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EXTRA QUESTIONS 4TH SEPTEMBER 2020

1. A child presents with clean wound, he has never been immunized as his parents were worried about it.
There is no contradiction to immunization, what is the best management?
A. Full course of diphtheria, tetanus, polio
B. 1 single injection DT
C. 1 single injection DTP
D. Only immunoglobin
E. Antibiotic

2. A three- month old baby was miserable and cried for two hours following his first routine immunization
with diphtheria, tetanus, polio, Haemophilus influenza- B (HiB) and meningitis. What is the single most
appropriate action?
A. Defer immunization for two weeks
B. Do not give vaccine
C. Give half dose of vaccine
D. Give Paracetamol with future doses of the same vaccine
E. Proceed with standard immunization schedule

3. A man is admitted in a ward and develops varicella zoster after two days. Which of the following group
below should get immunoglobulin only?
A. All staff in contact with the patient
B. All pregnant women who are tested negative for antibodies.
C. All family members
D. None
E. All children

4. A 4 year old boy presents with a sharp metal injury. He never had any vaccination as his parents were
worried about the side effects. What should be the next step?
A. full course of DPT vaccine
B. TT Immunoglobulin
D. No treatment
C. A+B

5. A 7 year old boy who is up to date with all his immunization has come to you 7 hrs after a metal spike has
injured his hand, wound is 0.5 cm deep. What is the most appropriate action?
A. Tetanus Ig + tetanus vaccine + antibiotics
B. Tetanus Ig + antibiotics
C. Tetanus Ig + tetanus vaccine
D. Tetanus vaccine + antibiotics
E. Antibiotics
6. A primiparous woman with no previous infection with Herpes zoster is 18 weeks pregnant. She had
a recent contact-history with a young patient, aged 21, having widespread chicken pox. What is the most
suitable management for the pregnant lady?
A. Acyclovir orally
B. IV Acyclovir +IV Immunoglobulin
C. IV Acyclovir
D. Reassure
E. IV Immunoglobulin
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Dr Swamy PLAB Courses and Recruitment Ltd ©.
This manual is a Dr Swamy PLAB Courses and Recruitment Ltd copyright©. All rights reserved. No part of this manual may
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7. A 7 year old boy has clean wound on his foot. He has no past history of immunisation. His parents are
scared that he might get some disease. His wound has been cleaned and dressed. What is the next step in
management?
A. Reassure
B. Tetanus toxoid and immunoglobulin
C. Full course of DPT
D. Tetanus Immunoglobulin only

8. A young boy presented in Out -Patient department 12 weeks after renal transplantation with fever and pain
in lower abdomen. Renal functions were deranged. Renal biopsy showed immune cell infiltrate and tubular
damage. What is the most probable diagnosis?
A. Pyelonephritis
B. Chronic graft rejection
C. Acute rejection
D. Drug toxicity
E. Graft host disease

9. A patient known to be HIV positive, has now got chicken pox in the maternity ward. What precautions
should be taken to prevent further spread of infection?
A. Vaccinate all the patients and staff in the ward
B. immunoglobulins to all the pregnant women in the ward
C. Immunoglobulins to all pregnant women who have negative serology
D. Start 7 days course of Acyclovir for all patients in the ward
E. No action required

10. Mother got infected with Hepatitis B during pregnancy. Her child is born. She is worried about the risk
of infection to the baby with Hepatitis B. What would you give to the baby?
A. HepB Immunoglobulin only
B. HepB full vaccine and Ig
C. HepB vaccination only once
D. Nothing until immune status checked
E. HepB vaccine once and Ig

11. A 45 year old gardener was injured by a nail on the garden fence. The wound was washed and bandaged.
He has previously received 3 doses of Tetanus Toxoid with 2 booster doses. What is the appropriate
treatment in this case?
A. Antibiotics
B. TT vaccination
C. Ig
D. Ig plus vaccination
E. No treatment needed

12. A 7 year old boy presents with perioral blisters and a hot face. Some are weeping and some crusted.
What is the most likely diagnosis?
A. Impetigo E. HSV 1
B. Shingles
C. Chicken pox
D. Acne

13. A patient who came from India presents with cough, fever and enlarged cervical lymph node. On
examination there is caseating granulomata found in lymph node. What is the most appropriate diagnosis?

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Dr Swamy PLAB Courses and Recruitment Ltd ©.
This manual is a Dr Swamy PLAB Courses and Recruitment Ltd copyright©. All rights reserved. No part of this manual may
be reproduced, stored in a retrieval system or transmitted in any form by any means: electronical, mechanical, photocopying,
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 3

A. Lymphoma
B. TB adenitis
C. Thyroid Ca
D. Goitre
E. Thyroid cyst

14. A 34 year old man has been diagnosed with cellulitis. Culture confirms Staph Aureus, but the patient is
not improving with Flucloxacillin. What should be the next step?
A. Amoxicillin
B. Penicillin
C. Erythromycin
D. Vancomycin
E. Meropenem

15. An old man presented with fever and weakness. On examination he was found to have rashes as shown in
the given picture. Choose the right option from the following options.
A. Plantar Petechiae
B. Lipoderma Sarcoma
C. Talengectasia
D. Cellulitis

16. A lady developed breast abscess after delivery. What is the most likely organism?
A. Staph aureus
B. Staph albus
C. Group B streptococcus
D. Strep pyogenes
E. Strep faecalis

17. A 38 years old female returns from a holiday in Greece. Now has dry cough, bilateral consolidated areas
in the chest X-ray. What is the best antibiotic you would prescribe?
A. Clarithromycin
B. Ciprofloxacin
C. Amoxycillin
D. Cephalexin
E. Gentamycin

18. A 28 years old man presents with a temperature of 38.7˚C and neck stiffness. There is no rash. His GP
calls, asking what should be done. How would you advise the GP?
A. Give the patient IV Benzyl penicillin
B. Give the patient IV Doxycycline
C. Give the patient IV Ceftriaxone
D. Send for a blood culture

19. A 5 year old child came from Ghana 6 weeks ago. Two days ago he developed fever, vomiting and neck
stiffness. He had taken malaria prophylaxis, from until 4 weeks ago he had no rash. What is the diagnosis?
A. Cerebral abscess F. Pneumonia
B. Cerebral malaria
C. Meningococcal meningitis
D. Subarachnoid hemorrhage
E. Cerebral tumor

_____________________________________________________________________________________________________
Dr Swamy PLAB Courses and Recruitment Ltd ©.
This manual is a Dr Swamy PLAB Courses and Recruitment Ltd copyright©. All rights reserved. No part of this manual may
be reproduced, stored in a retrieval system or transmitted in any form by any means: electronical, mechanical, photocopying,
recording or otherwise, without the prior permission of the copyright owner. Anyone violating the copyright act will be
committing a criminal offence.
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20. A patient has been having influenza infection for the past 5 days and now presents with very painful
hemorrhagic blisters on the deep meatal skin. What is the most appropriate treatment?
A. Oral acyclovir
B. IV Acyclovir
C. Supportive treatment only
D. Gentamicin
E. Flucloxacillin

_____________________________________________________________________________________________________
Dr Swamy PLAB Courses and Recruitment Ltd ©.
This manual is a Dr Swamy PLAB Courses and Recruitment Ltd copyright©. All rights reserved. No part of this manual may
be reproduced, stored in a retrieval system or transmitted in any form by any means: electronical, mechanical, photocopying,
recording or otherwise, without the prior permission of the copyright owner. Anyone violating the copyright act will be
committing a criminal offence.