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15TH JUNE,2016 PLAB 1 RECALL

My take on the exam is as follows;


Topics are relatively those covered in 1700 file with a bit twist
All lab values were given at the back of the question paper
Be as fast as you can while avoiding simple mistakes
Practise thoroughly the last 3 recalls(you can do more)for example,if you
are preparing for September 2016,do recalls from june 2016,march 2016
and November 2015.
Be very careful with answers/craming answers from recalls as they
occasionally represent the answers of the person compiling rather than the
true questions asked in exam
With regards to this recall(june 2016),the keys are the written in capital
bold,they are based on our post exam discussion in the PLAB FORUM and
thorough research after the exam,however,kindly disregard any key you
think is wrong
I deliberately left some questions unanswered as i am not sure of the final
answer(i left the closest options in these cases)
Dont waste time if some of these recalls are vague,it was much clearer in
exam
Finally,i pray that almighty ALLAH make our PLAB journey itch-free. .Aamiyn
1.A patient with spider naevi, ascitis demonstrated by shifting dullness,aspirate
clear with low leukocytes,patient stable clinically,most important drug to give
a.corticosteroid b.azathioprine C.SPIRONOLACTONE
2.A child fell from bicycle and thereafter ceased breathing/seizure/loc,and
regained full consciousness again,mother said this had happened with previous
fall,diagnosis? BENIGN ANOXIC SEIZURE
3.A patient on medication with progressive loss of/deterioration in
vison,which drug is responsible? CORTICOSTEROID

4.Treatment of mild ulcerative colitis? MESALAZINE


5.Finding of crypt abscess along with inflammation of sigmoid/descending
colon.Diagnosis? ULCERATIVE COLITIS
6.A Scenario of a patient in shock with widened mediastinum/mediastinitis.
Diagnosis? RUPTURED THORACIC AORTA
7.Patient with partial thickness burn with features of inhalational injury/soothe
/burn in airway/mouth,appropriate next step? INTUBATION
8.Woman bleeding per vaginum(painless) currently on cocp,last smear 2yrs
ago was normal , has ectropion not bleeding on touch.,appropriate step?
A.REASSURANCE b.cervical smear c.colposcopy
9. A man screwing something,felt a rupture in cubital fossa with a lump in th
forearm,which tendon is ruptured? BICEPS TENDON RUPTURE
10.A patient with severe unilateral headache(?for 3 days),red eye and runny
nose,had similar presentation last week.Diagnosis?
a.CLUSTER HEADACHE b.acute migraine c.acute sinusitis
11.Elderly man with UTI symptoms later developed confusion,initial
investigation was asked.URINALYSIS
12.Pt with nocturnal enuresis and balanitis,appropriate investigation? FBS
13.A chid with blank stare/seizure,the teacher had noticed this
before.Diagnosis? ABSENCE SEIZURE
14.A scenario of fever,pain and testicular swelling.Diagnosis? ACUTE
EPIDIDYMIS(NB:epididymorchitis was not in the option)

15.A preterm with murmur that disappeared at the time of discharge


from icu.Diagnosis? PDA
16. Risk of cystic fibrosis for sibling from a carrier sister(cant recall how
the question was framed) A.no risk B. 1:2 C.1:4

17.A patient with dementia,tremor and visual hallucination. LEWY BODY


DEMENTIA
18.A scenario of DKA,immediate treatment was asked. IVF and INSULIN
19.A patient with left abdominal pain and a single large stone was found
in the biliary duct.what to do? A.lap cholestectomy B.NOTHING
20.Malodorous non itchy discharge with PH >4.5
A. GARDRENELLA B.trichomonas C.chlamydia D.Neisseria
21.Child with seizure for 4 minutes,then recovered completely,initial
investigation? A. Blood glucose B.electrolytes
22.A description of chicken pox,mode of spread was asked?
A.AIR BORNE B. Contact C.blood borne
23.A Woman that smokes,diagnosed with CIN,worried that her aunt died
of ovarian cancer.what is the most important risk factor for ovarian ca in
her. A.Smoking B.FAMILY HISTORY C.CIN
24.2 week old bay with cyanosis,70% oxygen saturation, likely cause
A.TOF B.ASD C.VSD D.PDA
25.A case of metastatic bone fracture/osteoporotic fracture(not so sure
how the question was framed ) appropriate investigation? BONE
SCAN/DEXA SCAN( not sure if dexa scan was given)
26.A patient with liver pathology/ascitis had nausea and
vomiting(symptoms of hypercalcemia to me),values were given for
calcium(was high) and albumin(cant remember if high or low).what will
be given to treat the patient symptom?
A .IVF

B.Albumin

27.A Patient with painless jaundice,weight loss,pale stool,likely diagnosis?


CA HEAD OF PANCREAS
28.A classic scenario of acoustic neuroma.investigation was asked.
MRI OF BRAIN (NB:MRI OF AUDITORY CANAL WAS NOT IN THE
OPTIONS)
29. A scenario of low ca, high ALP,with linear fracture and sclerotic
changes. Treatment was asked. A.CA SUPPLEMENT B.Biphosphonate
C.VIT D
30.A Child with joint swelling(?elbow and knee) which has limited him
from playing,which marker is likely to be elevated A.ESR B.RF
31.85yr old woman with severe back pain,took analgesia,nil weight loss
,nil change in appetite,later had diarrhoea of 4 episodes.likely
diagnosis/cause of diarrhoea? A.Ischaemis colitis B. Diverticulitis C.ca of
????
32.A scenario of fever with non blanching rash. MENINGOCOCCAL
SEPSIS
33.A child with fever etc (features of neonatal sepsis) ,what to do? ADMIT
AND GIVE IV ANTIBIOTICS.
34.A patient with jaundice,elevated liver enzymes,hepatitis B (?IGg)
positive,hepatitis c negative.investigation to do? A.HEP A IGM B.Hbs
AG(NB:I CANT RECALL THE QUESTION AND OPTION PROPERLY)
35.A patient treating dyspepsia for 10 years with no
investigation,presenting to you for the first time,what investigation will
you do? A.Helicobacter antigen B. Endoscopy C.Urea breathe test.
36.A Patient was stabbed in the neck,subsequently developed
asymmetric chest wall movement.nerve affected? PHRENIC NERVE

37.Patient presenting with big stone with pain/anuria +/hydronephrosis.appropriate management? A.PERCUTANEOUS
NEPHROSTOMY. b. stenting c. urethral catheter
38.A child jerking in the leg with LOC. Diagnosis?
A. COMPLEX PARTIAL SEIZURE b.simple partial seizure c.myoclonic
39.A patient developed ankle swelling while on antihypertensives, likely
drug? AMLODIPINE
40.Woman with proptosis,diarrhoea,weight loss etc with family history of
DM and thyroid disorder. Appropriate investigation? a.tft b.anti tissue
transglutaminase
41. A Scenario of CELIAC DISEASE in a baby
42.A case of bacteria conjunctivitis with purulent discharge,initial
treatment? A.WASH WITH WATER B.Topical antibiotics C.Topical
antibiotics and steroid(NB:most people opted for topical antibiotics
during the discussion,but i later confirmed from quickmedicine app that
one of the general measures before antibiotic drop is to irrigate with
saline)
43.A boy with glycosuria secondary to surgery,which resolved after
surgery,appropriate ff up investigation. FBS
44. A diabetic patient with atrial fibrillation.what to give? A.aspirin
B.WARFARIN C.clopidrogel
45.A case of vomiting with dizziness,the patient later had nystagmus.
Diagnosis? A.Basilar artery migraine B.VESTIBULAR NEURONITIS.

46.Patient with weight loss ,diarrhoea etc mechanism? INCREASED


CATABOLIC RATE

47.A case of PID,treatment was asked. OFLOXACIN AND


METRONIDAZOLE.
48.A patient with fever, low abdominal pain,vaginal discharge.Diagnosis?
Acute PID
49.A Scenario of cholangitis,described as fever,jaundice,right
hypochondrial pain. Appropriate investigation? A.ERCP B.MRCP
50.Onset of action of sertraline? A 2-3 WEEKS. B.2-3 DAYS C.MONTHS
51. A patient with testicular tumor with presence of cartilaginous tissue
A.TERATOMA
B.Semimoma
52. A Patient with loss of pulsation in popliteal and foot ateries,which
atery is affected? A. FEMOROPOPLITEAL B.External iliac
53. A child with proteinuria,facial swelling and some other
symptoms,what to give? A.Antibiotics B.PREDNISOLONE
54.A patient developed rashes 4 days after using antibiotics,the rash
typically sparing the mouth.Diagnosis? A.ERYTHEMA MULTIFORME
B. Steven Johnson syndrome
55. A Scenario of COPD with type 2 respiratory failure.what to give?
NIPPV.
56.Prevention of cot death. PUT BABY IN SUPINE POSITION
57.Elderly man with months of incontinence ,excoriation in perineum,and
something dragging ...initial management? A.pelvic floor exercise
B.Urethral catherization.
58.A patient with fever,rash and athralgia on return from travel.
Diagnosis? A. Leptospirosis B.Brucellosis. C.DENGUE
59. A Patient with presentation of stress incontinence. Appropriate
investigation? URODYNAMIC STUDIES

60.Calculation of prevalence. ANSWER WAS 500


61.Paediatric drug calculation.... ANSWER WAS 4MLS BD
62.The risk of having cancer in untreated population is 10 in ???(cant
recall the figure),risk in treated population is 5 in ?????.which is true?
A. ABSOLUTE RISK IS 10 IN UNTREATED B.Relative risk of 5 in treated
C.Relative risk of 2 in treated.
63.A Patient with massive inflammation on oesophagoscopy and signs of
narrowing. Diagnosis? A.Oesophageal cancer B.Barret oesophagus
C.OESOPHAGEAL STRICTURE.
64.Panic attack before presentation,pt has presentation in 3 days.Initial
therapy? A.PROPRANOLOL B.CBT C. Psychotherapy.
65. A patient with fever,tremor while on lithium. Diagnosis?
A.LITHIUM TOXICITY B.Malignant hyperthermia C.Neuroleptic
malignant syndrome.
66.A patient with intermenstrual bleeding,with inflammatory change on
smear....appropriate next step?
A.TAKE SWAB

B.colposcopy

67.A patient with vitiligo and high MCV.diagnosis? PERNICIOUS


ANAEMIA
68.A woman on DMPA with 6 moths history of ameorrhoea.initial
Investigation?. A.FSH

B. URINARY PT.

69.A pt on warfarin on account of ?dvt/PEgoing for surgery,appropriate


step?
A.STOP WARFARIN AND START HEPARIN B.continue wafarin C.increase
warfarin D.add heparin

70.A dm patient on gliclazide with controlled blood sugar,pt is going for


gastroscopy.what to do? A.Stop gliclazide and start insulin
B. SKIPPING THE DAYS DOSE OF GLICLAZIDE
71.A patient with bruise ,had low platelet of 40.Diagnosis? ITP
72.A man with features of moderate depression and postural
hypotention,nil suicidal intent. What to give? A.ECT B.Olanzapine
C.Mirtazapine (NB:Cant recall the question and stem satisfactorily)
73.Family wants to know about the possible outcome of patient with
Alzheimer disease.what to tell them. PROGRESSIVE COGNITIVE
IMPAIRMENT.
74.A Psychotic patient with tardive dyskinesia and also non
compliant.What to give? A. DEPOT RISPERIDONE B.oral risperidone
C.depot fluphenazine
75.A Patient involved in RTA,BP of 60/0 with cyanosis and cold
extremities,initial treatment? A.Secure airway B.IVF(NB:Check
immediate measures in hypovolemic shock to answer this)
76.Route of administration of benzodiazepam at home.
A.RECTAL B.IM C.SC
77.MANAGEMENT OF POST MENOPAUSAL HOT FLUSHES
A.OESTROGEN /PROGESTERONE B.Primerose oil
78.Nodule on pinna and neck
A.BCC

B.SCC

79. A patient with breast ca with calcium of 3.7,what to give?


A.IVF B.IV Pamidronate

80.A patient on thiazide with acute swollen knee,most appropriate test?


A.serum uric acid level B.JOINT ASPIRATION
81.A patient with pv bleeding and has been on cocp for about 10yrs,likely
cause of bleeding. A.ECTROPION(NB:cant recall this question clearly)
82.a scenario of MOLAR PREGNANCY/HYDATIDIFORM MOLE
83.A Patient came back from Ghana 6wks ago,treated malaria last 2
wks,now presenting with fever,headache,neck
stiffness,photophobia,appropriate investigation? A.thin and thick blood
film B.LP c.blood culture.
84.A Patient with days of constipation,now presenting with loose stool
and urinary retention,likely diagnosis A.FAECAL IMPACTION B.BPH
85. A Scenario of a patient with vomiting,likely electrolyte derangement
was asked. HYPOKALEMIA
86.75yr old ,already on ACE inhibitor, three measures of blood pressure
Was like 158/78,electrolytes are ok.which antihypertensive to add?
A.AMLODIPINE B.frusemide C.losartan
87.A patient with one previous miscarriage in first trimester,now bleeding
per vaginum.what to do?
A.ADMIT B.Normal antenatal C.heparin and aspirin.
88.Sudden breathlessness after hip replacement/surgery.likely diagnosis?
A. pulmonary embolism B.FAT EMBOLISM
89.A scenario of acute testicular pain . TESTICULAR TORSION
90.A patient with days of constipation , subsequent passage of hard
faeces with bright red blood. A.trauma B.anal fissure C.HAEMORRHOID.

91.Effect Of S1 lesion. LOSS OF SENSATION IN THE SOLE.


92.A patient with slurred speech,limb weakness. STROKE.
93. ECG; LBB
94.A scenario of terminal ill patient(with some other information which i
cant recall),how to feed?
A.TPN B.NG tube C.gastrostomy
95.A patient with menorrhagia that is not controlled on COCP,what to
give? MIRENA.
96. Presentation of electric shock like pain,(cant recall properly) what to
give. A.TCA B.GABAPENTINE.
97.Unconscious patient with dilated pupils(lifted from 1700)
A.Pontine haemorrhage B.Opiod toxicity C.SAH
98.A diabetic patient finding difficult to move with associated wasting of
muscles. AMYOTROPHY
99.Breast lump with FNAC findings suggestive of boarderline
changes.what to do next? A.CORE BIOPSY B. Reassurance.
100.A woman painting with severe headache and vomiting,associated
LOC,had GCS of 15 in the hospital. Investigation?
A.CO level B.CT scan
101. A scenario of PTSD following years of RTA.
102. A patient on aspirin and isosorbide,with chest pain of ?duration,i
think investigation was asked to make diagnosis (NOT SO SURE)
A.ECG

B.Troponin

103.A patient with metastatic bone pain that is not relieved on morphine
and other analgesics,what to give?
a.corticosteroid B.RADIOTHERAPY.
104.Histological change in barret oesophagus(cant recall properly how it
was framed).
A.Columnar epithelium B.COLUMNAR METAPLASIA C.Squamous
epithelium D.Squamous metaplasia.
105.28 year old female with breast lump.investigation
A.USG

B. Mammography.

106.A patient with pcm OD,took about ???54 tablets,what to do?


A.wait for 4 hour level B.N ACETYLCYSTEINE C.Activated charcoal
107.Trocar inserted midway between umbilicus and ASIS,what structures
will be pierced ?
A.EXTERNAL OBLIQUE APONEUROSIS AND INTERNAL OBLIQUE
B.external oblique and internal oblique C.linear and internal oblique alba
D.cojoint tendon
108.Effect of adrenaline when given with lidnocaine
A.PROLONGS ACTION B.Augment effect C.Shorten duration
109. Patient on digoxin developed diarrhoea,nausea and
vomiting...DIGOXIN TOXICITY
110.A deaf mother want her 2 day old investigated on account of
deafness..what to do? BRAIN STEM EVOKED RESPONSE
111.A child treated for UTI,scan later revealed VUR ,what to tell parents
A.Surgery B.Prophylactic antibiotics.

112.A patient on antihypertensives with swollen ankle. Drug implicated?


AMLODIPINE.
113.A scenario of acute epiglotitis,next appropriate step?
A.ivf B.SECURE AIRWAY/INTUBATE
114.A patient on prophylactic dose of heparin developed symptoms of
pulmonary embolism,what to do?
A INCREASE DOSE OF HEPARIN AND DO CTPA B.continue dose of and
do CTPA
115.A scenario of CA PROSTATE (PSA >12ng/ml)
116.Alcoholic want to attend daughters wedding but want to avoid
alcohol,what to give?
A.ACAMPROSATE B.Lithium
117.A Patient with chest pain of about 10 hours duration,appropriate /?
Diagnostic investigation was asked.
A.Troponin level B.ECHO C. ECG.
118.A scenario of pneumothorax,investigation was asked? CHEST X-RAY
119.A patient with tension pneumothorax,appropriate initial
management was asked. THORACOCENTESIS
120. A patient involved in RTA ,with reduced/absent air entry in the
,trachea deviation to the left,dull percussion note in the right,BP was
given as ?80/60,immediate management? (CLUE:haemothorax)
A.NEEDLE INSERTION INTO RIGHT THORAX B.Needle insertion into left
thorax C.secure two wide bore cannula
121.A scenario of bipolar disorder,long term treatment was asked

A.LITHIUM B.mood stabilizers.


122.A scenario of oesophageal cancer,how to manage
obstruction/dysphagia
A.STENTING B.chemotherapy C.radiotherapy
123.A female with intermittent abdominal/pelvic pain had mobile mass
on examination. Diagnosis ? TORSION OF OVARIAN CYST
124.A patient with hoarseness of voice for 6 months and hiatus
hernia,where to refer?
A.ENT B.GIT Surgeon
125.A woman few days after delivery,worried tha she cant take care of
the child-----Diagnosis?
A.POST PARTUM BLUES B.Post partum psychosis C.Post partum
depression
126.A child who became blind after seeing a RTA.Diagnosis?
CONVERSION DISORDER.
127.A Scenario of APKD,investigation ? USG
128.A Case of mesothelioma with breathlesness and pleural
effusion.What to do to relieve the symptoms?
A.PLEURAL FLUID ASPIRATION B.chemotherapy
129.A pregnant woman with hard uterus and pv bleeding.Diagnosis?
ABRUPTIO PLACENTA
130. A case of anorexia nervosa with BMI<15,what to do?
A.ADMIT IMMEDIATELY B.assess under mental health act.

131.Patient sudden onset of dysphagia while eating,most appropriate


test? OESOPHAGEO-GASTRO-DUODENOSCOPY
132. A child with symptoms of severe dehydration,what to give ? IVF N/S
OVER 20 MINUTES
133. A Scenario of anaphylaxis. Treatment? IM ADRENALINE,0.5ML
1:1000
134.Asthmatic patient with a rash while playing, treatment? ORAL
CHLORPHENIRAMINE
135.The risk of ectopic is increased by?
A.IUCD B.PREVIOUS PID
136.A scenario of orbital cellulitis in a child,appropriate investigation ? CT
ORBIT.
137.A patient with spreading annular rash. What to check? LYME
ANTIBODIES.
138. A Scenario of CARDIAC TAMPONADE
139.HB-18g/dl,other laboratory parameters were normal(not so sure),
Hormone to check? EPO
140.A child managed for meningitis,was not resuscitated.What to expect?
A.Hearing impairment B.FULL RECOVERY
141.A patient with hypertension/dm with microalbuminuria,cholesterol 4.4(not so sure,but was not elevated).what to give?
A.Statin

B.ACE INHIBITORAACECE inhibitor

142.A patient on thiazide developed confusion and letharge,which


electrolyte abnormality is implicated?

A.HYPONATREMIA

B.Hypokalemia

143.A pt on cocp with risk of cervical cancer,patient smoke as well,most


important risk factor to counsel the patient on?
A.Stop Cocp B.STOP SMOKING
144.A patient with blood film show spherocytes, recticulocyte count of
8%,appropriate test? DIRECT COOMB TEST.
145. Swelling in anterior triangle with hoarseness and hemoptysis.
Diagnosis? A SCM tumor B.CAROTID BODY TUMOR
146.Woman afraid to go out alone,except with her husband......diagnosis?
AGORAPHOBIA
147.4 year old bedwetting,what to do?
A.Oxybutinin B.Desmopressin C. BEHAVIOURAL THERAPY
148.A patient with FBS-6mmol/L and RBS-9mmol/L, diagnosis?
A.IMPAIRED GLUCOSE TOLERANCE B. DM 1 C.DM 2
149.15 weeks pregnant woman came for prenatal diagnosis.Most
appropriate? A.AMNIOCENTENSIS B.Nuchal translucency C.CVS
150. Alcoholic with wernicke encephalopathy,chlordiazepoxide was
given,what drug to add? THIAMINE
15I. A patient with post operative calf pain,initial investigation
A.DOPPLER USG B.D dimer
152.A patient with insect in the ear,also restless.How to remove?
A.70% alcohol B. UNDER GA

C.forceps D.Suction

153. A girl with PCM OD(about 10 tablets i think),brought to hospital,now


normal and regrets her action/what to do?

A.Admit B. Send home C.See as outpatient D.liase with psychiatrist


154.PCM OD patient 2 hours after ingestion,when to check levels?
A.2 HOURS B. 4 hours.
155.Eclamptic patient given mgso4 and hydralazine,then fits again.what
to give? IV MGS04 BOLUS
156. Patient with loss of sensation on the dorsum of the thumb,index
finger ,............something was mentioned about the wrist,(cant recall
properly),which nerve is affected?
A.median B ulnar C.radial D.C7 root
157.A patient with intact knee and ankle jerk with loss of sensation on the
dorsum of foot and big toe.which nerve is affected?
A.L3 B.L4 C.L5 D S1
158.A woman with infertility with a cycle of 32 days,wants to kneow
which day to check progesterone level to know if she is ovulating
A.DAY 25 B.day 14 C. Day 21
159.Obese patient with amenorrhoea,hypokalemia,diagnosis?
A.Conn syndrome B.CUSHING SYNDROME C.phaeochromocytoma
D.secondary hyperaldosteronism
160.A patient with BP of 200/100 and hypokalemia,diagnosis? CONN
SYNDROME
161.18 month old choked after aspiration,was resuscitated...,mother
want wants to know what to do if this happen again?
A.Abdominal thrust B.chest thrust on mums lap C.BACK SLAP WHILE
STANDING.

162.Sign that a child with asthma is deteriorating?


A.Drowsiness B SEVERE INTERCOASTAL AND SUBCOASTAL RECESSION
163.Man accidentally stabbed his groin,RR-30,Pulse-130,BP-80/60,had
applied pressure but still bleeding, next immediate action?
A.apply tourniquet B.RAISE/ELEVATE THE LEG C. Blood transfusion
(NB:i confirmed this from fastlane,immediate measure is pressure
application and limb elevation,tourniquet can be applied later)
164.Post myocardial infarction with bibasal crackles......,diagnosis?
A.PULMONARY OEDEMA B.pulmonary embolism
165.A patient about 6 weeks post myocardial infarction with ST
elevation from leads V1 to V4.Diagnosis? LEFT VENTRICULAR
ANEURYSM
166.A patient had a fight with periorbital oedema andenopthalmos/
diplopia on upward gaze,which bone is fractured?
A.MAXILLA B. Ethmoid C.Frontal
167.COPD patient with O2 -6.9,PH-???,What to give?
A.oxygen

B.Steroid

168.Drug OD;nasal discharge with some other symptoms..


A.heroine B.Cocaine
169.Drug OD;restless,agitated,dilated pupils
A.heroine B.Cocaine C.alcohol D.mephedrone
170.Drug OD;visual hallucination with hyperthermia. ECTASY(NB:LSD
WAS NOT IN THE OPTIONS)

NB:study symptoms of cocaine, heroine and ectasy OD to answer


questions 168-169 .
171.ABG picture:PCO2-5,P02-13,HC03-18,PH-7.31(not so sure of the
values),drug responsible
A.Aspirin B.PCM C.Diazepam(NB:knowledge of ABG picture in
aspirin,pcm and diazepam is required to answer this)
172.Post influenza pneumonia with cavitation, organism implicated?
STAPH AUREUS
173.A patient post gastrectomy with loss of joint position and
vibration.diagnosis? VIT B12 DEFICIENCY
174. A scenario of TRIGEMINAL NEURALGIA
175. A Stem on BLADDER CA (cant recall,but no likely different form the
concept in 1700)
176.Histological findings/features of CHRONS DISEASE
178. A scenario of ACOUSTIC NEUROMA
179. A patient with deranged LFT and some clinical presentation(non
specific,but look like symptoms of hepatitis to me),investigation was
asksed. ??HEPATITIS SCRENING/SEROLOGY
180.A child with meningitis,has 6-week old brother,attend a local
secondary school.....,who to give prophylaxis?
A.6-wk old brother B.6-WK OLD BROTHER AND BOTH PARENTS C.6wk old brother, both parents,doctor and nurses D.6-wk old brother,both
parents,doctors and nurses and school pupils(OPTION C IS ALSO A
POSSIBILITY,HEALTHCARE WORKERS WHO DO NOT WEAR A MASK AND
WHOSE MOUTH OR NOSE IS DIRECTLYEXPOSED TO RESPIRATORY
SECRETIONS AND/DROPLETS,FROM A CASE OF MENINGOCOCCAL

DISEASE ARE AT RISK....CULLED FROM EMed,HANDBOOK OF


EMEERGENCY MEDICINE CORK)
181.A stem on urinary retention,tx ? URETHRAL CATHETERIZATION
182.A patient with Hb-11.1 at 32weeks,what to give?
A.NOTHING

B.Feso4 C.Dextran

183. Another stem on depression( cant recall the question)


184. A stem on Brochiectasis/COPD,initial investigation was asked? CHEST
X-RAY
185.A stem on ischaemic heart disease,appropriate investiagation was
asked? A.FLP B.CORONARY ANGIOGRAM