Full Length Mock Test
All India Percentile Rank
UPSC CMS General Medicine - Pulmonology (Respiratory Medicine)
Attempt UPSC CMS General Medicine - Pulmonology (Respiratory Medicine) under real exam conditions. Features timed computer-based test interface, textbook explanations, and detailed subject rank analytics.
Duration
10 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 - Pulmonology (Respiratory 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 62-year-old male with a 40-pack-year smoking history presents with progressive dyspnea, non-productive cough, and constitutional symptoms for six months. Spirometry reveals FEV1/FVC ratio of 0.85, FVC of 60% predicted, and TLC of 70% predicted. DLCO is severely reduced (40% predicted). High-resolution computed tomography (HRCT) of the chest shows reticular opacities, traction bronchiectasis, and honeycombing predominantly in the subpleural and basal regions. Which of the following statements regarding the most likely diagnosis is/are CORRECT?
1. The disease is characterized by a rapidly progressive course and high mortality within 3-5 years.
2. Acute exacerbations are often triggered by viral infections and associated with increased mortality.
3. Pirfenidone and nintedanib are approved therapies shown to slow disease progression.
4. Lung biopsy is always required for definitive diagnosis even with characteristic HRCT findings.
A. 1, 2 and 3 only
B. 2, 3 and 4 only
C. 1, 3 and 4 only
D. 1, 2, 3 and 4
Textbook Explanation Highlight:
The patient's clinical presentation (progressive dyspnea, non-productive cough, constitutional symptoms in a smoker), spirometry (restrictive pattern with reduced FVC and TLC), severely reduced DLCO, and characteristic HRCT findings (reticular opacit...
Question 2
Which of the following statements concerning obstructive airway diseases is INCORRECT?
A. In severe asthma, airways remodeling can occur, leading to fixed airflow obstruction that is not fully reversible with bronchodilators.
B. Chronic bronchitis is pathologically defined by hypertrophy of submucosal glands in the large airways, leading to increased mucus production.
C. Alpha-1 antitrypsin deficiency predominantly causes centrilobular emphysema, particularly affecting the upper lobes.
D. Bronchiectasis involves irreversible localized or diffuse dilation of the bronchi, often due to chronic inflammation and infection, and can be a sequela of severe pneumonia or cystic fibrosis.
Textbook Explanation Highlight:
Let's analyze each statement:
Option 1: In severe, long-standing asthma, airways remodeling (e.g., smooth muscle hypertrophy, subepithelial fibrosis) can occur, contributing to fixed airflow obstruction that may not be fully reversible with standard...
Question 3
A 35-year-old male presents to the emergency department with sudden onset of pleuritic chest pain and severe dyspnea. He reports a history of deep vein thrombosis (DVT) two years ago, for which he completed a 6-month course of anticoagulation. On examination, he is tachypneic (RR 30/min), tachycardic (HR 110 bpm), and hypotensive (BP 90/60 mmHg). Jugular venous pressure is elevated. ECG shows S1Q3T3 pattern and right axis deviation. Arterial blood gas shows respiratory alkalosis with hypoxemia. Which of the following interventions is CONTRADICTED as an initial treatment in this patient?
A. Intravenous unfractionated heparin
B. Supplemental oxygen to maintain SpO2 > 90%
C. Initiation of systemic thrombolytic therapy
D. Trendelenburg position for immediate circulatory support
Textbook Explanation Highlight:
This patient presents with a classic picture of massive pulmonary embolism (PE) with hemodynamic instability (hypotension, tachycardia, elevated JVP), severe dyspnea, pleuritic chest pain, and ECG changes (S1Q3T3, right axis deviation). Massive PE re...
Question 4
A 55-year-old male presents with recurrent episodes of hemoptysis, chronic productive cough, and fever. Chest X-ray shows prominent upper lobe opacities with cavitation. Sputum smears for Acid-Fast Bacilli (AFB) are positive. He is diagnosed with pulmonary tuberculosis. Which of the following is an expected finding in a patient with significant pulmonary tuberculosis?
A. Rassmussen's aneurysm leading to massive hemoptysis
B. Pancoast syndrome due to apical involvement causing shoulder pain and Horner's syndrome
C. Kussmaul's sign due to constrictive pericarditis secondary to TB
D. Ranke complex seen on chest X-ray, indicating active primary tuberculosis
Textbook Explanation Highlight:
Let's evaluate each option:
Option 1: Rassmussen's aneurysm is a pseudoaneurysm of a pulmonary artery branch that can form within a tuberculosis cavity. Rupture of a Rassmussen's aneurysm is a well-recognized and life-threatening cause of massive he...
Question 5
A 70-year-old male with a history of COPD and congestive heart failure presents with increasing dyspnea, cough, and greenish sputum for 3 days. His SpO2 is 88% on room air. ABG shows pH 7.28, pCO2 70 mmHg, pO2 55 mmHg, HCO3 30 mEq/L. He is admitted to the ICU and requires non-invasive positive pressure ventilation (NIPPV). His condition worsens, and he develops refractory hypoxemia and hypercapnia despite maximal NIPPV support. Which of the following is the most appropriate NEXT best step in management?
A. Administer a high-dose oral corticosteroid regimen.
B. Initiate broad-spectrum oral antibiotics.
C. Proceed with endotracheal intubation and mechanical ventilation.
D. Increase the inspiratory pressure support on NIPPV further.
Textbook Explanation Highlight:
This patient has an acute exacerbation of COPD (AECOPD) complicated by acute on chronic respiratory failure (evidenced by severe hypoxemia and hypercapnia with acidosis). He is failing NIPPV, which is often the first-line support for AECOPD with resp...