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UPSC CMS PREVIOUS YEARS QUESTIONS WITH EXPLANATION PART 6

PART 1 : UPSC CMS PREVIOUS YEARS QUESTIONS WITH EXPLANATION PART 1






Q.1 The following substances can cause dilated pupils EXCEPT:


(a) Tricyclic Antidepressants
(b) Cocaine
(c) Clonidine
(d) Amphetamines


ANS- (c) Clonidine

See Explanation in Part - 4 Question 2.

READ PART 4 HERE :-


Q.2 CA 19-9 is a tumour marker used for the diagnosis of:


(a) Lung cancer
(b) Prostate cancer
(c) Ovarian cancer
(d) Pancreatic cancer


ANS- (d) Pancreatic cancer

Lung cancer : EGFR,KRAS
Prostate cancer : PSA antigen 
Ovarian cancer : CA 125
Pancreatic cancer : CA 19-9



Q.3 Osborn wave in ECG is characteristic of:


(a) Hypothyroidism
(b) Hypovolemia
(c) Hypothermia
(d) Hypocalcemia


ANS- (c) Hypothermia

Osborn wave in ECG seen in Hypothermia.


Q.4 Drug of choice for treating hypertensive emergency in a case of Aortic dissection is:


(a) Phentolamine
(b) Prazosin
(c) Nitroprusside
(d) Amlodipine


ANS- (c) Nitroprusside

For acute reduction of arterial pressure, the potent vasodilator sodium nitroprusside is effective. 


Q.5 A 5 year old boy is brought to the Emergency Room following a crushing injury. The ECG reveals peaked T waves, prolonged PR interval and widened QRS complexes. Which of the following treatments should be administered immediately?


(a) Sodium bicarbonate infusion
(b) Intravenous bolus procainamide
(c) Insulin infusion
(d) Intravenous magnesium sulphate


ANS- (a) Sodium bicarbonate infusion

Tall T waves/prolonged PR interval/wide QRS complex indicates Hyperkalemia.

Sodium bicarbonate may assist in the lowering of serum potassium in hyperkalemia by alkalinizing systemic blood volume and causing the intracellular shift of potassium via hydrogen and potassium exchange.



PART 1 : UPSC CMS PREVIOUS YEARS QUESTIONS WITH EXPLANATION PART 1




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