PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-237

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

Question: Patient with pain and swelling in left leg and thigh up to the level of inguinal ligament. Where is the level of occlusion?

 

a. Femoro-popliteal artery

b. Left common iliac artery

c. Aortoiliac artery

d. Femoral artery

e. Profound femoral artery

 

Answer: (b) & (d)

 

Question: A 65 year old man presents with dyspnea 3 days after an MI. On auscultation he has a pansystolic murmur at the apex radiating to the axilla. What is the most likely diagnosis?

 

a. Ruptured papillary muscle

b. Ventricular aneurysm

c. Pericarditis

d. Pericardial effusion

e. VSD

 

Answer: (a)

 

Question: A 64 year old man with multiple myeloma has been vomiting since the past 2 days. Labs: Ca2+=3.2mmol/l, K+=5 mmol/l, Na+=149 mmol/l and PCV=55%. What is the most appropriate next step?

 

a. IV insulin

b. IV calcium gluconate

c. IV fluids

d. IV bisphosphonates

e. Oral bisphosphonates

 

Answer: (c)

 

Question: A 30 year old man from Australia returned from a business trip to Indonesia 6d ago presenting with complaints of fever, joint and muscle ache and headache, in particular behind the eye for the past 2 days. What is the most probable diagnosis?

 

a. Malaria

b. Chicken pox

c. TB

d. Lyme’s disease

e. Dengue

 

Answer: (e)

 

Question: A lady came for OBGYN assessment unit with hx of 8wk pregnancy and bleeding per vagina for the last 2 days. On a bimanual exam, the uterus =8 weeks in size. On the speculum exam, the cervical os is closed. How do you confirm the viability of the fetus?

 

a. Transvaginal US

b. Serum BHCG

c. Urinary BHCG

d. Abdominal US

e. Per speculum exam

 

Answer: (a)

 

Question: A 24 year old lady has been low after the death of her husband and had stopped contacting her family. She was started on SSRI tx and started feeling better after a few months. On discontinuing the meds she starts feeling that she has developed cancer just like her husband. What is the most appropriate next step?

 

a. Continue SSRI

b. Add TCA

c. Neuropsychiatric analysis

d. CBT

e. Antipsychotics

 

Answer: (c)

 

Question: A 24 year old male who is sexually active with other males with hx of discharge per urethra. Diagnosis of chlamydia has been made. What is the possible complication if left untreated?

 

a. Orchitis

b. Balanitis

c. Epididymo-orchitis

d. Acute abdomen

 

Answer: (c)

 

Question: A person doesn’t go outside the home because he thinks that people will look at him and talk about him. He finds it difficult to associate with his peers in a restaurant or under social settings. What is the most likely diagnosis?

 

a. Agoraphobia

b. GAD

c. Panic disorder

d. Adjustment disorder

e. Social phobia

 

Answer: (e)

 

Question: A 63 year old man presented with sudden onset of severe dyspnea, orthopnea, raised JVP and bilateral basal crackles 3d after an episode of MI. A dx of acute congestive cardiac failure was made and IV furosemide was started for this pt. What electrolyte abnormality is expected?

 

a. High Na+, Low K+

b. Low Na+, High K+

c. Low Na+, Low K+

d. High Na+, High K+

e. Low Na+, Normal K+

 

Answer: (c)

 

Question: A 70 year old hypertensive white british man on thiazide diuretics needs a 2nd drug to control his BP. Which one of the following is the best choice for him?

 

a. Amlodipine (CCB)

b. Enalapril (ACEi)

c. Propranolol (BB)

d. Increase dose of diuretic

e. Prazosin (Alpha blocker)

 

Answer: (b)

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