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. Cardiacresyn...
                                                                                                                                       4                                                                                                          5