Medicine – NEET PG Past Paper

by Dr.P.Harinath

July 11, 2024

in NEET PG Past Paper

0 0

MEDICINE

Page 1 of 10

Q.115) A Sfiyear-old patient with history of recurrent retrostemal chest pain, each episode lasting 3-5 min and subsiding with sublingual nitrate. Now he presented to emergency with exceudating chest pain. He is a k/c/o IITN, DM, hypercholesterolenria. He is already on Lovastatin, aspirin, station, and 50 mg metformin. ECG shows LVH with ST-T changes with T wave flattening. Trop tie normal. What is next step in management? Increase beta blacker dose LMWH subcutaneous IV NTG clrip Add tab clopidogrel

Page 2 of 10

Q.117) A female patient with hysteria was hyperventilating. She subsequently developed umpopedal spasm. On work up, ABC value of pH = 7.53, pC05 = 20 mm Hg, HCO,= 26 meq/L is seen. The clinical diagnosis is: Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis

Page 3 of 10

A patient is experiencing respiratory alkalosis. What is the most classic sign seen? Bradypnea Chvostek sign Bradycardia Hoover sign

Page 4 of 10

A 30-year-old patient was behaving strangely and developed an episode of seizure on presentation to ER. On work up of patient, urine osmolality 1000 and plasma osmolality 200. Which of the following is most probable dyselectrolyternia present in this case? Hypernatremia Hypokalemia Hyperkalemia Hyponatremia

Page 5 of 10

A child is born with congenital hydrocephalus and VP shunt was put. He developed an obstruction in shunt 4 months back that shunt was successfully replaced. Now he has developed irritability, tiredness, and fever which on evaluation with rectal thermometer showed a value of 38.4°C. Which is next best step in management of this patient? Blood culture from peripheral blood and CSF sample by LP Blood culture from peripheral blood and CSF sample by tap of VP shunt reservoir Do radionuclide scan for functioning of VP shunt Acetaminophen whenever fever Spikes with Spiking TLC

Page 6 of 10

A 30-year-old lady had moderate headache thrice in a week following which she was using medication for last three consecutive years. She says that in the recent six months she stopped using medication and her headache has decreased. Which of the following is most probable diagnosis? Migraine Tension type headache Cluster headache Medication overuse headache

Page 7 of 10

An elderly diabetic female has presented with multiple episodes of vomiting after few hours of consuming food from outside. On admission BP is low and ABC shows pH = 7.5, pC0z = 45 mm Hg and HC0z= 30 mEg. Na = 130, K= 3.5 and Chloride = 90 meg/L. Comment on the etiology of these findings: Renal tubular acidosis Diabetic ketoacidosis Protracted vomiting Septic shock

Page 8 of 10

A 50-year-old patient presents with nocturnal cough, breathlessness and wheezing episodes. Absolute eosinophil count is 5000 In = 40-400 cells/cu mm) and miliary pattern is noticed on CXR. The clinical diagnosis iv Miliary TB Tropical pulmonary eosinophilia Bronchial asthma Hypersensitivity pneumonitis

Page 9 of 10

A 25-year-old patient with mitral stenosis with irregularly irregular pulse has presented to OPD. Pulse deficit 10. Echo is normal and shows no thrombi. What is the best way to prevent thrombosis in this patient? Dabigatran Aspirin plus clopidogrel Warfarin LMWH

Page 10 of 10

GKD patient lands in uremic encephalopathy. Which ABG report will be seen? pH 7.15, PC0,= 23 min Hg and HCO, = 9 pH = 7.46, PC0,= 45 mm Hg and HCO, = 30 pH -7.15. PC0,= 60 min Hg and HCO, 26 pH 7.46, PCO2. 30 mm Hg and HCO, =20