PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-224

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

Question: After surgery a patient’s left leg has become swollen and tender. The diameter of the calk has increased and passive movements cause pain. What is the most probable diagnosis?

 

a. DVT

b. Lymphedema

c. Peripheral vascular disease

d. Hematoma

e. Superficial thrombophlebitis

 

Answer: (a)

 

Question: 2h after an appendectomy, a patient complains of a rapid HR and fever. He says there is also abdominal pain and pain in the shoulder area. What is the first step in management?

 

a. Maintain IV access and give IV fluids

b. Start IV antibiotics

c. Insert NGT for intestinal decompression

d. Cross match blood

e. Emergency exploratory laparotomy

 

Answer: (a)

 

Question: A pregnant woman presents with knee pain on movements. The pain becomes worse at the end of the day. Radiology shows decreased joint space. Labs: CRP=12. What is the 1st line med?

 

a. Paracetamol

b. NSAIDs

c. Oral steroid

d. Intra articular steroid

e. DMARDs

 

Answer: (a)

 

Question: A 68 year old man presents with muscle weakness. He is not able to climb stairs. He also complains of mild breathlessness. He says that he sometimes feels difficulty in swallowing food. Labs: ALP=216, AST=49, ALT=43, CK=417, ESR=16. What is the most likely diagnosis?

 

a. Polymyositis

b. Polymyalgia rheumatica

c. Muscular dystrophy

d. Esophageal carcinoma

e. Osteoarthritis

 

Answer: (a)

 

Question: A 67yo builder presents with a persistent nodular lesion on the upper part of pinna with some telangiectasia around the lesion. What is the diagnosis?

 

a. Basal cell

b. Squamous cell

c. Keratocanthoma

d. Actinic keratosis

e. Bowen's disease

 

Answer: (a)

 

Question: A 68 year old patient wakes up with slurred speech and right sided weakness. CT shows cerebral infarct. What is the most appropriate tx?

 

a. Aspirin

b. Alteplase

c. Warfarin

d. Clopidogrel

e. Dipyridamole

 

Answer: (b)

 

Question: A 73 year old man who is recovering from surgery on the left carotid artery in his neck. He has slurred speech. On protrusion of his tongue, the tip deviated to the left. What is the single most appropriate option?

 

a. Accessory nerve

b. Facial nerve

c. Glossopharyngeal nerve

d. Hypoglossal nerve

e. Vagus nerve

 

Answer: (d)

 

Question: A 24 year old woman known to be suffering from panic disorder presents to the hospital with tingling and numbness in her fingers. ABG: pH=7.52, PCO2=2.2kPa, PO2=11kPa, Bicarb=20. What is the most likely condition?

 

a. Acute metabolic alkalosis

b. Acute resp alkalosis

c. Compensated resp alkalosis

d. Compensated metabolic acidosis

e. Acute metabolic acidosis

 

Answer: (b)

 

Question: A 65 year old man on dexamethasone underwent surgery. During and after the surgery, his blood glucose was around 17-19 mmol/l. What will you give the patient?

 

a. Insulin

b. Oral hypoglycemic

c. Remove dexamethasone

d. IV Saline

e. IX dextrose

 

Answer: (d)

 

Question: A 61 year old man who had a stroke 2 year  ago is on aspirin. He has RA but suffers from pain and can’t tolerate it. He is taking senna for constipation. What is the best med to relieve his pain?

 

a. DMARDs

b. Ibuprofen

c. Co-codamol

d. Paracetamol

 

Answer: (b)

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