Must know JVP waves

Canon a waves 1.
( frog sign) 2.
3.

Absent a wave
Large a wave
Steep x and steep y descent

Steep x and absent y descent

1.A known case of lung cancer presents
with syncope. ECG shows electrical
alternans. Which of the following is
expected JVP findings of this case?
a. Steep x and steep y descent
b. Blunted x and blunted y descent
c. Steep x and absent y descent
d. Blunted x and steep y descent
2. Which of the following is correct ECG
finding in patient of constrictive
pericarditis?
a. ST elevation
b. Electrical alternans
c. Extreme axis deviation
d. Low voltage ECG
ECG revision
Low voltage ECG
Electrical alternans
Absent P waves
ST Elevation

ST depression and T
wave inversion
Must Know types of Myocardial Infarction
Chemical cardioversion drugs

Ventricular With structural heart disease:

tachycardia Without structural heart disease:

Ventricular Bigeminy

AVNRT
Atrial fibrillation
Atrial flutter
Must know ABG table
pH pC02 HCO3 Interpretation
3. Which is correct interpretation of the
ABG report: pH – 7.3 and pCO2= 30 mm Hg
and HCO3 = 15 meq/L.
a. Partially Compensated metabolic acidosis
b. Fully compensated metabolic acidosis
c. Uncompensated metabolic acidosis
d. Mixed metabolic and respiratory acidosis
4. A lady presents with panic attacks.
Which is correct about the ABG report
shown: pH= 7.5, pCO2= 30 mm Hg and
HCO3= 20meq/L.
a. Primary Respiratory acidosis
b. Primary Metabolic acidosis
c. Primary Respiratory alkalosis
d. Primary Metabolic alkalosis
5. Fulminant hepatic failure leads to all
except
a. Ammonia intoxication
b. Thrombo-emobolic state
c. Elevated MELD score
d. Deranged INR
6. You are responsible for shifting a
patient with ICD with chest tube in situ
from emergency department to Ward.
Which of the following should not be
done in this patient?
a. Clamp the tube
b. Keep the Bag below chest level
c. Document transfer and drainage amount
before shifting
d. Disconnect the suction port
Clamping the tube can lead to tension
pneumothorax and hence should not be done
during transfer of patient even if it is few minutes
and patient can collapse.
7. pH=7.3 , pCO2= 30 mm Hg, HCO3= 21
meq/L. This ABG report would be seen in
case of ?
a. Hyperventilation
b. Pyloric stenosis
c. Hypoventilation
d. Acute tubular necrosis
8. Carbon dioxide washout will lead to
a. Hypocalcemia
b. Hypercalcemia
c. Hypernatremia
d. Hyponatremia
9. A female presents with blood sugar of
600 mg% and sodium of 110 mEq. Insulin
was given. What will happen to serum
sodium levels?
a.Sodium increase
b.Sodium decrease
c.Sodium unaffected
d.Relative sodium deficiency
10.13-year-old girl after dental extraction
is having excessive oozing of blood from
extraction site. Local hemostatic
mechanisms have failed. Coagulogram
shows a normal PT and deranged BT and
aPTT. Which is first Differential diagnosis?
a. Hemophilia A
b. Hemophilia B
c. Glanzmann Thromboasthenia
d. Von wilebrand disease
11. pH=7.3 , pCO2= 30 mm Hg, HCO3= 21
meq/L. This ABG report would be seen in
case of ?
a. Hyperventilation
b. Pyloric stenosis
c. Hypoventilation
d. Acute tubular necrosis
12. Carbon dioxide washout will lead to

a. Hypocalcemia
b. Hypercalcemia
c. Hypernatremia
d. Hyponatremia
14. AUDIT score to use to evaluate
a. Harmful alcohol use
b. Severity of alcoholic hepatitis
c. Severity of alcoholic cirrhosis
d. Severity of portal hypertension
15. Correct about diagnosis of
schizophrenia?
a. Auditory hallucinations are pathogmonic
feature
b. At least 2, Positive or negative symptoms for 1
month and continuous signs for 6 months
c. At least 1 Positive and 1 negative symptoms
for 1 month and continuous signs for 6 months
d. At least 2 Positive and 1 negative symptoms
for 1 month and continuous signs for 6 months
16. Which of the following OHA used in
type 2 DM have least effect on reducing
HbA1c value?
a. Metformin
b. Glipizide
c. Sitagliptin
d. Voglibose
17. A 30-year-old lady with crush injury was
admitted to the casualty. Her uro-bag shows
100ml red color urine. ECG is shown below. All
are indicated for this patient except?

a. Hemodialysis
b. Furosemide drip
c. Calcium chloride
d. Magnesium sulfate
18. Atrial fibrillation may occur in all the
following conditions, except?
a. Mitral stenosis
b.Hypothyroidism
c.Dilated cardiomyopathy
d.Mitral regurgitation
19. Feature of Torsade de pointes is?
a. Wide qRS complex
b.Short qRS complex
c.Prolonged QTc interval
d.Short QTc interval
20. CXR was done for a 15-year-old boy
with low cardiac output. Which is
incorrect about the patient?
a. Loud S1
b. Straightening of left heart
border
c. Carey Coombs murmur
d. Sea gull murmur
21. Acromegaly is characterized by all
except?
a. Diabetes
b.Muscular hypertrophy
c.Enlarged nasal sinuses
d.Increased heel pad thickness
22. A 7-year-old child frequently gets into
trouble at school. He is friendly with other
children but gets aggressive towards the
teacher and principal including biting the
school attendant. Diagnosis is?
a. Autism
b. ADHD
c. Oppositional defiant disorder
d. Separation Anxiety disorder
23. 28-year-old woman says she frequently
experiences palpitations, shortness of
breath and chronic indigestion. She says
she can remember she feels tense and
nervous for most part of the day for last 2
years. Diagnosis is?
a. Generalised anxiety disorder
b. Depression
c. Schizophrenia
d. Panic disorder
24. Which condition is most commonly
associated with coarctation of aorta?
a. PDA
b. Bicuspid aortic valve
c.Aortic stenosis
d.VSD
25. Pleural fluid low in glucose is seen in
all except:
a. CHF
b.Tuberculosis
c.Mesothelioma
d.Empyema
26. AIDS Positive truck driver is admitted
with fever and nuchal rigidity. Most rapid
and sensitive test for detecting
polysaccharide capsular antigen of
pathogenic yeast cryptococcal
neoformans. Diagnosis is?
a. Latex agglutination test
b. Mucicarmine stain
c. India ink stain
d. Urease test
27. Which of the following test is best to
detect Camper’s diarrhea?
a. Stool microscopy
b. Stool culture
c. String test
d. ELISA
28. Pneumothorax occur in all except?
a.Langhans cell histiocytosis
b.Marfan’s syndrome
c.Assisted ventilation
d.Bronchopulmonary aspergillosis
29. All of the following are true about
type I respiratory failure except:
a.Decreased PaO2
b.Decreased PaCO2
c.Normal PaCO2
d.Normal A-a gradient
30. Which of the following is not correct
about ARDS?
a.Shock Lung
b.Non cardiogenic pulmonary edema
c.Type 3 respiratory failure
d.Normal P.C.W.P