PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-251

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

Question: A 10 year old boy presents with irritability, sudden onset of pain and discharge from the right ear. Which antibiotic would be the 1st line of tx?

 

a. Amoxicillin

b. Ciprofloxacillin

c. Flucloxacillin

d. Ceftazidime

e. Benzylpenicillin

 

Answer: (a)

 

Question: A 26 year old man strongly believes that every elderly man he meets is his father. Although they look different, he is sure it is the father wearing different disguises. What kind of delusions is this man suffering from?

 

a. Delusion of persecution

b. Erotomania

c. Delusion of grandeur

d. Delusion of doubles

e. Delusion of reference

 

Answer: (d)

 

Question: A 26 year old passed a 4mm stone in his urine. In the Ultrasound a 3mm stone is found in the renal pelvis. What is the single most appropriate management?

 

a. ESWL

b. None

c. Open Surgery

d. Conservative

 

Answer: (d)

 

Question: A 35 year old man has had acute pain and swelling below the mandible on the left side for 2h. The swelling occurred after eating a large meal. What is the single most likely diagnosis?

 

a. Laryngocele

b. Ranula

c. Neck abscess

d. Parotid calculus

e. Submandibular calculus

 

Answer: (e)

 

Question: A 45 year old man has had impaired vision and pain on eye movement in his left eye over the last 5 days. He also notes loss of color vision in the same eye. In the left eye, the visual acuity is up to counting fingers. When the pupil is stimulated with light, it dilates. His fundus is normal. What is the single most appropriate clinical diagnosis?

 

a. Acute dacryocystitis

b. Acute iritis

c. Papillitis

d. Retrobulbar neuritis

e. Scleritis

 

Answer: (d)

 

Question: A 56 year patient has been diagnosed with MS. She presents with a positive Romberg’s test. She also has weakness and loss of sensations in all her 4 limbs. Which site is most likely to be affected?

 

a. Cerebral cortex

b. Cerebellum

c. Cervical spinal cord

d. Thoracic spinal cord

e. Brain stem

 

Answer: (c)

 

Question: A 58 year old man suddenly becomes shocked several days after suffering an acute ant MI. His CXR shows a large globular-shaped heart and clear lung fields. What is the single most likely explanation for the abnormal investigation?

 

a. Acute pericarditis

b. Cardiac tamponade

c. Atrial thrombus

d. Left ventricular aneurysm

e. Dressler syndrome

 

Answer: (b)

 

Question: A 56 year old alcoholic man who has increased the amount of alcohol he is using wants to attend his daughter’s wedding that is in 2 weeks. He is now coming to you for help. How would you help him?

 

a. Acamprosate

b. Refer to clinical psychologist

c. Refer to GP

d. Desipramine

e. Refer to community mental health support group

 

Answer: (a)

 

Question: An 80 year old woman fell over at her nursing home. XR shows fx of radius with <10 degree of dorsal angulation. What is the single most appropriate tx?

 

a. Below elbow full plaster of paris

b. Below elbow splint plaster of paris

c. Closed reduction of fx

d. Elasticated support bandage

e. Open reduction and internal fixation

 

Answer: (c)

 

Question: A 16 year old girl who is normally fit and well attends her GP complaining of heavy and painful periods. She is requesting tx for these complaints. She denies being sexually active. Select the most appropriate management for her menorrhagia?

 

a. Antifibrinolytics (tranexamic acid)

b. COCP

c. Endometrial ablation

d. IUS progestogens (mirena)

e. NSAIDS (mefenamic acid)

 

Answer: (a)

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