPINAL INJURIES PERIPHERAL NERVE INJURIES PAEDIATRIC ORTHOPEDICS METABOLIC AND ENDOCRINE BONE DISORDERS. AVASCULAR NECROSIS & OSTEOCHONDROSES JOINT DISORDERS (ARTHRITIS) ‘SKELETAL INFECTIONS BONE TUMORS METASTATIC BONE DISEASE IMPORTANT COMPLICATIONS INORTHOPEDICS BONE DYSPLASIAAND SOFT TISSUE AFFECTION MANAGEMENT IN ORTHOPEDICS MISCELLANEOUS 1019 1020 1021 1022 1022 1023 1023, 1024 1025 1025 1027 1028 1030 1031 1032 1034 1035 1037 1038 1039 440 1041cvs 10. LoudS, is caused by - (@PG1Dec 04) GENERAL 8) Caleified mitral valve b)MVP 6) Short PR interval 4) Tachycardia 1. Attheend of ventricular diastole- (PGI June 98) ¢) Dilatation or widening of mitral valve after valvotomy 4) Atrial volume is more 11, Reverse splitting of 1" heart sound heard in- ») Coronary flow is maximum ) RBBB »)LBBB (PGI June 04) 6) Flow inorta drops 6) Tricuspid stenosis d)AR All ofthe above 12, Loud Stim mira stenosis sent 2 saan pao heer eens ST dromeed oe snp eke io ») [degree heart block (PGI June 99) Eee cence ©) Calcification ofthe valve Opening ofAV. valve 4) Immobilization of the valve 6) Closure of semilunar valve 13, Wide split S, occurs in - (AIMS May 93) &) Begning of T wave a) VSD (ventricular septal defect) 3. During the cardiac eyele the opening of the aortic, t) Mitel stenosis valve takes place at the - (al 04) ©) ASD (Atrial septal defect) a) Begining of systole ) Coarctation of aorta ») End of isovolumetric contraction 14, Reverse splitting ofS, is seen in all except ~ c) End of diastole a) LBBB (PGI Dec 05) @) End of diastasis b) WPW type A 4. All of the following phases of the jugular venous ©) LV pacing. pulse and their causes are correctly matched. 4) Systemic hypertension Except (4102) ©) Post-stenotic dilatation in AS a) ‘c? wave - onset of atrial systole 18. Wide-split second heart sound is seen in ~ ») ‘aex’ descent atrial relaxation @) ASD ‘’)LBBB (PGI Dec 02) ©) ‘v-y" - emptying of blood from right atrium into ©) PDA @)MR right ventricle OPS 4) ‘y-a’ ascent - filling of the right atrium from the 16. Wide splitting of S, - (PGIDec 06) ea a) ASD ‘b) MR 5. ‘C’wavein JVPis dueto- (AIMS Nov 07) ©) PDA PS 2) Arial contraction ©) BEB , 1) Thicuepid valve bulging nto right atrium 1%, Single second ear oundtesenn-(P De 04 ) Right atrial filling a fa Ree eee ») Pulmonary arterial hypertension 6, Which of the following is the correct statement a Ceara on neue 1) Corrected TGA regarding findings in JVP - (Al 02) ©) Severe pulmonary stenosis 4) Cannon wave : Complete heart block 18. Loud pulmonary component of second heart sound ) Stow vy descent: Tricuspid regurgitation Rone (PGI June 04) ©) Giant e wave : Tricuspid stenosis 2) Palmosary hypertension 4) Increased JVP with prominent pulsations : SVC by TOF obstruction c) Eissenmenger’s syndrome 7. Inthe JVB, wavesaresbsentin- (4/94) ¢} Pulmonary enows 2) Atrial fibrillation ’) Mitral stenosis ) AS 6) Tricuspid atresia 4) Sick sinus syndrome 19. _Allof the following heart sounds occur shortly after 8. Giant ‘a’ waves in JVP occur in all exeept- (4196) S, except- (A103) 4) Junctional shythm 8) Opening snap ») Pericardial knock ») Pulmonay hypertension ) Ejection click 4) Tumor plop ¢) Tricuspid regurgitation 20, Some times the following diastolic sounds heard 4) Complete heart block during cardiae auscullation- (PGI Dec 06) 9. First heart sound is soft in all, except - as, bs, 4) Short PR interval (AIMS Dec 95) ©) Opening snap _———_d) Ejectionlick ) Ventricular septal defect 21, ‘Third heart sound is seen in all except -(AI/MS Dec ¢) Mitral regurgitation ) Athletes ) Mitral stenosis 98) 4) CalsiBod valve ©) Constrctive pericarditis é)LVF Deorb 2b 3)b 4)a_—-S)b_ Has a_—-Be_«a_—dWe_-— NYE 1a 1)e_—A)Be IS)ae 16)abd Nac 18)ac 19)c 2)ade 2bMEDICINE [4] 22, ‘Trueabout third heartsoundis-_(PGIDec 98) 32. Careycoomb murmurisseenin- (PGIDec97) 4) Absent in Chr. constrictive pericarditis 4) Severe mitral stenosis ») Absent in aortic aneurysm ») Acute rheumatic carditis ©) Absent in MS ©) Pure aortic regurgitation 4) Normal physiologically in Athletes 4) Severe pulmonary HT 23, LeftventricularS,isseenin- (PGIDec 05) 33. Carey combs murmur, which isfalse~ ayes by MS 2) Delayed diastolic murmur (AIMS Nov 06) OMe ASD ») Seen in rheumatic fever rod ate pitched murmur 24, Allof the following statements about third Heart 24, Ducnsiy syutelic murmur may bo caused by allot sound ($3) are true, except (ALI) the following except 14103) 4) Occurs dueto rapid filling ofthe ventricles during {) Smal ventricular septal defect atrial systole ») Papillary muscle dysfunction ») Scen in Constrctive Pericarditis 6) Tricuspid regurgitation ©) Seen in Atrial Septal Defect (ASD) 4) Aortic stenosis 4) Seen in Ventricular Septal Defect (VSD) 35. Systolic thrill in left2nd or 3rd intercostal spaces 25. S, isnot seen in - (AIMS May 95) seen in - (Ar09) ‘) Ventricular aneurysm ) Subpulmonic VSD) Pink TOF ») Mitral regurgitation as, aentemsanomaly —_€) Pulmonary sensi ©) Hypertrophic cardiomyopaths Pulse pressure fay 93) ne “ny a) 1/3 diastolic + 1/2 systolic BLP. 26. Continuous murmur is found in all, except- d) 1/2 diastolic + 1/3 synolic BP. 4) Mitral stenosis with mitral regurgitation €) Systolic diastolic BP )Patent ductus arteriosus (AIIMS May 93) @) Diastolic + U2eystolic BP. 37. Wide pulse pressure may be seenin all except- ©) Rupture of sinus of Valsalva 8) Aortic regurgitation (AI91) 4) Systemic arteriovenous (AV) fistula DOA 27. Acontinuous murmur isheard in all ofthe following ¢) Complete Heart block conditions except- (ALIMS May 05) 4) Congestive Heart failure a) Ventricular septal defect with aortic regurgitation 38. Pulsus paradoxusis seenin all except- ») Patent ductus arteriosus PPV (AIMS June 98) €) Coronary arteriovenous fistula ») COPD @) Venous bum ©) Cardiac Tamponade 28, Continuous murmuris presentin- (PGI une 06) 4) Constrctive pericarditis a) PDA 39. Pulsusparadoxusis presentin- (PGI Dec 05) b) AS with AR a) Emphysema 6) Shunt between pulmonary & subclavian artery ») Pulmonary embolism 29. Continuous murmurisfoundin- — (PGI Dec 04) ©) Hypovolemic shock 8) AS combined with AR 4) Hypertrophic cardiomyopathy b) Systemic a V fistula 40, True about pulsus paradoxusis- (PGIJune 98) ©) PDA with reversal of shunt a) Arm-tongue circulation time is increased 4) Aortopulmonary window Df sues wala ¢) Seen in constrictive pericarditis ©) Rupture of sinus valsalva tue 30. Acontinuous murmurs heard in all ofthe following 41, Pulsusparadoxusisseenin- (PGI June 06) conditions except (AIIMS May 05) ) Cardiac tamponade b) Constritive pericarditis 4) Ventricular septal defect with aortic regurgitation © HOCM DAR ») Patent ductus arteriosus 6) Severe asthma «) Coronary arteriovenous fistula 42, Pulsus bisiferiens is best felt in- (AIMS Dec 98) 4) Venous hum 8) Carotid artery ')Brachial artery 31. Continuous murmur is seen in all the following ©) Radial artery 4) Femoral artery except- (A195) 43. Pulsus bisiferiens is seen in all, except - 4) Aortic sinus of valsalva rupture 8) Aortic regurgitation + Aortic stenosis ») Coarctation of Aorta ) Aortic regurgitation (AIMS May 93) ¢) AV malformations ©) Hypertrophic cardiomyopathy @ Peripheral pulmonary stenosis @) Tetralogy of Fallot Ded BWacde 2a 25)a 2a Wa 2ac 2Wbde 30a 31d 32)b 33)a 34d 35)d 36) 3d 38a W)abe 40)e AI)abe 42)e 43)dMEDICINE [5] 44. _Bisiferien pulse is seen in - (PGI Dec 05) 56. Pulm, edema associated with normal PCWP is ) AS+AR ‘observed, which of these ismotacause- (4/01) +) Hypertrophic cardiomyopathy ) High altitude & Severe AR . b) Cocaine overdose 45, Pulsusalternans oceursin- _—_ (PGT.June 98) 6) Post cardiopulmonary bypass 8} Gonsitvepeiaditsb) Val mois Bilateral renal artery stenosis Deatasaeeee poe 57. Leftatrial filling pressure closely approximates - 46. Doubleapealinpabcheen in’ (PO1Decd8) Peery ere ease 3as BC ) Central venous pressure (AIMS May 93) 47. Pulsus isiferiensis best feltin- (A1IMS June 98) oS asl e oracle 58, Transoesophageal Echocardiography fusefain- 48. Water hammer pulseseen in (allMSMay07) a) Sinus venosus type of ASD (PGI June 98) Ai Acai aoe ») Dissection of arch of aorta ») Aortic regurgitation ©) Thrombosis ©) Aottie stenosis and Aortic regurgitation 4) Prosthetic valve endocarditis ‘© Mitral regurgitation 59. Causes of raised J.V.P. with hypotension are all 49. Which of the following is not true about except- (AIMS May 07) hepatajugular reflex (A109) 2) Cardiactamponade b) Right ventricular M.L a) Seen in pulmonary stenosis ©) Heart failure ) 2 Degree A.V. block >) Associated with decreased afterload 60. A 36 year old female recurrent chest pain and ¢) Seen in tricuspid regurgitation palpitation varying in duration and severity and 4) May indicate right heart failure 6-7 ectopixs per minute (Possibly supraventrigation 50. Positive hepatojugular reflux is found in all of the is) not related to exertion, Her BPs 86mm Hg and falowingconion exept- (AIIMSey 1) Pale rate nin Theidal investigation 4) Tricuspid regurgitation a) Echos ») Right heart failure ') Blecrophyiologial studies ©) Decreased after load ©) Thallium study 4) Increased capillary bed pressure 4) Technetium pyrophosphate ‘1. Enlarged pulsatile iver is seen in - (A109) 61. Continuous murmur is seen in (AP 98) 2 Tecapidepugiation 2 TON Tyree ortic regurgitation ©) AP Window ofthe above ¢) Mitral regurgitation 62. _Allproduce continuous murmurs except- (71V 98) 4) Pulmonary regurgitation 2) Mitral valve prolapse 52, Where pulsatile liver and ascites is found - ») Arterio venous malfromations aR 'b)Cttical pulmonary stenosis 6) Ruptured sinus of valsalva ©) MR aMS (AIMS May 11) a) PDA 53. Swan Ganz. catheterisused for- (PGI.June 03) 63. Prominent‘a’ wave of JVP is not seen in- (UP 96) a) Lt. cardiac output 4) Junctional Rhythm —_b) Complete heart block b) Pulmonary capillary pressure ¢) Tricuspid stenosis _) Palmanary stenosis 6) Pulmonary artery occlussion pressure 64, Normal PQ interval is- (Kerala 9) 4) O, saturation in mixed venous blood 4) 0.12see b)0.2see. 54. Normal PCWP with pulmonary oedema is seen in- 6) 0.16sec. €) 0.02 see 2) Leftatrial myxoma (AIMS June 98) ) 0.016see. ») High altitude 65. Central venous pressure monitoring is helpful in - €) Pulmonary veia obstruction 4) Regulating the speed and amount. (UPSC'97) @) Pulmonary artery obstruction ; of fluid infusion $5. A patient comes with sudden respiratory distress, ') Regulating the dose of noradrenaline ‘on examination, bilateral basal erepts are present 6) Deciding the need for plasma infusion ‘over chest suggestive of pulmonary edema with 4) Deciding the requirement for blood transfusion 1ormal alveoler wedge pressure. The likely cause 66. Swan-Ganz catheter is used to measure- (UP97) a er (AIMS June 2000) 2) Right arial flow 2) Narcotic overdose ») Pulmonary capil ») Congestive heart failure cole ©) Myocardial infarction 4) Right ventricular pressure 4) Cardiogenic shock Mabe 45d 4c 4b 48) 49)b_SH}eSI)a_S2)a_ SHAM SH) 55a SHASTA SB)AL 59)d GO)b 6l)d_-62)a_—63)None GA) 65)a__—G6)bMEDICINE [6] Gi Wheel ateramsinECGincharacteracof- 78, laMarfaPeaorsc anearym acarsin-(AMC2K) 8) Severe bronchial asthma (Kerala 95) 1) Ascending aorta b) Arch of aorta 8 Petar otuson &) Dessnding era e)aboaia a 2) Seroelve 1», The anet ulfeston i hefty streak of Scar ‘ibrar tes "aerias7) 68. ‘Rarey Caomb’s marmer heard ina ed with eR mmc Jointpansissnggesivenf- (UPSC95) ) Collection of lipid in smooth muscule Dinncdeestocusi B Rheumatoid as 3) Nomen be above 4) Libman-Sack’s endocarditis 07 apeprateas 2c leveled i (AP96) a) Hypercholesterolemia_ 6. young indy complain of sudden onset of 9 ean ) Pray Birycti fallunbas Career eshuessndewesieg Ox Pray Bary cin ‘examination, she was found to have B.P. 90/70 with a 4 nal rc Sina sina regular pulse rate of 180/minute. Her symptoms Snellen eee Yaga pli re of 198nlnae Bt. Mostcommon te af sortedsecton-pmer98 polyuria, The mostlikely diagnosis is a) Ascending aorta b)Arch. of aorta 2) Primaty thyrotoxicosis (UPSC96) ©) Descending aorta d) Abdominal aorta 2) Primary thyrtoen forte teerton ree CIPHER ) Paroxysmal atrial tachycardia, a) Down’s syndrome _ b) Klinefelters syndrome ) Paroxysmal atrial flutter ‘) Tumers syndrome d) Marfan's syndrome 70. Al are seen in association with reverse spitting 83, Standing increases murmur intensity in~ ofS, except- (MP 98) a) Aortic stenosis (ipmer 03) ) LBBB +) Complete heart block ’b) Aortic regurgitaion 3 Stic Hypenenion

) Myocardial reperfusion «) Metabolic derangement &) Digitalis therapy A patient with heart failure developed ventricular arryhthmia. Treatmentis/are- (PGI June 04) 2) Encainide ») Flecainide 6) Intracardiac Defibrilation d) Beta-blockers, 6) Amiodarone After a successful Total Hip Replacement a 59 year old patient developed severe chest pain. Echocardiography revealed reduced wall motion of right ventricle with slow flow across the trieuspid Ive, Which of the following is most likely ‘agnosis? (ai10) a) Pulmonary embolism b) Aottic dissection represented by all, (PGI 97) 119. Torsade-de-pointesis caused by- (PGI June 99) 6) Dilated cardiomyopathy ) Hypermagnesemia —__) Metabolic acidosis @) Right ventricular infarction ©) Hypomagnesemia _d) Metabolic alkalosis 130. What is the drug of choice to control 120. Feature of Torsade depointesis- (AIMS Dec 97) supraventriculartachyeardia- (AIIMS Nov) a) Wide QRS complex _b)Short QRS complex 8) Adenosine ») Propranolol ©) Prolonged QTe interval) Short QTe interval ©) Verapamil ¢) Digoxin 109)c 11a 111)a_ 112) 113)None 114b 113)a 16a 117)b 118)b 119)e 120 121) 122)¢ I2)e 12e I2)acde I26acde 12b 128ede 129)a 130)a131, Achronic alcoholic develops palpitations suddenly 140. Broad complex tachycardia due to ventricular a after alcohol binge. His pulse Is irregularly tachycardia is suggested by (select three correct irregular Which ofthe following arrythmia is most options) - "PGI 1994) commonly associated with alcohol binge in the a) Fusion Beats alcoholics ? (AIMS Nov 01) $) AV dissociation 2) Ventricular fibrillation 6) Capure Beats b) Vetricular premature contractions 4) Termination tachycardia by carotid massage ©) Atrial fut 6) Atrial fibrillation. oe 132, Atrial fibrillation may ceurinallofthefolowing 41> Draborcholeein AVE Oe) conditions, except - (AIIMS May 03) ee aes 2) Mitral stenosis, b) Hypothyroidism ©) Quinidine —_d) Adenosine 6) Dilated cardiomyopathy ) Mitral regurgitation 142, Drugused in AV Block- (PG1Dec 03) 133, Ina patient with chronie atrial fibrillation with a 4) Isoprenaline _b) Dopamine regular beat of 60/min , the most probable cause ¢) Atropine 4) Disopyramide is- (AIMS May 01) €) Propranolol 8) Sleep by Dighalis toxicity 143. In the treatment of severe bradycardia, all ofthe 6) Sino nodal block @) Hypothyroidism following can be the best modality of treatment 134. A person with mitral regurgitation and atrial except {fibrillation presents with syncope. On examination a) Atropine ‘b) Pacing (AIMS Nov 05) the person has heart rate of $8. Whats the most ©) Isoproterenol 4) Diltiazem probable cause? (A107) 14, ST elevation i seem inall ofthe following conditions 2) Digitalis toxicity except (AIMS May 02) ») Incomplete heart block 2) Myocardial infarotion ©) Stroke ’) Coronary artery spasm 4) Subarachnoid Haemorrhage ©) Constrictive pericarditis 138. True regarding atrial fibrillation- (PGI June 6) 4) Ventricular aneurysm a) T Thromboembolism 145. A patient develops sudden palpitation with HR 150/ ») Digoxin treatment min, regular. What could be the cause- 6) Anticoagulant not required ) PSVT (AIMS May 11) 4) Aspirin given ‘o) Sinus tachycardia 136. Which ofthe following is seen in second degree AV ©) Ventricular tachycardia block - (PGIDec 01) 6) Atrial utr with block 2) Change in morphology of ventricular complex 146. Allofthe following may causeST segment clevation ») Increased atrial rate compared to ventricular rate on EKG except- (4105) ©) Increase in cardiac output 2) Early repolarization variant 4) Decrease in stroke volume ») Constritive pericarditis, ©) Increased AV conduction time ©) Vensricular aneurysm 137, Constant PR invervalis seen in- _(A1IMS 1997) 6) Prizmetal angina 2) First degree block 147. Qt prolongation is seenin all, except-(AUIMS une ») Second degree - Mobiz type I block 8) Hypothermia ——‘b)Digitalistoxicity 2K) ©) Second degree - Mobiz type II block ©) Hypocaleemia__) Romanowand syndrome 4) Third degree block 148, QTinterval is shortened in- (A195) 138. Allofthe following are features of Mobiz type block 4) Uypocalcaemia _b) Hypokalemia except (AI 1992) ©) Hypercalcemia __) Hyperkalernia a) Constant PR interval 149, Hyperealeemia in ECG is diagnosed by-(PGIDec 99) b) Normal QRS morphology ) Inereased QT interval ) Regularatrial rhythm, >) Decreased QT intervat 4) Atrial rate ventricular ste ©) Increased PR interval 139. All of the following features ean differentiate @) Tall Twaves between ventricular tachycardia and 150, Hypocalcemia is characterized by all ofthe following supraventricular tachycardia except- features except - (A103) 2) ORs <0.14 seconds (AIIMS Dec 98) 2) Numbness and tingling of circumoral region ») Ventricular rate> 160/min ») Hyperactivity tendon reflexes ©) Variable first heart sound ©) Shortening of Q-T interval in ECG 4) Relieved by carotid sinus massage 4) Carpopedal spasm 131)d 132)b 33) Ha 135)abA L36)abe 137)ac 138)a 13) Wojabe MI)d 142)ac 143)d 144)e 145)a 146) 147)b 148)e 149)b- 15K)eMEDICINE [10] 151. Allof the following are the electrocardiographic 162. 4-48 year old presents with history of precordial features ofsevere hyperkalemia except- _(4I03) chest pain, He has BP of 80/60 mm of Hg. EKG 2) Peaked T waves b)Presence of U waves shows wide QRS complex with no preceding P 6) Sine waves pattem _d) Loss of P waves waves and arate of 112/min. The most immediate 152. Allare ECG changes in hypokalemia, except - ‘step in the management of this patient would be- a) Uwave (AIMS Dec 97) a) Intravenous lignocaine (UPSC 2002) b) ST segment sagging ») DCelectrical cardioversion ©) T-wave flatening or inversion PS delat Lest imary percutaneous transluminal angioplast Shotimerapaiin ax, Rn meen 153. All of the following are the electrocardiographic ©) An fbeladon bp Atal ee features of Hyperkalemia, except - (AIMS May 04) SVT 2 teenelas Rbeiation 8) Prolonged PR interval 164, S.A-nodeis pacemaker in heart because ») Prolonged QT interval 4) Itisonly excitable (ipmer 95) ©) Sine wave patterns ») Its resting excitability is highest ofall 4) Loss of P waves 6) Itis only sensitive to vagus 154. The following ECG findings are seen in 6) Ihis the biggest pacemaker Hypokalemia~ 165. Desynchronised defibrillation is used in -(CMCO1) a) Increased PR interval with ST depression (AI 07) a) Atrial fibrillation +b) Atrial flutter ‘b) Increased PR interval with peaked T wave «) SVT @) Ventricular fibrillation 6) Prolonged QT interval with T wave inversion 166, The current drug of choice in paroxysmal &) Decreased OT interval with ST depression Sypraventricular Tachycardia (PAVT) is- 155. Athletic syndrome is characterized by- ‘ al Spence (KERN 95) 9) Increased amplindeofQRS (PCI-e 99) gy, Yupcheachk phenomenon defined s- O peesed interval 4) Progressive lengthening ofPR (Delhi 96) ee interval till beat is dropped 'b) Slurred QRS complex. 156, Asynchronous cardioversion s given in- i resis NTRS pete oes oee ren a) AF (AIMS Dec 98) ) Shortened ST intervals by Ventricular fibrillation 168. P-waveis absent in - (romana 97) ©) Atrial futter @) WPW syndrome 4) Ventricular tachycardia ») Atrial Fibrillation 157. Inleftsided massive pneumothorax, ECG shows all, ¢) Ventricular Tachycardia except- (AIMS May 94) 4) Ventricular Fibrillation a) Left axis deviation ) Atrial Tachycardia by Absent R wave 169. Verapamil belong to which class of antiarrythmic- ©) Peaked P wave 4) Class I ‘b)Class (AP 98) 4) Precordial T wave inversion 7 cared far aa Cen a on eblation is done fon 170. Which one of the following electrocardiographic Neverthe weve ne) changes is found in hypercaleaemia~ (UPSC 25) a) Ventricular tachycardia b) PSVT- 4) Proponged Q-T interval b) Short Q-T interval ©) WPW syndrome 6) Atrial tachychardia c) Increased QRS interval d) Short P-R interval Boa oe ich On tee Seuwens Banc canes ee nea) 171, Which one of the follwing is the ECG hallmark ina patient with left pneumothorax-(4Z/MS Nov 2K) crhypechermla- (UPSC 2002) 4) Inversion of Twave _b) Leftaxis deviation eet oes ©) Small R wave 4) Electrical altemans ©) Bizarre QRS wave 4) Osborne I wave 160. Long and peaked a waves are seen in all except- 172. Ventricular aneurysm has one of the following a) Tricuspid atresia (MP 2K) characteristic features - (Kanataka 03) b) Ebsteins anomaly a) Persistent ST segment elevation ©) Hyperkelamia ») Persistent ST segment depression d) Right atrial enlargement c) Left bundle branch block 161. Qt prolonged is associated with - (NIMHANS 01) 46) Right bundle branch block 2) Hyper caleemia 473. Acute symptomatic sinus bradycardia usually ») Type 1a anti arrythmic drugs responds to- (UPSC 05) 6) Torsade de pointes a) Adrenaline b)Dopamine 4) Atrial fibrillation 6) Atropine Norepinephrine Is1yb 152)d_ 153) 154)a 155)a_ 156) 157)a_ 158)e 159) 160)e 6lYbe 162)b 163)d_164)b 165)d 166)d 167)a 168)b 169d 170)bI71)d_172)a_—173)eMEDICINE [11] 174, Which one of the following statements is true to 183. The drug of choice for persistent unstable Stockes-Adam attack- (UPSC 05) ventricular arrhythmia is- (Comed 07) 2) Ivis usually preceded by an aura 4) Procainamide —b)Calcium gluconate ») Focal neurological signs are eommonly observed ©) Amiodarone d)Digoxin during the attack 184. Congenital long QT syndrome is associated with 6) Itis usually caused by high degree of atrioventricular neonatal (Comed 08) block 4) Sinus bradycardia lt is caused by recurrent paroxysmal ») Sinus tachycardia tachyarthythmias 6) Supra ventricular tachycardia 15, The most common cause of sudden arrhythmic 4) Ventricular tachycardia cardiac death is- (J & 05) 185, The drug of choice in paroxysmal supraventricular ‘) Myocardial infarction ‘tachycardia is- (Comed 08) »b) Aortic stenosis a) Digoxin ) Adenosine 6) Dilated cardiomyopathy ©) Nifedipine )Esmolol 4) Electrolyte abnormalities 186. Which of the following disease can be associated 176, All the following features favour ventricular with short QT interval on ECG (Delhi PG Mar. 09) tachycardia as the exuse of broad-complex 4) Chronic myeloid leukemia tachycardia, except - W&k 05) ’b) Multiple myeloma 2) Fusion beats ©) Chronic lymphocytic leukemia ») Extreme left axis deviation 4) Hodgkin's disease «) Very broad QRS complexes > 140 ms) 187. Which of the following treatments is appropriate 4) Response to carotid sinus massage for tal peaked T waves onECG ?(Delhi PG Mar: 09) M71. What Is the drug of choice to control @) Atropine IV supraventricular tachycardia- (AIIMSNOVOS) ») Nitroprusside IV ) Adenosine ») Propranolol 6) Inhaled Salbutamol ¢) Verapamil 4) Digoxin 4) Inhaled betamethasone 178, Which one ofthe following drugs should be xvoided 188. A patient develops sudden palpitation with HI 150/ in Wolff-Parkinson-White (WPW) Syndrome? ‘min, regular, What could be the cause - 8) Digoxin b) Adenosine (UPSC 06) 3) PST (AIIMS May 11) ©) Procainamide _) Amiodarone b) Sims tachycardia 179, Which congenital heart disease is associated with 6) Ventricular tachycardia re excitation ? (UPSC 06) 6) Atial flute with block 8) Atrial Septal Defect 189... Pulse deficit more than 10 isseen tn- (VBET/DNB ) Bicuspid Aortic Valve a) Ventricular premature contraction Pattern) ©) Ebstein's Anomaly +). Atial flutter, 4) Patent Ductus Arteriosus ) Atrial fibritlation 180, In syndrome X, patients have all of the following 4) Ventricular fibrillation, go except (COMED 06) 190. Pywavelgabsentin- -. (NEET/DNB Pattern) 8) Angina like chest pain ‘) Attia fibrillation. b) Congestive cardiac failure ») Ischemic ST segment depression 6) Atrial utter d) Myocardial infarction ¢) Abnormal coronary areriogram 191, AllareECG changes in hypokalemia, exeept- 4) Excellent prognosis a) Uwave © QUEET/DNB Pattern) 181. Which one ofthe followingis the drug of choice in b) ST segment sagging ae the ease of ventricular tachycardia in myocardial ©) Eewave flatining orinversion : infarction? (UPSC 07) ‘@) QV interval prolongation. a) Xylocaine +b) Digitalis 192, Hypokalemia ECG changes - (WEET/DNB Pattern) ©) Quinidine __d) Disopyramide 3) Tall Twave =. b)Short QRS interval 182. The ECG of a patient with an artificial pacemakerin ©) Depressed ST-segment d) Absent P. wave the right ventricle shows- (Comed 07) 493. Athletic syndrome Is... characterized a) Right bundle branch block with narrow QRS Wye 1 (EBDIDNB Pattern) complex ') Increased amplitude of QRS. b) Tachycardia b) Right bundle branch block with broad QRS ©) Decreased QT interval d) U-waves: complex 194,, Tall Twavein E.C.G oceursin-(NEET/DNB Pattern) ©) Left bundle branch block with broad QRS complex 2) Hyperkalemia -_ b)Hypokalemia 6) Left bundle branch block with narrow QRS complex 6) Hiyperalcemia D)Hypocaleemia 17e 175)a 176 e I77)a 178)a 179)e 180)e 181)a 182)e 183)e I84)a_185)b 186) 1BT)e 188) 189)c 190)a 191)d 192)e 193)a_ 194)MEDICINE [12] 195:/-30:60" leftiaxis deviation 2 ¢ (VEET/DNE-Pattem) 205. All are features, seen in cardiac tamponade, »-a)-Left ventricular hypertrophy © ‘EXCEPT (AIMS Dec 95) ») Riaht ventricular bypertophy a) Raised SVP b) Kussamaul sign ©) Aortic. stenos o) Rapid y descent 4) Pulsus paradoxus »- od) Left aril enlargement 206. ‘During ventricular pressure pulsessquare root wave 196. ‘SduareFort sigh lon indication of - (EETIDNE a acealan (PGI Dec 98) +8) Constrictive pericarditis, Patera) a) ASD __b) Hspertopio cardiomyopathy: OVS hy ¢) Dilated cardiomyopathy 4) Constrietive pericarditis 207. Kussumaut’s sign is not seen in carol) 2) Restrictive cardiomyopathy +4) Constrictive pericarditis c) Cardiac tamponade RV infarct 208, Not seen in constrictive pericarditis is- a) Acute pulmonary edema (PGI June 99) 198, Beck's triad ofcardic tamponade includes - by Ascites 2) Hypotension (PGI Dec 03) ¢) Tapping apex b) Neck vein distension 4) Pericardial knock 6) Paradoxical pulse 209, All are true in chronic constrictive pericardi 4) Silent heart cexcept- (PGI Dec 99) ©) Tachycardia a) Kussamauls sign in present 199, Beck's Triad is seen in- fal 10) ») Ascites is not in proportion to edema 4) Constrictive Pericarditis ©) Commonest cause is idiopathic 'b) Cardiac tamponade 4) Right ventricular and diastolic pressure is raised ©) Right ventricular myocardial infarction (RVM) 210, Electrical alternans is seen in- (A195) 4) Restrictive cardiomyopathy 2) Cardiac tamponade 200, Typical JVPfindingin cardiac tamponade (PGi.hine 2K) ») Restrictive cardiomyopathy a) absent‘Y" descent —_b) Prominant ‘a’ wave 6) Constitive pericardits aera eres Oe 6 Right Ventricular MI (RVMD, 201. Pulsus paradorusisa characteristic feature of- 211, ‘A ptpretentewith engorged week velas, BP 80/50 8) Constrictive pericarditis (AIMS Dec 92) and pulse rate of 100 following blunt trauma to the p Ccien ere chest : Diagnosis is - i) c) Hypertrophic obstructive cardiomyopathy Ce aes 4) Restrictive cardiomyopathy . am, 30 year old male comes with b/o acute ») Right ventricular faite breathlessness. JVP T sed inspiratory fall of B.P. 6) Cardiac tamponade by 1d mmig true about this condition- 4) Hemothorax ae 2) Kussmaul sign (POI June 08) 212, Ayoung motorist suffered injuries ina major road. b) Lowelearic BCG traffic accident. He was diagnosed to have fracture ) Rapidly discent ofleft femur and left humerus. He was also having €&) Inspiratory fal ofsystemic ill of more than 10 mmHg fractures of multiple ribs anteriorly on both the 203. Allofthe following may be seen in patient of cardiac sides, On examination the blood pressure was 80/ tamponade except (AI 06) 60 mm Hg, and heart rate was 140/minute, The 2) Kussmaul’s sign patient was agitated, restless, and tchypnie. Jugular ») Pulsus paradoxus veins were distended, Airentry was adequatein both 6) Electrical alternans thelung flelds, Heart sounds were barely audible. 4) Right ventricular diastole collapse on echocardiogram, Femoral pulses were weakly palpable but distally no 204, Allof the following are seen in cardiac tamponade pulsation could be felt. On priority basis, the except- (Ar 04) immediate intervention would be- (AIIMS Nov 02) a) Pulsus paradoxus ) Rapid blood transfusion. ») Diastolic collapse of ight ventricle on echocardiogram +) Urgent pericardial tap ¢) Electrical alterans ©) Intercostal tube drainage on both the sides. 4) Kussumaut's Sign 6) Fixation of eft femur and repair of femoral artery. 195) 196)a 197) 198)ab,4199)b 200)a 201) 202)bd 203)a 204) d 205Je 206d We 208)a 209) 210)a 21N)e 212)bMEDICINE [13] 243, Apost-operative cardiac surgical patient developed suuddex hypotension, raised central venous pressure, pulsus paradoxus.at the 4th post operative hour. The most probable diagnosisis- (A103) 2) Excessive mediastinal bleeding ») Ventricular dysfunction ¢) Congestive cardiac failure 4) Cardiac tamponade 244, A patient presents with respiratory distress, hypotension and dilated bulging neck veins after chest trauma, most likely eauseis-(AJIMS June 2K) 4) Hemothorax ) Tension Pneumothorax ) Cardiac tamponade 4) Flailchest 215. Which of the following is least likely to cause constrictive pericarditis - (AIMSNov06) 4) Tuberculous pericardial effusion ) Staphylococcal effusion 6) Post cardiac surgery 6) Acute rheumatic fever 216. A 30-year-old man presents with fever and progressively increasing breathlessness since the Jast two weeks. His clinical examination reveals : pulse 120/min regular, BP 100/60 mmHg, and ‘muffled S,and S, heart sounds. The distended jugular vein has a rapid X descent, with an absent Y descent. Whatistheprobable diagnosis? (UPSCT 11) a) Right ventricular failure ») Constrctive pericarditis 6) Cardiac tamponade 4) Left ventricular failure OTHER CARDIOMYOPATHY & PERICARDITIS 217. Which one of the following is a cause for “Restrictive cardiomyopathy” -_(AIIMSMay 4) 4) Alcobol ») Hemovhromatosis ©) Amyloidosis d) Sarcoidosis. 218, False regarding restrictive cardiomyopathy is - 4) Filling pressure is increased (AIIMS Nov 93) ») Left ventricular hypertrophy 6) Heart failure is not predominantly right sided 4@) In carly phase, systolic function isnot impaired 219. To differentiate restrictive eardiomypathy and constrictive pericarditis, features favouring constrictive pericarditis are- (PGI June 02) a) Diastolic pressures ate equalised ’b) There is mild pericardial effusion ©) Associated with septal hypertrophy ¢) Thick pericardium is present ©) RVsize in increased 220, Truestatement regarding cardiac tamponate- ) Kussumal sign positive (PGIMay 11) ») Enlargement ofthe cardiac silhouette ©) Promenent y descent 4) Blestrical alternans ) Maffled heart sounds 221. 22. 223. 224. 228, 226. 227. Rapid X descent is unbkelyin- __(PGIDec 99) a) Constrictive pericarditis b) Cardiac tamponade ©) RVMI 4) Restrictive cardiomyopathy Haemorrhagic pericarditis oceurs in all of the following conditionsexcept.-_(AIIMS May 2003) ) Transmural myocardial infarction, b) Dissecting aneurysm of aorta. ©) Metastatic disease of pericardium. 4) Constrictive pericarditis ‘Cardiomyopathy may be seen in all ofthe followin except- (AIIMS 06) ) Duchenne muscular dystrophy ») Friedrich’s ataxia ©) Type TUT glycogen storage disease 4) Alkaptonusia All ofthe following conditions produce restrictive cardiomyopathy except (UPSC 95) 4) Hypothyroidism b) Amyloidosis ©) Hyper-cosinophilic syndrome 4) Tropical endomyocardial fibrosis ‘True about pain of pericarditisis- _(//PMER 02) 4) Pain increase on leaning forward ») Pain decreasing on supine position ©) Pain increases during inspiration 4) Pain increasing on cating ‘What is the cause for heamorrhagic pericardial effusion except? (APPG 06) 4) Transmural myocardial infarction ») Aortic ancurysm dissection ©) Metastasis to pericardium 4) Constrictive pericardi Kussmauls sign is seen ) Constrictive pericarditis ») Right vertricularinfaret ©) Restictive cardiomyopathy 4) Cardiac tamponade allexeept- (APPG06) Hocm 228. 229. 213)d 214) 215) 216) 2Te Nabe 29)ad 20)bde 2d Wa 29)d Boa Allare the true regarding hypertrophie abstructive cardiomyopathy, except- (AIMS Dec 97, ) Systolic dysfunction b) Concentric hypertrophy 6) Diastolic dysfunction )Double apical impulse Allof true about HOCM except - ) Asymmetrical septal thickness ) Left ventricular outflow obstruction 9 Double apical impule &) Digitalis is useful The murmur of hypertropic obstructive cardio myopathy is decreased in which of the following- (AIIMS Now 2000) ) Supine position _b) Standing position ¢) Valsalva maneuver _) Amyl nitrate inhalation 2a1)e 222)d 223)d 224)a 225)ed 26aMEDICINE [14] 231, A 3S-year-old farmer consulted a local medical 238. The9 month old child of adiabetie mother presents practitioner for recurrent attacks of chest pain. His with tachypnea andhepatomegaly. Echo cardiography elder brother had similar complaints and had died of the heartshowed normal cardiac morphology suddenly at the age of40 years. The farmer was with asymmetric septal hypertrophy. Which ofthe advised to take nitroglycerine sublingulaly tthe following you will giveto treat this child - time of pain, However, the patient finds that the a) Digoxin b) Frusemide (AIMS Nov 2K) intensity of pains increased by nitroglycerine. Most 6) Propanolol 4) Isoptin. probably,heissufferingfrom- (4//MSNov02) 238, A young man has 1/0 of breathlessness while 4) Subacute bacterial endocarditis involving the ‘walking to gym. On examination he has ejection sorte valve ‘murmur which inereason vasalva manowver. ECG b) Hypertrophic obstructive cardiomyopathy. shows LVH with deep Q wave in anterior chest leads. ©) Degenerative mitral regurgitation. ‘He should avoid - (PGI09) 4) Chronic Type A dissection of aorta a) Reguler walkingin gym 232, 68-year old man who has had a recent syzcopal ) Verapamil episode is hospitalized with congestive heart failure. 6) Digitalis His blood pressureis 160/80 mmHg. His pulse rate 4) Sublingual nitroglycerine 480 beats per minute, and thereis a grade IIVIV ¢) Diuretics harsh systolie murmur, An echocardiogram shows +240, _Allarerrue about hypertrophic cardiomyopathy, a disproportionately thickened ventricular septum Except (Sep 96) and systolic anterior motion of the mitral valve. 2) Digoxin is useful b) Abdominal pain Which of the following findings would most likely ©) Jaindice 4) Bleeding be present in this man - (AIMS Nov 99) 241. All are true about Hypertrophic Obstructive a) Radiation of the murmur to the neck. cardiomyopathy, except- (AI 2000) » een per aman ‘hand grip a) B agonists are useful ¢) Delayed carotid upstroke s 6) Reduced left venteulr ection faction eae ene 233. Aggravation of symptoms of angina in a patient © Double epcal impulse wen gvenaltratsisseenin~ (4UIMSJune 2000) 49, A 28yearsld basket ballplayer suddenly colased freien ‘while undergoing an atte event and dled. At » Mitel — autopsy the septum was hypertrophied. The most 8) ldopaic hypewtohie sober tenons probable diagnosisis- (AIPGMEE 08) 234, A 16year old maleis referred by high school coach ao for a physical examination before joining the 'b) Right ventricular conduction Abnormality football team. His elder brother had died suddenly ©) Epilepsy during football practise, no autopsy was done. The 4) Snake bite patient has a loud systolic murmur on chest 243. 26year old man died while paying, His autopsy of the auscultation. All of the following would be constant heart revealed myocyte hypertrophy. Diagnosis is - with hypertrophic eardiomyopathy,except- ) HOCM (AIMS Nov 09) 2) A crescendo-decrescendo systole murmur b) Dem b) Murmurradiating toneck — (AIIMS Nov 99) ¢) Arhythmogenic cardiac problem ©) Brisk carotid upstroke 4) Restrictive cardiomyopathy 4d) Increase in murmur during valsalva or standing 244, All are true about hypertrophic obstructive 235. Murmur increasing with valsalva maneouvre- cardiomyopathy except (JIPMER 95) a) Mitral stenosis b)HOCM — (AIMS Nov 09) ) Assymetrical septal hypertrophy o) MR. d) Aortic stenosis b) Systolic ventricular dysfunction is absent 236, Murmur increasing with Valsalva manouvre- ¢) Anterior leaflet movements delayed a)vsD W)HOCM (AIMS Nov 10) & Cardiac outputis diminished wn Se oas ding. hypertrophi 245, All are true about hypertrophic obstructive . Al are true regarding hypertrophic 3 tives 2) cardiomyopathy, Except- (AIMS June 97) 8) Asymmertric hypertrophy of septum 2) Digoxinis helpful en b) Systolic motion of anterior leaflet ¢) Left ventricle outflove obstruction ©) Dynamic obstruction d) Beta blockers are not effective 4) Double apical impulse Bb WH WI) BH 23) 236) 21)a 2E)e Whacde Moa 2l)a 22a 23a Iie 245)d