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UPSC CMS General Medicine - Cardiology (Cardiovascular Medicine)
Attempt UPSC CMS General Medicine - Cardiology (Cardiovascular Medicine) under real exam conditions. Features timed computer-based test interface, textbook explanations, and detailed subject rank analytics.
Duration
15 Mins
Countdown timer with review palette.
Marking Scheme
+4.00 / -1.00
Exact negative marking as per official exam rules.
Textbook Citations
Harrison & Bailey
Standard medical textbook solution references.
Target Exam
UPSC CMS
Official paper pattern & syllabus coverage.
📝 Sample Question Preview from UPSC CMS General Medicine - Cardiology (Cardiovascular Medicine)
Below is a preview of sample questions included in this mock test. Launch the live simulator to attempt the complete test.
Question 1
A 65-year-old male with a history of hypertension and dyslipidemia presents with sudden onset of severe, tearing chest pain radiating to his back. His blood pressure is 180/100 mmHg in the right arm and 140/80 mmHg in the left arm. A chest X-ray shows a widened mediastinum. Which of the following statements regarding his condition is/are CORRECT?
1. Initial management should include aggressive blood pressure control aiming for a systolic target of 100-120 mmHg.
2. Beta-blockers are contraindicated due to the risk of precipitating cardiogenic shock.
3. Ascending aortic dissection (Stanford type A) typically requires immediate surgical intervention.
4. Electrocardiogram is a highly sensitive and specific diagnostic tool for this condition.
A. 1 and 2 only
B. 1 and 3 only
C. 1, 3 and 4 only
D. 1, 2, 3 and 4
Textbook Explanation Highlight:
This patient presents with a classic picture of acute aortic dissection (differential blood pressure in arms, tearing pain, widened mediastinum). Statement 1 is correct: aggressive blood pressure and heart rate control (systolic target 100-120 mmHg)...
Question 2
Which of the following statements about hypertrophic cardiomyopathy (HCM) is INCORRECT?
A. Genetic mutations, most commonly affecting genes encoding sarcomeric proteins, are identified in over 60% of cases.
B. The characteristic echocardiographic finding is asymmetric septal hypertrophy often leading to dynamic left ventricular outflow tract (LVOT) obstruction.
C. Sudden cardiac death in young athletes is a well-recognized complication, often occurring during periods of strenuous exertion.
D. Digoxin is a cornerstone of therapy, particularly for patients with significant outflow tract obstruction, to improve myocardial contractility.
Textbook Explanation Highlight:
Digoxin is contraindicated in hypertrophic cardiomyopathy, especially in the presence of left ventricular outflow tract obstruction, as it increases myocardial contractility and can worsen the obstruction. Beta-blockers, calcium channel blockers (lik...
Question 3
A 35-year-old male presents with recurrent episodes of palpitations, dizziness, and presyncope. ECG reveals narrow complex tachycardia with no discernible P waves, and R-R intervals are irregular. Electrophysiology study confirms an accessory pathway conducting anterogradely during sinus rhythm and retrogradely during tachycardia. Which of the following antiarrhythmic drugs is CONTRADICTED as initial treatment for acute termination of his tachycardia?
A. Adenosine
B. Diltiazem
C. Amiodarone
D. Procainamide
Textbook Explanation Highlight:
The clinical presentation and electrophysiology study findings suggest Wolff-Parkinson-White (WPW) syndrome with orthodromic atrioventricular reentrant tachycardia (AVRT) or possibly atrial fibrillation with rapid conduction down the accessory pathwa...
Question 4
A 58-year-old patient with a history of chronic alcoholism and malnutrition presents with progressive dyspnea, orthopnea, and lower limb edema. Echocardiography shows dilated left ventricle with global hypokinesia and ejection fraction of 25%. His ECG reveals sinus tachycardia with diffuse T-wave inversions. His condition is most consistent with a specific type of cardiomyopathy. This clinical scenario most closely aligns with the 'wet beriberi' described in the context of what famous historical medical eponym?
A. Corrigan's pulse
B. Kussmaul's sign
C. Shoshin cardiomyopathy
D. Traube's sign
Textbook Explanation Highlight:
The patient's presentation of dilated cardiomyopathy, biventricular failure, and a history of chronic alcoholism and malnutrition strongly suggests thiamine deficiency (wet beriberi). Shoshin cardiomyopathy is the eponym specifically used to describe...
Question 5
A 72-year-old male with a history of hypertension, type 2 diabetes, and stable angina pectoris presents with worsening dyspnea on exertion and orthopnea. Echocardiogram reveals moderate-to-severe aortic stenosis with a valve area of 0.8 cm² and a mean gradient of 55 mmHg. Left ventricular ejection fraction is preserved at 55%. Which of the following is the most appropriate next step in the management of this patient?
A. Initiate aggressive diuretic therapy and continue medical management for symptomatic relief.
B. Refer for transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR).
C. Start a high-dose statin to reduce progression of aortic stenosis.
D. Perform a stress echocardiogram to assess for inducible ischemia.
Textbook Explanation Highlight:
The patient has severe symptomatic aortic stenosis (valve area < 1.0 cm², mean gradient > 40 mmHg, symptoms of heart failure) with preserved ejection fraction. Current guidelines strongly recommend aortic valve replacement (either TAVI or SAVR) for s...