PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-220

Categories: U.K. PLAB (Professional and Linguistic Assessments Board)

Question: A 52 year old man underwent a hemicolectomy. After a few days he complains of left ventricular pain and fever. ECHO has been done and shows a systolic murmur. What is the next appropriate investigation?

 

a. CT

b. US

c. CXR

d. Blood culture

e. LFT

 

Answer: (d)

 

Question: A 19 year old man has exercised induced asthma and is using a salbutamol inhaler as req and beclomethasone 400 ug BD. He complains that he has to wake up at night for his inhaler. What is the single most appropriate tx?

 

a. Beclo

b. Regular salbutamol and budesonide

c. Sodium cromoglycate

d. Oral steroid

e. Inhaled steroid

 

Answer: (c)

 

Question: Patient with a long hx of smoking is now suffering from bronchial ca. Histology reveals there are sheets of large polygonal or giant MNC. What is the most likely diagnosis?

 

a. Squamous cell ca

b. Small cell ca

c. Adenocarcinoma

d. Large cell ca

e. Oat cell ca

 

Question: A 27 year old man presents with chest pain and respiratory distress. Exam: tachycardia, hypotension and neck vein distension. Trachea is deviated to the left side, breathing sounds on the right side are absent and diminished on the left side. What is the next appropriate management?

 

a. CXR

b. Right side aspiration (16G)

c. Left side aspiration (16G)

d. Right side drain with a small tube (12F)

e. Left side drain with a small tube (12F)

 

Answer: (b)

 

Question: A 16 week pregnant patient who was exposed to a child with chicken pox came to the GP for help. She was tested –ve for varicella antibody. What is the next most important step in management?

 

a. Reassurance

b. Ig

c. Ig + vaccine

d. Vaccine only

e. Acyclovir

 

Answer: (b)

 

Question: A 68 year old woman diagnosed with Type 2 DM and BMI=33. Lab: GFR=29, urea=13, creatinine=390 mmol/L. What is the next appropriate management?

 

a. Biguanide

b. Sulfonylurea

c. Insulin

d. Glitazone

e. Sulfonylurea receptor binder

 

Answer: (c)

 

Question: A 5 year old boy was brought to GP with high temp and many vesicles on his back. What is the most appropriate management?

 

a. Topic acyclovir

b. Oral acyclovir

c. Oral antibiotics

d. Topical steroids

e. None

 

Answer: (e)

 

Question: A woman came with the complaint of pain in her right arm when she abducted it. She has recently moved to a new house. There is no hx of trauma. What is the likely cause of her pain?

 

a. Rupture of the long head of biceps

b. Sprain of the acromio-clavicular ligament

c. Tendinitis of the abductor sheat

d. Supraspinatus tendinitis

e. Shoulder dislocation

 

Answer: (d)

 

Question: An 83 year old man with longstanding COPD has become progressively breathless over the last 2yrs. He is on salbutamol, ipratropium, salmeterol, beclomethasone and theophylline. His FEV1<30%. What is the next appropriate management?

 

a. Lung transplant

b. Trial of CPAP

c. Trial of non-invasive ventilation

d. Assessment for long term O2 therapy

e. Short course of O2 therapy

 

Answer: (d)

 

Question: A 49 year old man complains of fullness in his left ear, recurrent vomiting and tinnitus. What is the most appropriate med?

 

a. Buccal prochlorperazine

b. Oral chlorpheniramine

c. Oral fluphenazine

d. Buccal midazolam

e. IV ranitidine

 

Answer: (a)

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