PLAB EXAM

موضوع: PLAB EXAM الجمعة مارس 27, 2015 1:36 pm

PLAB EXAM 2

51. . A man had an accident irritate him whenever he remember it==========post traumatic disorder,

52. wife thinks husband has alzheimers which factor will confirm
Ans:????progressive

53. he is worried as his brother who had kidney condition died of intra cranial ???
Inv:
a.intra cranial haemorrhage
b.extra dural haem
c. sub dural
d sub arachnoid
Ans: d sub arachnoid

54. child brought to A&E with cut in knee and sprained her left wrist.. which analgesia as she is asthmatic..------ ans: PARACETAMOL

55.husband azzospermia
Test to be done
a.prolactin
b.LH
c.testosterone
d.serum fsh
Ans: d

56. hyponatremia and hyperkalemia
Ans: adrenal insufficiency

57.there was a pneumothorax question….chest drain/thoraco

58.peak flow diary

59. a boy has cough and cold and mainly coughing at night
Ans: test broncho dilator

60.tricyclic anti depressants….ecg

61. oral contaceptices…..no treatment

62.aspirin…….urine analysis????

63.had vodka and vomited 500 ml……no treatment

64. terminally ill patient has fatigue and thirsty
Steroids?????

65.74 yr old male had a fracture of femur. All investigations were normal. Ans- Osteoporosis

66.Another male had a similar fracture, Sr calcium raised and PSA raised. Ans- Metastatic disease

67.Another had a fracture and Sr Ca low, Sr alk phosphatase mildly raised. Ans- Osteomalacia

68.One male had a fracture with profound increase in Sr alk phosphatase activity. Ans- Pagets disease

Theme on Rashes and Fever
69.5yr old had a vesicle in axilla to start and then erytheme all over trunk with similar lesions

70.8 yr old had fever followed by rash and difficulty in walking

Another baby had pink maculopapular rash, not eating, parents were

71.worried and giving ibuprofen

72.One baby had sore throat followed by rash and was on antibiotics for 10 days

73.One baby had rash, fever with sore eyes

74.Male who had his thigh crushed presents with renal failure.
Ans- Myoglobin

75.10 day old male vomiting

Ans- Metabolic alkalosis

76.38 yr female presents in the morning with uncnsciousness. No previous history, only headache since morning. BP 140/90, neck stiffness, extensor plantars

Ans- Sub-arachnoid hemorrhage

77.9 yr old male with hemturia, proteinuria, hypoalbuminemia, swelling.

Ans- Minimal change disease

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موضوع: رد: PLAB EXAM الجمعة مارس 27, 2015 1:39 pm

78.Man had metasatic disease on Dexa and Valprote. Now has Glucose of 8.7mmol/L
Ans. Stop Dexa

79.Painless vision loss- CRAO

80.Flashes with loss of vision-Retrobulbar neuritis

81.Fundus cannot be seen- Vitreous hemorrhage

82.Red tinged fundus- CRVO

83.Man with heart failure develops gout. Treatment started,heart failure worsens

Ans- NSAIDs

84.A boy with epistaxis

Ans- Pinch nose

85.Boy with tonsillectomy presents in A&E with bleeding from tonsillar site
ptions-
Antibiotics
Pressure
Reassure
surgical expl
ans: surgical

86.Chances of inheriting NF
Ans- 1 in 2

87.
Man on warfarin posted for hemiclectomy

Ans- Stop warfarin and start Heparin

88.Patient prents in A&E with signs of alcohol withdrawal. First drug to use
Ans- benzodiazepine

89.Boy with malabsortion

Ans-? Jejunal Biopsy

90.Boy with swelling over feet, increase in wt and lethargic.

Ans- nephrotic

91.Breast-feeding mother presents with abscess. Causative organism
Ans- Staphylococcus

92. answered iv saline and insuline cant remember the question

93.Pt had ataxia, vertigo and nystagmus. Site of lesion?

8th nerve
Auditory canal
Cerebellum
Ans: cerebellum

94.Pt had injury to his face and had numb face. Nerve involved?
????INFRAORBITAL NERVE INJURY

95..a patient with alternating swings/episodes from elation and depression was under treatment and got better .want something to be continued so he can stay well.
*anxiolytics
* mood stabilizers
* anti depressents
* anti psychotics
I ans. anti psychotics as we prescribe lithium for bipolar disorders

96. a child distressed with breathing R/R 40. fever unable to swallow saliva .what to do first
*examinine throat
* secure airwa
*keep him lie flat...
iv penicillin
Ans: examine the throat

97.women on anti coagulant develop d swelling ,redness,tenderness,swelling in her leg...what diagnostic test to lookfor first

Duplex scan
D- dime
venography
Ans duplex scan

98.a man after RTA pain in right upper quadrant ,right hypochondrium swelling GCS 10 response to pain ,whic is the appropriate inv.?
* abdominal xray
* erect chest xray
* lateral abdominal wall x ray
ct scan
laparotomy
Ans:ct?????
99.A lady who is diagnosed metastatic carcinoma and has only few week of life, has breathless due to pleural effusion: treatment option
pleural aspiration
catheter insertion and leave for continous drainage
pleurodesis

Ans: marked pleural aspiration...changed from continuous drainage
at the last minute

100.iucd missing .... do abd.x ray

MORE PLAB QUESTIONS

which structures r injured while passing a chest drain in 4 ICS in midclavicular line:
a)intercostal artery
b)ICS artery
C)ICS nerve

56yr male COPD.His symp. r deterioating despite maximal inhaled therapy.what is da most useful intervention for this pt.
a)oral steroids
b)injectible steroids
c)oral theophyline
d)oxygen
e)doxapram

wtat is da most appropriate investigation for branchial cyst:
a)usg
b)aspiratio with cytology
c)FNAC

what is da most appropriate investigation for pyloric stenosis:
a)abd. Xray
b)ba meal
c)endoscopy
d)serum electrolytes

a boy brought to A&E,vomitting n unwell for few days.his pulse is 100 bpm and is confued n his ABGS r as folows:
pH:7.25
PaCo2:3.2 kpa
paO2:20 kpa
Base excess:15
what is da correct interpretation of above ABGS
a)met acidosis
b)met. alkalosis
c)resp. disorder
d)resp. alkalosis

32yr.female wid routhine cervical smear done shows inflammatory changes.her last cervical smear was normal.what is the next step:

a)repeat smear after 6 months
b)repeat after 1 year
c)take swab
d)colposcopy
e)transvaginal usg

55yr lady wid mania associated with frequent n cyclical depressive symptoms.wats da t/m:

a)carbamezapine
b)sodium valproate

Q. A 42y man, 3wks post MI, on atenolol,aspirin and a statin. Develops weakness of muscles. CK15000 u/l, urea 28mmol/l, creatinine 323um/l. What is diagnosis?
Acute tubular necrosis, acute interstitial nephritis,acute cortical necrosis, renal papillary necrosis, renal vein thrombosis, rapidly progressive glomerulonephritis, hemolytic uremic syndrome, renal azotemia, hepatorenal syndrome, acute glomerulonephritis
Q. treatment of agoraphobia:

a)imipramine
b)cognitive behavioural therapy

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موضوع: رد: PLAB EXAM الجمعة مارس 27, 2015 1:43 pm

PLAB EXAM 3

Professional and Linguistic Assessments Board

101.There was a SBA on a young female patient who presented with abdominal pain and o/e abdomen was rigid and cervical inspection was impossible becoz of patient's irritability and there was history of Amenorrhea as well. But no usg findings was there and HCG was not done. And patient was hemodynamically stable what is next step of management?
a) Laproscopy
b) Laprotomy
c) USG abdomen ( I marked this) ????
Ans: c

102.A patient came in emergency who was stabbed in a neck has a BP of 60/0 pulse was >120 and distended neck veins? Wats diagnosis?
a) Aortic Laceration
b) Cardiac Tamponade

103.Then there was a patient with no prior history presented with confusion there was a tachycardia and markedly low BP? wats the immediate management?
a) Endotracheal intubation
b) Infusion of Fluids i think 0.9% saline
Ans: b

104.Girl running around with live insect in ear,

105.woman on OCPS with painless nodules on vulva. answer was vaginal warts.

Theme on investigation of haematuria

106.A girl with back pain and dysuria n haematuria

107.A man with painless haematuria and bld clots -answer cystoscopy .

108.And another man with recurrent haematuria ,mother and aunt had similar problem-answer was ultrasound.

109. anemia of chronic disease is normocytic and normochromic and iron def anemia is microcytic and hypochromic..so ans is anemia of chronic blood loss only

110. Regarding the question on double blinded clinical trial where 1000 subjects were recruited, around 497 & 503 in each group & 2/3 % from treatment group left the trial while 25% from placebo group left the trial. What can be possible explanation for difference in the drop out rates:
a) Chance
b) Error in randomization
c) Error in blinding
d) Incomplete information
I think the answer is error in blinding. Since the placebo group come to know that they are offered 'placebo' and not the 'treatment' they are not interested in trial as much as the treatment group and hence more drop out.

Answer cannot be incomplete information , as you can calculate chi square with the available information and p value is less than 0.05. Hence, chance can also not be the right answer.... Please excuse me for getting so technical, but being in public health, i thought i should share my perspective.

111. theme with anatomy of the structures pierced during standard procedures..

111) Lumbar puncture - Surpaspinous,ligamentInterspinous ligament and Ligamentum flavum
Ans: duramater

112.) mid line asbominal incision –
Ans:Linea alba ??

113) chest drain b/n mid axillary line n mid clavicular line - ext. and int. intercostal muscles

114. a pregnant female having high BP systolic more than 160 wid proteinuria of .2g/day.
I wrote Pre-eclampsia but unfortunately the right answer was Pregnancy induced hypertension becoz for pre eclampsia the proteinuria must be at least 300mg/day

115. the DKA questions.... The intial investigation would always be.... ABG's....

116. What is the correct answer for stroke prophylaxis? Accordinto ohcm for tia its aspirin and dipyridamole but in view of arrythmias its aspirin and clopidrogel. Also clopidrogel is to be used in case of aspirin intolerance.

117. the question on shoulder abduction injury with no flexion at elbow and forearm in pronation, the answer is 'Brachial Plexus' injury. It was picture of Erb's palsy with C5/C6 nerve root involvement

118. A Person punched on a face presents with numbness of lower lid one side of cheek upto upper lip. Which nerve is injured?
I marked Infraorbital Nerve

119. Patient of RA on NSAIDS with low hb low mcv and normal retic count. looks like it is due to ANAEMIA OF CHRONIC DISEASE( since microcytic anaemia as mentioned in question) and retic count is normal
if it was due to chronnic blood loss it would have been normocytic anaemia

120.Patient of RA on NSAIDS with low hb low mcv and normal retic count. looks like it is due to ANAEMIA OF CHRONIC DISEASE( since microcytic anaemia as mentioned in question) and retic count is normal

121. Neck flexion causes pain in cervical spondylosis.

122. a question with parents of 18month old bringing him to emergency 'coz he choked on something. Wanted to know what procedure to follow if this happens again.
a. Heimlich manoeuvre
b. Chest compressions while standing.
c. chest compressions and back slaps in standing position
d. abdominal thrust and pat at the back
e. chest compressions and back slaps with child on lap

123. .Pt have severe diarrhea /vomitting for 3 days now having orthostatic hypotension
Ans:dehydration

124. An 84 year old lady with consistently high B.P readings on 3 occasions 3 months apart but no symptoms ,no neurological deficits. otherwise healthy...what will you give
at first month 170/90
sec month 164/96
third month similar to first i think
* atenolol
*anxiolytic
* N0 medication
*bendoflumethiazides

Ans: bendrofluothiazides

125. asked a female of reproductive age, unable to conceive had sever abdominal pain and mass in left iliac fossa ground glass appearance on x ray ,what can be the diagnosis?
* mucinous cystadenoma
* ovarian endometriomata( i ans this)
* bleeding corpus luteum
* fibroid
Ans: ovarian endometriotoma

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موضوع: رد: PLAB EXAM الجمعة مارس 27, 2015 1:44 pm

IMPORTANT PLAB QUESTIONS

Plab 3: 15th March stations

15th March 2012 stations...are below

1.urinary catherization
2.IV cannulation
3. breast examination
4.diabetic foot
5.knee examination
6.menniquine take BP and listen to heart sounds
7.child with diarrhae telephone conversation with mother
8.child with hypoglycaemic fit talk to mother about management and future prevention of such attacks.mother knew that her child is diabetic.
9.hemicolectomy explain to patient and address concerns because he is anxious
10. operation cancelled because of anemia talk to pt and inform him about the tests you are going to do next
11.temporal arteritis explain management to the pt
12.mother conscious about her daughter's wt loss take history exploring symptoms sensitively
13.hysterectomy dermoid cyst counselling
14.red eye history and differentials
15.pt with cough with sputum 3 months take history discuss differentials
16. headach patient examination and give conscious level

Plab 3 : some more questions
1.there was question on stab injury chest-ans hemopneumothorax
2.investigation for fibroadenoma-ans fnac
3.ca breast treated now presents with bony changes-options were bone scan, ct chest ,etc ans-?
4.insect in the ear-ans alchohol instillation
5.swelling near the nose increasing in size gradually-ans malig melanoma or basal cell ca
6.a question on eclampsia on maintenance dose of mgso4-ans ? give bolus dose of mgso4
7.murmur in a new born radiating to axilla - ans ?
8.acute epiglotitis investigation- ans xray neck
9.bag of worms-ans usg
10.one ent emq with question on glue ear otosclerosis
11.one ophthal theme-had 2 answers for central retinal artery occlusion(one person having myopia and other one having painless loss of vision with pale retina) and one answer was cent ret vein occlusion ( a hypertensive patient with reddish fundus ) and other answer was retinal detachment as red reflex lost
12.uti in a child-ans supra pubic aspiration of urine
13.one theme on rta with pronation of hand -ans as brachial plexus injury
14.swellings in vulva-condyloma parvo virus
15.lymphatic drainage of vulva-? ans
16.treatment of trichomoniasis-ans metro
17.theme on infection in aids:
oral ulcers with rashes in face-? candidiasis
pneumonia- p.carinni
painful swallowing with ulceration of oesophagus-? salmonella
18.multiple glands in neck whts the investigation-ans ? biopsy
19.piercing structure in midline lap -? linea alba
20.piercing structure in drain tube in middle of mid axillary line and midline- ans ? lat or med rectus
21.bleeding 1 wk later tonsilectomy immediate first line traetment- ans packing with cotton
22.iucd not seen - ans x ray abdomen and pelvis
23.some question on humerus # nerve injured - ans ? radial nerve
24.epistaxis in child- ans pinch soft part of nose
25.celiac disease-ans jejunal biopsy

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موضوع: رد: PLAB EXAM الجمعة مارس 27, 2015 1:45 pm

PLAB EXAM 4

Professional and Linguistic Assessments Board

PLAB 1 March 2012 Questions

Q. Man with seizure. Found to have cerebral mets and cerebral edema. Managed with Na valproate and dexa 6mg. Later found to have elevated sugar 20mmol/l

What to do?

1 insulin sliding scale
2 stop dexa
3 long acting insulin
4 do no
Man with heart failure, treated for acute gout, heart failure worsens.

*ans NSAIDS: they cause fluid retention.
a patient after tosillectectomy comes with profuse bleeding from mouth and vomiting treatment required is
*ans* anterior packing in emergency theatre
Inability to swallow......Airway
P/effusion......Thoracodesis
PET................Mg
Umbilicated lesion...........BCC
Alc wanna leave.........?
Pneumothorax...............Thoracocentesis
Crush injury.......................Myoglobin
Calcium......................Pamidronate
Breast abscess................Staph
Q. A lady has cafe au lait spots and wants to know about chances of her child inheriting it
100%
1 in 2
1 in 4
1 in 8
0%

In about half of all cases, a person inherits the mutated gene from a parent. The disorder is inherited in an autosomal dominant pattern, which means that only one copy of the defective gene has to be inherited for a child to get the disorder. Each child of a parent with NF1 runs a 50 percent risk of getting the disorder.
HIV Theme.

Man with pain on swallowing. multiple ulcers in the oesophagus

*ans* CMV*

Man on warfarin admitted one day before sugery. with history of dvt and pulmonary emblism

ANS ? stop warfarin and start heparin
Man with renal failure says his mother died from it and sister recently had kidney transplant. Which is the best diagnostic investigation? U/s ??? Poly cystic kidney disease?
Psychiatric theme.
Police bring man into hospital. He says someone keeps breaking in and stealing his stuff. korsakof? Or delusional?
Man caught after high speed car chase says he is the best racing driver in the world. Again delusional or sschizophrenic?

1) Delusion

2) Mania
young boy with nose bleed for an hour cant remember properly but i think perhaps PT or APTT was prolonged
options included vitamin k deficieny and von willebrand dis.

elderly man with headache has early morning headche whcih gets better as day goes on

lady works as a cleaner has headache at the back of neck which pain can be reproduced when bending her neck
man brings in his wife unconsious he says she had earlier complained of a severe headache at the back of her head associated with nausea and vomitting
ans 1 VWdisease?
SOL wasnt in option so i put subdural hem??
tension headache??
A pregnant with pre eclampsia initially on magnesium sulphate and hydralazine then develops another seizure??what to give-diazepam

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