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CONTENTS Unit 11 Tumors Section A System-wise MCQs Medicine .................................................................................................... 509-523 Pediatrics .................................................................................................... 524-530 Unit 1 Cardiology Unit 12 Genetics Medicine ...........................................................................................................3-64 Medicine .................................................................................................... 533-538 Pediatrics .........................................................................................................65-78 Pediatrics .................................................................................................... 539-544 Unit 2 Neurology Unit 13 Infection Medicine .......................................................................................................81-142 Medicine .................................................................................................... 547-564 Pediatrics .................................................................................................... 143-156 Pediatrics .................................................................................................... 565-588 Unit 3 Endocrinology Unit 14 Other Sections Medicine .................................................................................................... 159-202 Rheumatology (Medicine) .......................................................................... 591-620 Pediatrics .................................................................................................... 203-212 Neonatology (Pediatrics) ............................................................................. 621-647 Unit 4 Respiratory System Developmental Milestones and Growth (Pediatrics) .............................. 648-661 Inborn Errors of Metabolism (Pediatrics) ................................................. 662-671 Medicine .................................................................................................... 215-263 Miscellaneous (Pediatrics) .......................................................................... 672-704 Pediatrics .................................................................................................... 264-272 PREVIEW Unit 5 Hepatology Section B Practice Questions Medicine .................................................................................................... 275-308 Practice Questions ......................................................................................... 707-774 Pediatrics .................................................................................................... 309-312 Unit 6 Gastroenterology Medicine .................................................................................................... 315-343 Pediatrics .................................................................................................... 344-354 Unit 7 Disorders of Kidney Medicine .................................................................................................... 357-389 Pediatrics .................................................................................................... 390-402 Unit 8 Hematology Medicine .................................................................................................... 405-450 Pediatrics .................................................................................................... 451-460 Unit 9 Fluid and Electrolytes Medicine .................................................................................................... 463-477 Pediatrics .................................................................................................... 478-484 Unit 10 Nutrition Medicine .................................................................................................... 487-493 Pediatrics .................................................................................................... 494-506 Cardiology (Medicine) Arrhythmia 1. A 55–year–old diabetic hypertensive male smoker came with chest pain for last one day. His ECG is shown. Which of the following is the correct diagnosis? (APPG 2016) a. Anterior STEMI with VT UNIT 1 b. Inferior STEMI with VT c. Inferior STEMI with SVT d. Anterior STEMI with atrial fibrillation PREVIEW Cardiology (Ref. Page 386: CMDT 2016) 2. Identify the ECG given in the figure below? (AIIMS Nov. 15) a. Sinus rhythm b. PSVT c. Atrial fibrillation d. Ventricular fibrillation th (Ref. Page 1485, Harrison 19 edn.) 3. In the ECG shown which drug is not to be given? (AIIMS Nov. 15) a. Amiodarone b. Adenosine c. Diltiazem d. Beta blocker th (Ref. Page 1487, Harrison 19 edn.) Ans.Ans. 1. d. AnteriorSTEMIwithatrialfibrillation 2. c. Atrialfibrillation 3. b. Adenosine 3 M M MEDICINE MEDICINE CARDIOLOGY Marwah’s Internal Medicine & Pediatrics MCQs CARDIOLOGY 4. Match List I with List II and select the correct answer using 9. A 75 year old patient clutches chest and falls down. A the code given below the lists: (UPSC 2015) Physician arrives on the scene. What is the first thing to be List I (Emergency drugs) List II (Clinical condition) done by the physician? (JIPMER Nov. 2015) A. Amiodarone 1. 1st degree heart Block a. Call for help B. Adenosine 2. Atrial fibrillation b. Clear patient airway C. Digoxin 3. Ventricular tachycardia c. Check pulse d. Chest compressions D. Atropine 4. P aroxysmal (Ref. AHA Basic life support 2015 guidelines supraventricular tachycardia 10. In ECG lead II, III, and aVF are abnormal. Which of the Code: following vessel is blocked? (JIPMER MAY 2015) A B C D a. Left coronary artery a. 1 2 4 3 b. Left anterior descending b. 1 4 2 3 c. Right coronary artery c. 3 2 4 1 d. Right circumflex artery d. 3 4 2 1 (Ref. page 1452: Harrison 19th edition) (Ref. 1489, 1479,1485: Harrison 19th edition) 11. A 55 year old hypertensive patient has a standing BP 5. Which of the auscultatory sign is absent in mitral stenosis in 190/10 and sitting BP-180/100. He also has irregularly the presence of atrial fibrillation? (UPSC 2015) irregular rhythm, double apical impulse and bilateral a. Mid diastolic murmur basal crepitations. But no murmurs could be auscultated b. Pre -systolic accentuation and heart rate could not be determined. What is the likely c. Variable first heart sound cause? (JIPMER Nov. 2014) d. Loud P (Ref. Page 1449: Harrison 19th edition) a. Left atrial Myxoma 2 b. Mitral regurgitation 6. What is the drug of choice to control supraventricular c. Cor Pulmonale tachycardia? (Bihar PG 15) d. Left ventricular hypertrophy PREVIEW a. Adenosine (Ref. 289e-2, 1543, 1505: Harrison 19th edition) b. Propranolol c. Verapamil 12. If a person is having ventricular tachycardia, extra systoles d. Digoxin appears in: (Recent Question 2015-16) (Ref. Page number 1479-80, Harrison 19th edition) a. P wave b. QRS complex 7. Unconscious child, CPR was started and ECG shows c. T wave d. R wave th normal QRS but peripheral pulse was absent inspite of (Ref. Harrison 19 ed. / 1489,18th edition, chapter 233) chest compressions. What should be done next? 13. The image shows presence of: (Recent Question 2015-16) (JIPMER Nov. 2015) a. Epinephrine b. Atropine c. Defibrillator d. Synchronised cardioversion (Ref. APLS page 133, 4th edition and Page 1769: Harrison 19th edition) 8. New onset atrial flutter. Best treatment is? (JIPMER Nov. 2015) a. Cardioversion b. Procainamide c. Bretylium a. Implantable cardioverter defibrillator d. Amiodarone b. Cardiac resynchronization therapy (Ref. page 393, CMDT 2016 and page 1485: Harrison) c. Dual pacing d. Transvenous pacemaker (Ref. Harrison 19th ed. /1514) Ans. Ans. 4. d. 3421 5. b. Pre-systolicaccentuation 9. a. Callforhelp 10. c. Rightcoronaryartery 6. a. Adenosine 7. a. Epinephrine 11. d. Leftventricularhype...12. b. QRScomplex 8. a. Cardioversion 13. b. 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