PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-230

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

Question: A 26 year old male presents with speech difficulties. Examination: nystagmus. Which anatomical site is most likely to be affected?

 

a. Midbrain

b. Pons

c. Cerebellum

d. Cerebrum

e. Vestibulocochlear nerve

 

Answer: (c)

 

Question: A 75 year old man presents with Bell’s palsy. His PMH is significant for late onset asthma and heart failure. He also reports to have consulted his GP for generalized rash prv. CXR: multiple soft shadows and CBC: eosinophilia. What is the single most likely positive antibody?

 

a. P ANCA

b. C ANCA

c. Anti Ro

d. Anti DS DNA

e. Anti centromere

 

Answer: (a)

 

Question: A 50 year old man complains of visual prbs and dull pain in the left eye. Fundoscopy reveals papilloedema. He was diagnosed with MS 2 years ago. There is no consensual light reflex of the right eye. What is the single most likely defect?

 

a. Paracentral scotoma

b. Mono-ocular field loss

c. Homonymous upper quadrantanopia

d. Central scotoma

e. Homonymous lower quadrantanopia

 

Answer: (b)

 

Question: A 54 year old patient wakes up with right sided weakness. His current medication is bendroflumethiazide for HTN. Pulse=92 bpm, BP=160/90mmHg. CT shows left cerebral infarct. What is the most appropriate tx?

 

a. Alteplase

b. Aspirin

c. Clopidogrel

d. Dipyridamole

e. Simvastatin

 

Answer: (a)

 

Question: A 33 year old man presented to the GP with hx of headaches and photophobia. The GP examines him and finds a rash and is now ringing you at the hospital for advice. What would you advise the GP?

 

a. Send patient home

b. Start IV benzylpenicillin

c. Conduct LP

d. Start IV ceftriaxone

 

Answer: (b)

 

Question: An 89 year old patient has lung cancer. His Na+=122 mmol/l. What is the tx for this?

 

a. Demeclocycline

b. Vasopressin

c. Restrict fluids

d. Reassure

 

Answer: (a) & (c)

 

Question: A 25 year old woman who is 11 weeks pregnant had central abdominal pain for 36h. The pain is now colicky. There is no vaginal bleeding. She has vomited once and has had an episode of loose motion. She looks ill, temperature=37.8C and there is rebound tenderness in the RIF. What is the most probable diagnosis?

 

a. Salpingitis

b. PID

c. Appendicitis

d. Ovarian torsion

e. Uterine fibroid

 

Answer: (c)

 

Question: A 42 year old man presents with a stroke. He is not able to walk straight and his speech is slurred. What is the initial appropriate investigation?

 

a. CT brain

b. PET brain

c. MRI brain

d. Carotid angiography

e. Monitor for 24h

 

Answer: (c)

 

Question: A 24 year old woman has severe depression 3 month after the birth of her first child. She is breastfeeding but is otherwise unable to look after the baby and is convinced that her family is likely to kill her. She has no interest in anything and keeps crying. What is the most appropriate tx?

 

a. Fluoxetine

b. Citalopram

c. CBT

d. ECT

e. Haloperidol

 

Answer: (d)

 

Question: A 20 year old woman with no prv hx of ear complaints, presents with 1d hx of severe pain in the right ear which is extremely tender to examine. What is the single most likely diagnosis?

 

a. Chondromalacia

b. Furuncle

c. Myringitis

d. OE

e. OM

 

Answer: (d)

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