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July-2003 PLAB
Paper July 2003 PLAB
Paper July 2003 PLAB
http://www.aippg.com/plab-uk/ Theme-2: Abdominal pain:
http://www.aippg.net/forum/viewforum.php?f=2
Theme-1 : Perianal diagnosis: A. Renal Colic
B. Crohn’s disease
A. Anal Fissure C. Acute Cholecystitis
B. Hemorrhoids D. Perforated peptic ulcer
C. Crohn’s disease E. Diverticulitis
D. Ulcerative colitis F. Appendicitis
E. Perianal Hematoma G.Appendicular mass
F. CA Rectum H. CA Stomach
G.Diverticulosis I. Cholecystitis
H. Proctalgia Fugax J. Acute pancreatitis
I. Anorectal Abscess K. Ectopic pregnancy
J. Coeliac disease
K. Fistula in ano
L. Hirschsprung’s disease 6. A 19-years-old girl with fever abdominal
pain which soon radiates to right lower
quadrant. There is gardening in the right
1. A young lady gives the h/o fecal shooting with
sudden; sever deep rectal pain lasting for a few iliac fossa
minutes at night. Digital rectal exam is normal. 7. A 20 year old lady presents with, shock &
lower abdominal pain & bleeding. O/E
2. A 25 year old man with constipation & severe
anal pain during defecation. Pain is so severe tenderness in left iliac region. She is also
that cannot even allowed digital rectal having amenorrhea since 8 weeks.
examination. 8. A 32 year old pt presents with severe pain
in loin radiating to groin.
3. A 32 year old female with very severe anal pain,
o/e purple swelling at anus which is mildly 9. A middle-aged women with peptic ulcer
tender. This started 2-months ago after her first develops hematemesis. O/E tender
child birth. abdomen & she is in shock.
4. A 40 year old smoker with diarrhoea abdominal 10. A 40 year old woman with upper
pain, weight loss, rectal bleeding & barium abdominal pain & vomiting, O/E diffuse
enema shows colonic strictures abdominal tenderness was found.
5. A 45 year old man with anal pain on defecation,
weight loss & change in bowel habit. Rigid
sigmoidoscopy shows an ulcer 5-cm above the
rectum.
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Paper July 2003 PLAB
A- Congenital A- USG
B- Accidental injury B- Lumbar puncture
C- Non accidental injury C- Urea
D- HSP D- Gamma GT
E- Normal finding E- Electrolytes
F- ITP F- Prolactine level
G- G- Thyroid function tests
H-
64. A girl was brought to A&E by her step father with I-
bruises on her waistline & ankles.
73. A pt is going to start lithium therapy for bipolar
65. A child with pharingitis & purpuras on the back of his disorder
thigh & buttock.
74. An alcoholic is giving up. He needs lab test to
66. A child with swelling on wrist after injury. evaluate his addiction
67. A two year old child, father Caucasian & mother is 75. Pt using phenothiaines develops galactorrea
black. He has a bluish spot on the buttocks back.
68. fell down from cycle , fracture of femur Theme-14: Prostate conditions:
72. One young infant has constipation & O/E has found 81. Having prostate cancer a 55-year-old male
to have hard feces ) develops sclerotic bony lesion in femur.
82. A pt with back pain & obstructive uropathy. ?
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Paper July 2003 PLAB
A- Pyoderma gangronosum
B- Diabetic ulcer
C-
D- Melanoma
E-
F-
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111. A diabetic woman with white itchy plaques on 117) Pt coming to A&E & had the following findings:
PR: 92
vagina & white curdy vaginal discharge.
BP: 120/82
0
112. A 70 year old woman developed itching & TEMP Afebrile, 37 C
pruritis vulva with her vulva is white & shiny JVP: Raised
CXR: Normal
113. An elderly postmenopausal with itchy vulva had ECG: Inverted T-waves in lead
an ulcer O/E III.
114. A woman with itchy vulva & lymphadenopathy 118) Pt coming to A&E had following findings:
PR: 72
115. 107- One female has dysuria & has vesicles in BP: 132/86
vaginal area TEMP
0
Afebrile, 37 C
CXR: normal
ECG: Q waves in leads V1, V2 &
V3
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A- Thoracotomy A- Thyroxine
B- Admit & observe in surgical unit B- Propranolol
C- CT scan chest C- Triiodothyronine
D- Analgesics D- Carbimazole
E- Chest strapping E- Radioiodine.
F- Aortagram F- Propilthyouracile
G- MRI of thoracic spine G-Steroids
H- Lung function tests H-
I- Fluid i/v 1-liter in 30 minutes I-
J- Fluid i/v 2-liter in 30 minutes J-
K- Laparotomy
L- Refer to surgeon
M- Reassurance & send home
N- No clinical evidence of Fracture 131. A pt with symptoms of palpitation &
sweating is planned to have surgical
122. A pt with fracture of one rib after a blunt chest procedure, needing to releave his
injury, features suggestive of pneumothorax
132. A woman with palpitation, sweats &
123. Woman with compressed fracture of thoracic irritability needs treatment to reduce these
vertebra on x-ray. ? symptoms while waiting for the results of
124. case of RTA wearing seat belt X-ray shows # of thyroid function ?
sternum, ECG cardiac functions are normal
125. A pt with blunt trauma to the abdomen after 133. A pt with hyperthyroidism started on
giving 2-liters of iv fluids was stable but some anti thyroid drug is sensitive to
suddenly deteriorates with hypotension & carbimazole, 2 weeks after starting therapy
tachycardia. develops rash, what to give her.
126. A boy has come with injury by fall on handle of 134. A pt have symptoms of
cycle & had got pain & tenderness in left upper
side of abdomen. USG of spleen shows a small 135. An old aged lady brought to A & E, who
sized haematoma in the splenic capsule. became unconscious at home due to
hyperthermia, found to have high TSH.
127. Pt being hit by a ball comes with severe pain in
What would you give to increase her basal
epigastriaum ?
metabolic rate
128. Pt was stabbed in a fight & now comes with his
omentum outside (or omentocele) at the
umbilical area. His blood pressure is 110/70 &
heart rate 80. ?
129. Pt with RTA has come with tenderness in left
side of abdomen & # of 2 right sided ribs. He is
in shock ?
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137. A girl has symptoms of epilepsy without lack of 145. A marathon man develops severe pain in
consciousness & always when people are left loin. His serum urea was markedly
around him increase ( ) & serum creatinine
was normal (0.6)
138. boy that miss some sentences during talking at
school & then is back again 146. An old man with chronic / recurrent UTI
develops stones in kidney.
139. A girl falls & faints during morning school
assembly in the yard & was pale 147. A middle age develops stone without any
background.
140. A pt looks right always when walking.
148. A pt has big stone in renal pelvis other
141. A boy with fits of all limbs involvementand wise normal…
urination during fits
149. Middle aged man with stones in ureter.
142. A boy with tics ,lasting for few minutes
143. A child with fits, high grade fever & no biting of
tongue, just for few minutes ,
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151. A 15 year old mentally retarded brought to A&E 160. A women with redness without pain that
with plastic bead in the ear which is partially is limited to medial side of the eye visual
obstructing the meatus acuity preserved
152. A child comes with swelling & carer remembers 161. A pt with headache & blurred vision pupil
that she entered a plastic bead in his ear some fixed & dilated
days ago
162. A pt with spondylitis develops eye ache &
153. A middle age man, with difficulty in learning c/o redness
pin in ear. The attendant says that he might
have put peanut in his ear. The ear looks 163. A man gets a squash ball hit on his eye.
He complains of reduced vision
oedematosus.
164. A man who did welding yesterday.
154. A child with otitis media presents with red eye & reduced vision
155. A 2-year old boy with complete bead in the
ear,, eardrum swollen, & hyperemic 165. Diabetic , red eye.
166. Woman, had fortification forming time,
156. An old man got up from sleep with tinnitus, & now sees hazy.
something wriggling in his ear
157. (? insect in ear) Theme-28: Preop care:
158. Pt with purulent discharge, & red meatus
A- Urea & Electrolytes
B- Hemoglobin
C- Chest X-Ray
D- Spirometery
E- APTT
F- INR
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210. Age around 10 years.... polyuria, Polydipsia & 217. Multigenic disease
weight loss
211. A 6 months girl whose dad is checking
regularly his Full blood count & mom receives
regularly blood transfusion
Theme-36: Disease process in
heamatological conditions
A. Vasculitic process
B. Platelet aggregation
C. Decrease in platelets
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220. A pt with migrant polyarthritis & early morning 226. A 70-year-old man with swelling in PIP &
stiffness.
knee pain & negatively birefringent
221. A boy with painful swollen knee after minor crystals on aspiration of joints.
trauma.
227. A pt with bone pain & malaise /had renal
222. A woman, with pains in MCP & DIP joints, on & failure as well?
off since many years
228. A young man with backache, morning
223. An elderly pt with rheumatoid arthritis has hot stiffness, & HLA B27 / straightening of
swollen joint vertebra on x-ray.
224. Middle aged man with painful wrist, burning 229. A middle aged man with swollen, tender
micturation (uretheritis) & conjunctivitis knee joint with heat & swollen painful
proximal interphalangeal joints,
Rheumatoid factor +ve (possible ans
rheumatoid arthritis + gout + others
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Paper July 2003 PLAB
Answers of July 35 75 F
2003 plab 36 B/ 76
37 M/B 77 D
1 H 38 J 78 F/G
2 A 39 N 79 B
3 E 40 F/B 80 A
4 C 41 B 81 C
5 F 42 D 82
6 F 43 G 83 F
7 K 44 H 84 D
8 A 45 F 85 E
9 D 46 B 86 C
10 J 47 A/G 87 I
11 G/H 48 C 88 J
12 D 49 E 89 D
13 F/D 50 90
14 A 51 91 B
15 E 52 B 92 H
16 D 53 C 93 E
17 G 54 H 94
18 B 55 A 95
19 F 56 J/d ? osteoporosis 96
20 I/G 57 D 97 C
21 E 58 B 98 I
22 D/G 59 C 99 B
23 (oesophagitis is ? 60 A 100
but Rx ? 61 F/h 101 F
24 eradication therapy 62 G 102 C
of h.pylori 63 103 A
25 C 64 C 104 D
26 C 65 D 105 E
27 B 66 B 106 B
28 A 67 E 107 D
29 D- difference in the 68 108 B
time of the day & 69 D 109 A
position of body
70 A 110
30 E
71 D 111 D
31
72 Hirschsprung’s 112 E
32 C disease ? but ? 113 B
33 L 73 G 114
34 K 74 D
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115 C 155 A 195 C
116 156 B 196 B
117 D 157 197
118 B 158 198
119 C 159 199
120 A 160 J 200 A
121 161 F 201 F
122 162 D 202
123 163 H 203 E
124 E/D 164 K 204 B
125 I 165 I 205
126 B 166 206
127 167 207
128 168 A 208
129 169 C 209
130 170 F 210
131 B 171 211
132 172 212
133 F/G 173 E 213 B
134 D 174 214
135 A/C p-818 OHCM 175 215 A
136 176 D 216 A/D
137 177 217 C
138 B 178 K 218
139 E 179 219
140 J 180 A 220 E
141 A 181 Aneurysm Aorta 221
142 182 Cardiac valve 222 I
143 183 Rupture esophagus 223 D
144 184 K 224 H
145 D 185 G 225
146 B 186 H 226 C
147 E 187 B 227 B
148 A 188 228 G
149 189 F 229
150 190 E 230
151 B 191 231 E
152 192 A 232 H/J
153 C 193 A 233 E
154 G 194 D 234 C/A
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235 A 239 E 243 B
236 240 D 244 F
237 241 D
238 C 242
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