PLAB 1 Emqs.

March 2003 PLAB

Paper March 2003 PLAB
Paper March 2003 PLAB
http://www.aippg.com/plab-uk/ Theme 3: Invol vement Of Cranial Nerve.

http://www.aippg.net/forum/viewforum.php?f=2 A. Nerve I
B. II
Theme 1: Mg. Of Ophthalmologic conditions. C. III
D. IV
A. Intraocular steroids. E. V
B. I/V steroids. F. VI
C. Oral steroids. G. VII
D. Eye surgery. H. no cranial verve
E. B-blockers. I. VIII
F. Laser treatment. J. IX
G. Systemic Anti-biotics. K. X
H. No treatment. L. XI
M. XII
1. A pt. With sudden loss of vision. & h/o temporal 11. A. Pt. Involved in RTA. Has MRI done
arteritis. which shows longitudinal # of temporal
petrosal bone of skull & now is unable
2. A pt. With decreased Vision. On watching TV,
to perceive smell.
gives h/o tunnel vision. On examination cupping
of disc is seen. 12. A 19 yr. Old pt. Sustained # of base of
skull, presents with ptosis, loss of
3. Pt. With h/o of SLE develops lens opacities.
pupillary reflex associated with lat
4. A diabetic pt. Develops proliferative diabetic nystagmus.
retinopathy.
13. Pt had trauma to back of skull & since
5. A 80 year man with marked loss of Vision. On cannot shrug his shoulders.
fundoscopy bilateral. Macular degeneration & 14. A pt cannot move his lower facial
pigmentation.
muscles but sparing of the forehead
muscles.
15. Pt. had a stroke & has lost the ability to
Theme 2: Side Effects of Drugs. feel taste in the anterior 2/3 of the
tongue.
A. Liver Failure.
B. Bronchiolitis.
C. Rash Theme 4: Diagnosis Of Anemia.
D. Reye's syndrome.
E. Dry Mouth. A. Pernicious anemia.
F. Drowsiness. B. Aplastic anemia.
G. Gastric erosion. C. Iron d eficiency anemia.
H. Dilated pupil. D. Coeliac disease.
E. Anemia due to Iron
malabsorption.
6. A child who takes a large amount of F. Anemia due to folate
paracetamol. malabsorption.
7. A pt. on chronic use of Aspirin. G. Folate deficiency anemia.
8. A pt. Taking Carbamazepine for some painful
problem. 16. A man on R x with cyclophosphamide for
lung alveolitis develops anemia.
9. A pt. With some psychiatric problem on TCA.
17. A man with h/o of gastric erosion
10. A pt. on chronic use of Ibuprofen. develops anemia.
18. A strict vegetarian develops malnuturion
& anemia.

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19. A pt. With coeliac disease develops anemia.
Theme 5: Vaginal Conditions In Female
child.

A. E. Vermicularis.
B. Examine under GA.
C. Local hygiene.
D. Take high Vag. Swab.
E. Culture & investigate for
Chlamydia.
F. Local Nystatin.
G. Candidiasis.
H.

20. A child with itching in vulva mostly at

night.
21. A child with excoriation & ulceration in
vulval region.
22. Rash is noted in vulva in a diabetic child.
23. A child with some kind of vaginal
discharge.
24. Rash in a normal child when nappy
removed.

Theme 6: Diagnosis Of Confusion.

A. Delirium
B. Subdural Haem.
C. Extradural Haem.
D. Subarachnoid haem.
E. Wernicke Encephalopathy.
F. Drug overdose.
G.

25. Pt admitted in hospital with some

ailment then becomes confused &
irritated.
26. A pt is operated, on gaining
consciousness becomes confused &
disoriented.
27. An alcoholic with h/o of recurrent falls is
confused.
28. A rugby player hit by a ball on head
loses consciousness & then become
normal now is brought in hospital with
detorriating consciousness.

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Theme 9: Investigations & treatment in

Theme 7: Prevention Of Heart Disease.
convulsions.
A. Statin
A. EEG.
B. Reduce Wt.
B. CT Scan.
C. Stop Alcohol & Cigar.
C. MRI
D. Aspirin
D. ECG
E. Warfarin
E. No Investigation.
F
F. valproate sodium.
G. Phen ytoin.
29. A pt. With hyperlipidaemia develops cardiac H. Diazepam.
problems.
30. A smoker & alcoholic develops cardiac 36. Mother brings child who had some
problem. febrile condition, the child was wrapped
in multiple blankets, he had
31. An obese develops cardiac problems.
convulsions, when the blanket was
removed he was alright & playing
happily.
37. A boy with h/o of convulsions starting
Theme 8: Investigations In Breast Lumps. with tingling in Thumb of one
hand.(Jacksonian)
A. FNAC. 38. A pt. With convulsions & an EEG was
B. MRI done, which showed firing impulses in
C. USG. temporal area.
D. Mammography.
E. Stereotactic Biopsy. 39. A pt had generalized tonic clonic
F. Stereotactic Fine needle biopsy. convulsions.
G. Excisional biopsy.
H. Lumpectomy.
I. Theme 10: Diagnosis In Dementia.

A. Alzheimer’s
32. A pt. With fibrocystic disease with symptoms
B. Schizophrenia.
related with menses.
C. Pseudodementia.
33. A pt. With breast lump but has morbid fear of D. Senile dementia
needles. E. Multi infarct dementia.
F. Lewy body dementia.
34. A pt with no obvious palpable lump but with G. Frontal lobe dementia
axillary lymph nodes.
H. Huntington’s dementia.
35. A pt with retraction of nipple.
40. A pt had some psychiatric problems with
thought insertion.
41. Commonest dementia in UK
42. Dementia which has neurofibrillary
tangles.
43. Pt. With cognitive impairment.
44. A hypertensive with dementia.
45. Dementia treated with anti depressants.

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Theme 11: Diagnosis Of Hearing Loss. Theme 13: Diagnosis Of Ulcer ative
Colitis.
A. Menière’s Disease.
B. Wax Impaction A. Ulcerative Colitis.
C. Acoustic Neuroma B. Pseudo membranous colitis.
D. Acute Otitis Media. C. Haemorrhoids.
E. Presbyacusis. D. Anal fissure.
F. Otosclerosis. E. Crhon.s disease.
G. Viral Involvement of nerve.
56. A pt taking iv antibiotic treatment for
H. Otitis Externa.
some disease develops diarrhea &
bowel changes.
46. A pt. With intermittent tinnitus, giddiness, &
57. A pt has bleeding mixed with stool &
vertigo.
also bleeding after passing stool.
47. A 50 yr. Old man with bilateral deafness, his
58. non-smoker with fever c/o abdominal
father also had hearing loss.
pain which was gradual on onset with
48. A brown mass obliterates the tympanic diarrhoea & mucus. O/E clubbing,
membrane. aphthous oral ulcers & conjunctivitis.
49. A woman with unilateral conductive hearing 59. Patient passes stool with blood
loss. streaked on it.
50. A pt. With tinnitus, vertigo & tingling on one
side of face, & numbness. Theme 14: Investigation In Lung
conditions.

Theme 12: Diagnosis In Rheumatology . A. CT

B. MRI
C. Sputum cytology.
A. Chondromalecia patella. D. Sputum culture.
B. Rheumatoid arthritis.
E. Lung biopsy.
C. Gout.
D. Psoriatic arthritis. 60. Elderly man has lower lobe
E. Enteropathic arthritis. consolidation & fever, he was Rx with
F. Ankylosing spondylitis. antibiotic, which resolved the fever but
G. Septic arthritis. the consolidation persisted after 4 wks.
H. Reactive arthritis.
I. Pseudo gout. 61. A pt with lung affected due to asbestos
exposure.
J. Gonococcal arthritis.

51. A 65 yrs old man has a swollen left knee jt. For Theme 15: Investigation In Haematology.
ten yrs. With associated swelling but no skin
changes, he had no other problems. A. Bleeding time
B. Clotting time
52. 35 yr. Old woman with left knee pain & C. Platelet count
associated problems, & with nail pitting & D. Von willebrand
discoloration. E. INR
53. A 45 yr. Old man on anti hypertensive F. PTT
treatment, presents with lt knee pain which is G. TT
swollen & hot to touch.
62. A pt. is taking warfarin develops
54. Pt. Returned from Thailand develops painful bleeding problems.
swelling & warm rt. Knee. 63. A female pt with rash & other symptoms
55. A female with symmetrical & crippling of purpura develops hemorrhage.
arthropathy. 65. A 16 yr. Old girl is pale. Weak presents
with menorrhagia & epistaxis, mother
also had similar problems.
66. I think another question on Von
Willebrand .
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Theme 16: Diagnosis of Meningitis. Theme 18: Management. Of Trauma In

Children.
A. Streptococcal Meningitis.
B. Meningococcal. A. I/V morphine.
C. Viral. B. Endotracheal intubation.
D. Tubercular. C. Intraosseous line.
E. Leukaemic Infiltration. D. CV line
F. E. Oropharyngeal airway.
F. Nasopharyngeal airaway.
G. Dobutamide.
67. A 3 yr. Old boy developed URTI & also had
recent h/o ear discharge, now presents with
neck stiffness. 76. A 4 yr. Old child with 10 % scalds on
chest.
68. A child is diagnosed with meningitis his CSF
examination shows 10 blood cells with 1-2 77. 6 yr. Old, intubated after RTA, BP low,
lymphocytes, & the glucose level is not too pulse high.
reduced.
78. 2 yr. Old with hypovolemic shock,
69. A child with meningitis, his CSF examination unable to get iv access.
shows presence of gram .ve encapsulated
79. 5 yr. Old with soot in nostril.
diplo cocci.
70. A child with signs of meningism & presence of 80. 13 yr. Old in shock, unable to get iv
abnormal blood cells in CSF. access.

Theme 17: Management of Thyroid Problems. Theme 19: Management. Of Varicella.

A. Propanalol A. Oral Acyclovir

B. Carbimazole. B. Iv acyclovir.
C. No treatment required at present.
C. Radioiodine.
D. Thyroidectomy. D. Varicella Ig.
E. Observation E. Barrier nursing.
F. Thyroxin F. Quarantine.
G. Check immune status.
G. FNAC
H. Auto anti body.
I. Thyroid ultrasound. 81. A pregnant woman who is in her last
J. MRI trimester of pregnancy, & her husband
K is infected with varicella.
82. A boy who is taking steroids for asthma
71. A female pt. Presents with wt. Loss, gets chicken pox.
palpitations & diarrhea.
83. A child having lymphoma/leukemia, his
72. A female pt. Having previous h/o of asthma is father has shingles.
now c/o wt. Loss & diarrhea.
84. A boy whose sister has just had renal
73. A ? pt with diffuse thyroid enlargement but transplant & is returning from hospital.
otherwise well & asymptomatic.
85. 80 year old man develops
74. A pt. With a solitary thyroid nodule of about 3 ophthalmic shingles.
cm in size.
86. A boy has developed vesicles all
75. A woman presents with features of over the body & also has high fever.
hypothyroidism & a tender thyroid.
87. A woman with vesicles on small part
of the chest.

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Theme 20: Diagnosis Of Acid-Base Theme 22: Investigation In Renal stones.

Disturbances.
A. Serum Ca Le vel.
A. Metabolic Acidosis. B. Plasma Urate level.
B. Metabolic Alkalosis. C. Serum Alk. Phosphatase,
C. Respiratory Acidosis. Calcium, & phosphate level.
D. Respiratory Alkalosis. D. Dietary conditions.
E. Hypokalaemia. E. Urea & Electrolytes.
F. Renal Failure. F. Urinary Calcium.
G. Dehydration. G. USG.
H. Fluid overload.
I
97. A 25 year old man presented with
recurrent loin pain & stone in the
88. A man having projectile vomiting due to pyloric ureter.
stenosis with hypokalaemia & base excess.
98. A 35 year old man presented with loin
89. A man with villous adenoma of rectum with pain all serum biochemical
diarrhea. investigations were done & are non
conclusive.
90. A man with pulmonary embolism, with
tachycardia, hypotension & breathlessness. 99. A man with gouty skin changes of the
ear pinna.
91. A man with pallor, dry skin, & anuria.
100. A man with stone in the kidney which is
92. A pt. With post operative breathlessness, &
radio luscent.
peripheral oedema.

Theme 21: Psychiatry Next Step.

A. Chlorpromazine. Theme 23: Management. Of Trauma In

B. Clozapine. Children
C. ECT
D. Benzhexol. A. CT Scan
E. Continue the same drug orally.
B. Barium Swallow.
F. Stop the treatment.
C. MRI.
G. Hyoscine.
D. X- Ray abdomen.
H
E. Peritonial Analysis.

93. A pt. After treatment with antipsychotic, he

develops hyper salivation.
101. A child with stab wound of abdomen, &
94. A pt. After treatment with haloperidol, a man signs of peritonism & shock.
develops stiffness of limbs.
102. A child involved in RTA was seated in
95. A pt. stabbed his father in acute psychosis, & back seat, with seat belt on, presents
then was treated with anti psychotic, now with pain in Lt. Hypochondrium, pallor,
believes himself to have recovered from the low BP, tachycardia.
illness.
96. A pt who has recurrent hiccups, due to anti
psychotic treatment.

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Theme 24: Investigations In Diabetes. Theme 26: Control Of Hypertension.

A. Random Blood Sugar. A. Beta blockers.

B. Fasting Blood Sugar. B. Ace-inhibitors.
C. Oral Glucose Tolerance Test. C. Diet Control.
D. Insulin Level. D. Stop Smoking.
E. Urine Sugar. E. Exercise.
F. Blood Sugar. F. I/V Anti Hypertensive.
G. Post prandial blood Sugar. G. Fish Oil.

103. A 25 yr. Old male who is conscious & wants 110. 30 year old lady with a BP of 160/100
to know weather he is diabetic. recorded on 3 ti mes consecutively BMI-
27 & drinks 7 units of alcohol & smokes
104. A 65 yr. Old male with h/o of polyurea wants
1 pac cigarette.
to know abt. His diabetes.
111. 35 year old lady with BMI is 33 & drinks
105. A 20 yr. Old girl presented to you with history 3 units of alcohol/week. & BP recorded
of attacks of hypoglycemia when ever she 160/100 3 times in a row.
misses her meal.
113. A 50 year. Old with h/o HTN. Not
106. Mother brings in a child she is worried if he is
relieved by diuretics.
diabetic.
114. A pt with family history of
cardiovascular disorders.

Theme 25: Management. Of Ectopic Pregnancy

Theme 27: Next Step In treatment Of
A. Laparotomy. Psychiatric Pateints.
B. Diagnostic laparoscopy.
C. USG. A. Oral anti psychiatric drug.
D. 24 Hr. B HCG. B. IV anti psych.
C. Stop R x .
D. Continue same treatment.
E. Review after 3 months.
F. Regular visits to Doctor.
107. A 25 yr old with 8 weeks amenorrhoea
presents with BP 70/50 & pulse-140.
115. 30 year old with psychiatric problem on
108. A 35 year old woman with bleeding per oral anti psychotics.
vagina & USG shows empty uterus.
116. Pt who is doing well on anti psych. on
109. An 28 year old woman presents with 5 weeks
his regular visit to GP after 3 months.
amenorrhoea & has h/o vaginal bleeding her B
HCG is 5000.

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Theme 28: Cervical Pathology
A. CIN.
B. Cervical Ectropion.
C. Endometrial Carcinoma.
D. Cervical Cancer.
E. Vaginal Cancer.
F. Vaginal Trauma.
G. Chlamydial Infection.
H. Cervical Smear.
117. A female presents with a cervical lesion,
which bleeds to touch, she gives h/o multiple
sexual partners recently.
118. A female with bleeding on oral contraceptive
pills.
119. A woman with post menopausal bleeding &
with Endometrial thickening.
120. A woman, who has got unpleasant vaginal
discharge.
121. An post menopausal old lady presents with
post coital bl eeding after having sex for the
first time in her life!!.
Theme 29: Respiratory Pathology.
A. Chloride Channel Defect.
B. Surfactant Deficiency.
C. Alpha 1 antitrypsin deficiency.
D. Asthma.
122. A baby who has recurrent pneumonitis.
123. A baby with RDS.
124. Woman has h/o of recurrent jaundice as a
child ,now develops emphysema.
125. A child who develops cough & difficulty in
breathing during winter.
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Theme 30: Investigations In Acid Peptic
Disease.
A. H. Pylori Serology.
B. Oesophageal Manometry.
C. Endoscopy.
D. Faecal Occult Blood.
E. 24 -hr. ambulatory Ph
monitoring.
F. Barium meal.
G. Do nothing.
126. A 50 yr. Old obese woman with h/o
pain in epigastrium which is present
specially at night & after meals, also
has water brash.
127. A woman with h/o pain in stomach after
a fundoplication operation.
128. Woman with long h/o peptic ulcer
disease with positive H. Pylori
serology comes for re-examination
after 4 yrs.
129. A 36 yr. Old man has been treating
himself for dyspeptic symptoms for
many years.
Theme 31: Treatment For Upper GI
conditions.
A. Give antacid.
B. Give H2 blockers.
C. Esophageal dilatation.
D. Esophageal Excision.
E. Celestin Tube.
F. Radiotherapy.
G. Chemotherapy.
H. Endoscopic Biopsy.
130. A pregnant woman with dyspeptic
symptoms since past 4 days.
131. A pt. With chronic dyspepsia has
developed Barrett’s esophagus.
132. A pt with esophageal stricture.
133. A pt with a localized esophageal tumor
with no signs of metastasis.
134. Pt with CA-oesophageus & mets.
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Theme 32: Mx Of Injury to Upper Limb. Theme 35: Head Injury.

A. Manipulation.
B. Physiotherapy.
C. Sling.
D. Apply plaster cast.
E. Admit for further Investigations.
F. No treatment required.
135. A child with pulled elbow first presents to
A&E.
136. A child with h/o fall, tenderness & pain below
the thumb, X-ray is normal.
137. A child presents with torticollis she has no h/o
trauma.
138. Child presents to A&E with limping & pain on
rotation after playing football.
Theme 33: Mx of Ischaemic limb.
A. Incise the fascia.
B. Embolectomy.
C. Amputate.
D. Arteriovenous grafting.
A. Mild Injury
B. Moderate Injury.
C. Sever Injury.
D. Fracture Skull.
E. Fracture Base of Skull.
146. 45 year old alcoholic with h/o recurrent
falls was brought to A&E by his wife in
a Confused state, his GCS is 12.
147. 7 year old boy with h/o fall from cycle,
lost consciousness initially but alert,
oriented now. examination reveals no
abnormality.
148. A man with head injury who also has
hemotympanum.
149. 23 year old footballer brought to the
A&E was talking to the paramedics
well after injury but subsequently lost
consciousness.
150. 42 year old man fell down .GCS-13 .
Theme 36: Management Of drug abuse:

139. A pt with h/o atrial fibrillation presents with a A. Opiate abuse.

pale, cold, pulse less, leg which he can B. Opiate withdrawal.
barely move, & has very little perception of C. Alcohol withdrawal.
touch.
151. A female pt comes to A&E demanding
140. A pt with bilateral diabetic lesions on the feet, pain relief.
presents with a foot with multiple
malodorous gangrenous lesions on one foot. 152. A pt with h/o of alcohol abuse with
signs of alcohol withdrawal.
141. A pt. With trauma to leg presents with # of
both the bones, sever pain & a lot of
swelling. Theme 37: Analgesia In terminaly Sick.
142. A diabetic pt with a unilateral ulcer on foot,
which has absent pulse arteriography shows A. Pt controlled analgesia.
lack of blood supply. B. NSAID.
C. Paracetamol.
Theme 34: Mx Of Osteoporosis. D. Radiotherapy.
E. Palliative X -Ray.
F. Dihydrocodiene.
A. HRT. G. I/V opioid
B. Raloxifen.
C. Reduce Wt.
D. Wt. Bearing Exercise. 153. A pt with bladder carcinoma, now
E. Calcium Supplement. presents with metastasis to the spine
presents with severe pain in the back.
143. A woman with high BMI.
154. A pt with carcinoma colon has
144. A 40 year old lady with family history of sigmoidectomy done.
osteoporosis, comes for advice.
155. A woman who has had breast surgery
145. A pt who needed dietary calcium.
done.
156. A pt. With carcinoma rectum.

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Theme 38: Management Of cardiac Conditions. Theme 40: Diagnosis Of Urinary

Retention.
A. Verapamil.
B. Heparin. A. Clot Retention.
C. Amiodarone. B. BPH.
D. B blocker. C. UTI
E. DC Cardioversion. D. Systemic Sclerosis.
F. Captopril. E. Compression Of Spinal Cord.
G. Thiazide diuretic F. Incontinence Pants.

157. A pregnant female with tachycardia of

167. A child is brought by mother who says
160/min. she shows no response to
he is sometimes faecaly & urinary
adenosine.
incontinent.
158. A pt with refractory pulmonary edema & 168. An old pt. who has been incontinent for
cardiac failure, was prescribed fursemide, a long long time now develops signs
but pt. still continues to detoriate in spite of of dysuria.
fursemide therapy.
169. A pt. with carcinoma of prostate, &
159. A diabetic pt who develops hypertension. urinary symptoms, has haematuria &
then sudden retention of urine.
160. A pt with family history of sudden death, & 170. A pt with history of urinary hesitancy,
signs of HOCM. has a large amount of alcohol, & then
presents with sudden retention of
urine.
Theme 39: Respiratory Disorders.
171. A pt. with huge enlargement of
prostate, it is even palpable
A. Bronchiolitis. suprapubically, presents with
B. Pericarditis. weakness of feet & retention of urine.
C. Pneumonia.
D. Coarctation Of Aorta. 172. A pt with H/O recurrent numbness of
E. Pneumothorax. feet & recurrent focal neurological
F. Sleep apnea. signs, & retention of urine.

161. An obese male who is tired lethargic, gives Theme 41: Pre Operative Investigations.
h/o repeated awakening during sleep with
sweating, palpitations, & tachypnea. A. Exercise ECG.
162. A pt with COPD develops sudden B. Arteriography.
breathlessness & absent respiratory sounds C. Spirometry.
on one side of chest, X-ray shows absent
lung shadow. 173. A pt with respiratory problem due for
operation.
163. A tall male develops sudden central chest 174. A female on chronic use of OC pills.
pain, becomes pale, & tachycardic with 175. A pt with h/o angina on exertion.
difference in pulse.
164. A teenager with fever & cough & pain in lt
lower side of chest on breathing.
165. A pt with pain in central chest, which is
relieved by bending forward, also raised JVP
& pericardial rub.
166. A child with bronchiolitis.

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Some Miscellaneous Questions:

176. An old pt with his dentures missing.

56. B 116. E
Answers of March 57. C 117. A
2003 paper from 58. A 118. B
mcqs.com forum 59. D 119. C
1. C 60. E 120. G
2. E ? 61. A 121. ATROPHIC VAGINITIS (
3. D 62. E it said women has sex first
4. F 63. C time after 20 years at age 60
5. H odd)
6. A 65. D factor viii deficiency 122. A
7. D 66. 123. B
8. C 67. A 124. C
9. E 68. C 125. D
10. G 69. menningococci 126. C
11. A 70. E 127. E
12. C 71. A 128. A
13. L 72. B 129. A.
14. G 73. E 130. A
15. G 74. G 131. H
16. B 75. H 132. C
17. C 76. iv fluids 133. D
18. A 77. G 134. G
19. G 78. C 135. A
20. A ? 79. B 136. D (fracture scaphoib
21. B 80. D bone)
22. G 81. D 137. E
23. E 82. A 138. B
24. C 83. E 139. B
25. A 84. F 140. C
26. A 85. B 141. A
27. B 86. B 142. D
28. C 87. Topical acyclovir 143. C
29. A 88. B 144. D
30. C 89. E 145. E
31. B 90. C 146. B
32. C 91. F 147. A
33. D 92. H 148. E
34. F 93. G 149. Extradural (was there in
35. G 94. F the options)
36. E 95. E 150. A
37. F 96. HALOPERIDOL. 151. B
38. G 97. C 152. C
39. F 98. D 153. E
40. B 99. B 154. A.
41. A 100. C 155. DIMORPHINE.
42. A 101. A 156. G.
43. G 102. A 157. E
44. E 103. A. 158. DIGOXIN (this what I
45. C 104. E wrote???)
46. A 105. G. 159. F
47. F 106. A 160. D
48. B 107. A. 161. F
49. 108. D 162. E
50. C also think about G 109. B 163. D
51. I 110. A 164. C
52. D 111. E 165. B
53. C or G 112. - 166. A
54. J 113. A 167. F
55. B 114. C 168. C
115. F 169. A
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170. B
171. E
172. MULTIPLE
SCLEROSIS.
173. C
174. B
175. A
176. X- RAY CHEST
177. ALZ. DEMENTIA
178. METRO GEL

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