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PLAB Part I Paper March 2002 1
PLAB Part I Paper March 2002 1
Acoustic neuroma
Blast injury
Petrous temporal bone fracture
Wax impaction
Acute otitis media
Ototoxicity
2.
3.
4.
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
Ipratropium
Amoxycillin
Salbutamol
Doxapram
Theophylline
Trimethoprim
B2 agonist
Antimuscarinic
Interferes with cellwall synthesis
Increases
the
activity
of
respiratory muscles
K.
10. B2 agonist
11. Antimuscarinic
12. Interferes with cell wall synthesis
13. Increases the activity of respiratory
muscles
Nasopharyngeal angiofibroma
Carcinoma maxillary antrum
Nasal polyposis
ORF
Septal perforation
Coagulopathy
Anticoagulant overdose
Sarcoidosis
Trauma
HTN
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
Nebulized B 2 agonist
Inhaled short acting B2
Inhaled long acting B2
Oral short acting B2
Oral long acting B2
Leukotriene antagonist
Na cromoglycate
Oral the ophylline
Aspirin
IV B-blockers
Ca channel antagonists
5.
6.
7.
8.
9.
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Theme
5:
Diagnosis
Disturbances:
A.
B.
C.
D.
E.
F.
G.
of
Electrolyte
Metabolic acidosis
Metabolic alkalosis
Renal failure
Fluid overload
Hypokalemia
Respiratory acidosis
profuse
Theme
6:
A.
B.
C.
D.
E.
F.
villous
Diagnosis
Patients:
adenoma,
of
Unconscious
Subdural haematoma
Extradural haematoma
Mild injury
Moderate injury
Fracture base of skull
Theme 9:Vaccines:
A.
B.
C.
D.
E.
F.
Delay by 2 weeks
Omit pertussis & meningitis
Give vaccine in hospital
Continue as per schedule
Give inactivated vaccines
Pulse oximetry
Wound swab
V/Q scan
ECG
USG abd + pelvis
Coronary angiogram
Serum urea, electrolytes
Blood culture
MSU
Chest X -ray
Theme 11:Contraception:
A.
B.
C.
D.
E.
F.
G.
H.
I.
Condoms
COCP
POP's
OCP's+condom
Depovera
Mirena coil
Diaphragm
IUCD
Abstinence
Alzheimer's
Multi infarct
Lewy body
Psuedodementia
Frontal dementia
CJD
Alcoholic dementia
Clonazepine
Phenelezine
Lithium
Fluoxetine
Haloperidol
Amitryptiline
Alzheimer's
Delirium
Depression
Late onset schizophrenia
Frontal dementia
Chronic anxiety state
Vascular dementia
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Aortic rupture
Splenic rupture
Diaphragmatic rupture
Cardiac tamponade
Renal contusion
Renal pedicle avulsion
Bladder rupture
Pancreatic ruptur
A.
B.
C.
D.
Optic
Olfactory
Trigeminal
Occulomoto
Vagus
Spinal accessory
Vestibulocochlear
Facial
.X-ray
shows
71. Fracture
of
anterior
rhinorrhoea, anosmia
cranial
Schizophrenia
Substance abuse
Opiate abuse
Opiate withdrawal
Generalized tonic clonic seizure
Panic attack
A.
B.
C.
D.
E.
F.
G.
H.
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Bronchiectasis
TB
Inhaled foreign
Pneumonia
Pulmonary embolism
A.
B.
C.
D.
E.
F.
G.
H.
Carotid doppler
MRI temporal lobe
MRI occipital lobe
MRI parietal lobe
ESR
Echocardiography
MRI pitutary
Skull X-ray
Theme
A.
B.
C.
D.
E.
F.
G.
24:Complications
Infarction:
of
Myocardial
105.
Patient,12 hours after MI presents with
recurrent chest pain ,breathlessness, heart
rate__40/min.
106.
Pt with pulmonary edema features
presents with irregular pulse, heart rate
140/min
107.
Female 10 days after hysterectomy
presents with pain in the chest,
breathlessness.
108.
10 days after MI, female presents with
chest pain on inspiration, persistently
elevated ST segment on ECG.
109.
Pt after MI found to have a harsh
pansystolic murmur at the apex.
upper
quadrant
PSA
Serum acid phosphatase
Serum alkaline phosphatase
Transrectal ultrasound
Abdominal USG
Serum calcium
Gallium scan
Technitium scan
115.
80 year old with prostatic ca comes
with 4 month h/o low backache .
116.
Pt with prostatic carcerhas been
treated ,now C/O confusion, thirst,
bodyaches, constipation.
117.
Man on GnRH's for prostate cancer
comes after 2 months for a follow up.
118.
Man with prostate Ca which has
extended
outside
the
capsule
presenting with features of renal failure.
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Endometrial Ca
Cervical ectropion
Polycysti c ovarian disease
Cervical Ca
Pregnancy
Hypothalamus related disorder
Trauma
weight,
EEG
CT skull
Add 2nd drug
Check drug levels
IV lorazepam
Give rectal diazepam to parents &
teach them how to use it
G. Evaluate dose of drug???
125 . Boy has fever since 2 days, h/o
convulsions since 5 min ,still convulsing
in the ambulance, IV line has been
established.
Theme 30:Feeding:
A.
B.
C.
D.
E.
F.
G.
H.
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NSAID's
Methotrexate
Home exercises
Local steroid injection
Splinting
IVbiphophonates
Oral steroids
Physiotherapy or exercise training ??
A.
B.
C.
D.
E.
F.
145.
Pt can't cough up bronchial secretions.
noise is distressing to attendants.
146.
Pt after radiotherapy for bowel
adenocarcinoma comes with bright red
rectal bleeding.
obstruction
149. Man
with
hepatosplenomegaly,
fatigue, immature cells seen in blood
film.
don't
SVC
154. Hb-8.3g/dl,
MCV-82 -fl
remember the rest of the Q
Cyclizine
Haloperidal
Hyoscine
Oral dexamethasone
Oral beclamethasone
Per rectal predisolone
Metronidazole gel
Longterm catheterisation
Intermittent self catheterisation
147.
Pt
with
radiotherapy.
A.
B.
C.
D.
E.
F.
G.
after
148.
Female with fungating breast Ca with a
bad adour.
192.
Man sufferung from multiple sclerosis,
spastic
paraparesis,
residual
volume=300ml.
Vaginal estrogens
Infection control
Prophylactic antibiotic treatment
Ring pessary
High fibre diet
irregular
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Injection sclerotherapy
Graded compression stockings
Operation for varicose veins
Reduce weight
Liver biopsy
Liver USG
Oral Cholecystography
Viral serology
ERCP
Percut. transhepatic cholangiography
Serum AMA's
163.
Man returned from trip to Asia, C/O
anorexia, malaise, dark urine, pale stools.
164.
80 yr old man has never been out of
UK, one month h/o epigastric pain, dark
urine, pale stools, jaundice.
165.
Female with fever, rigors, right upper
quadrant pain, jaundice, USG is normal.
MSU
Urethral swab
Urgent surgical exploration
IVU
USG
166.
Female ,50 yrs old, 5 yr h/o mild
pruritis. h/o pale stools, dark urine,
jaundice.
177. Condition
associated
with
megaloblastic anemia, increased risk
of carcinoma.
167.
Man with h/o hemochromatosis &
alcohol addiction presents with jaundice,
ascites,
variceal
bleed.
USG
is
unequivocal, high ferritin level.
193. Man,
h/o
frequency,
dribbling,
nocturia since 3 years , After having 2
pints of beer, he cannot pass urine.
194. Man who is a chronic smoker is
awaiting an operation for resection www.examrace.com
of
a bladder tumor. Suddenly presents
Theme
39Diagnosis
Disorders:
A.
B.
C.
D.
E.
F.
G.
of
Thyroid
Anaplastic carcinoma
Follicular Ca
Papillary Ca
Hashimoto's thyroiditis
Thyrotoxic goitre
Autoimmune hypothyroidism
Drug induced thyrotoxicosis.
Pathological fracture
Cerebral metastases
Hypocalcemia
Lymphedema
Spinal cord compression
thirst,
confusion,
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Answers
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Depression depression
Vascular dementia vascular dementia
Splenic rupture splenic rupture
Renal contusion avulsion of
Cardiac temponade splenic rupture
1st cn 1
3rd cn 3
11th cn 11
7th cn 7
7th cn 7
Isotope scan isotope scan x ray wrist
Strap reviw in hosp urgent ortho referral
urgent ortho referral urgent ortho referral
Urgent ortho referral
X ray wrist view x ray wrist view
Nutri asses ment nutri assesment
Skeletal survey skeletal
Exam under anesthesia
Ct skull ct skull
Con reg health care coag profile coag
profile
Schizophrenia schizophrenia
Sub abuse sub abuse
Opiate abuse opiate abuse
GCTS GCTS
Panic attack panic attack
E+hydrocortisone e+ hydrocortisone
E+beclomethasone e+ beclomethasone
Steroids + flucloxacillin * oral predisolone
Steroids + flucl oxacillin
Hosp admission oral histamine hosp
admission
Desensitization
adm
to
hospital
desensitization
Lyme disease lyme disease
Wound swab viral serology wound swab
Lumbar puncture lumbar puncture
Pheochromocytoma pheochromocytoma
PKD PKD
Conns Conns
Glomeroneph glomeroneph
Inha foreign body
TB broncheistasis
PE PE
Com heart block CCF
Acute AF
PE
Acute pericarditis
Papillary muscle rup
Carotid doppelr
ESR
Mri pituitart lobe
Mri temporal lobe
Mri parietal
Tecnitium scan tecnitium scan
Serum calcium serum calcium
Serum acid phosphatase transrectal usg
PSA psa
Abd usg abd usg
Feal impaction
IBS
IBD IBD
Acute ge
Carcinoma colon
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p
iv lorazepam
Rectal diaz to parents
Check drug level evaluate dose add 2n d
drug
EEG
Endometrial ca
POCD
Cervical ectropion
Hypothalamus disorder
PEG PEG peg
Parentral parenteral
Parentral parentral
Low protein diet & antibiotics lactose
free diet
Gluten free diet
Local steroid inj
Methtrexate nsaid
Nsaid
Splinting
I/V biphosphonates
Oral steroids oral steroids
Haloperidol cyclizine haloperidol
Hyoscine
Per rectal prednisolone
Oral dexamethasone
Metronidazole gel
Bone marow biopsy
Blood film for parasite
Serum/gel electro
Schilling test
Mesentric angiogram
Ring pessary
Inf control prophylactic
High fibre diet prophylactic antibio high
fibre diet
Vaginal estrogens
Operation operation
Inj sclerotherapy inj sclerotherapy
Lose wieght
Graded comp stockings
Viral serology
ERCP
Oral cholestography percut
Serum ama
Liver biopsy
Uretheral swab urether al swab
Urgent surg exp
Usg
Usg syphilis serology usg
Msu
Acute pancreatitis
Barretts
Chr pancreatrits
H pylori infection
Pernicious anemia
Anaplastic ca
Hashimoto autoimmune hashimoto
Drug induced
Thyrtoxic goitre
Lymphedema
Hypercalcemia
Spinal cord compresion
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Cerebral metastases
Pathological fracture
188.
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191.
y
Ace-I azathioprine
Catheterization
Fluid challenge
Oral predisolone
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