Posted by Jinna on January 29, 2002 at 02:19:20:
In Reply to: NOVEMBER 01 posted by mourad ibrahim habib on November 14, 2001 at 10:36:56:
1.Pyschiatry.rx.
options:
1. haloperidol.
2. diazepam.
3. chlorpromazine.
4. fenelzine.
5. lofepramine.
6. cognitive-behavioural therapy.
7. desensitisation.
8. interpesonal therapy.
9. family therapy
10. Relaxation Tx
11. Hypno Tx
1.a male with persecutory delusions and hallucinations.(schizophrenic features)
2.a female with moderate clinical depression, difficulty in getting sleep, early morning wakening, feeling low.
3.a female lawyer who has to give speeches in public, having anxiety of the same-wants a permanent solution.
4.a female very scared of flying, has to fly in 2 weeks for daughters wedding.
5.a male admitted in ward becomes agitated. was admitted and treated for haematemesis 2 -3 days back.
2.post op complicaions.diagnostic inv.
options:
1. ecg.
2. v/p scan.
3. abd & pelvic usg.
4. wound swab for culture.
5. fbc.
6. blood cultures.
7. chest x ray
1.an elderly underwent hemicolectomy-complaining of pain in anterior chest radiating to left arm. has pallor tachycardia, hypotension.
2.a female underwent some major op., complains of sudden onset dyspnoea and right-sided chest pain.
3.post op. (Cholecystectomy) wound has pus discharge.
4.post op. fever, cough and pleuritic chest pain.
5.post-appendicectomy, fever, rigors & tenesmus after few days that persist in spite of antibiotic treatment.
6. ? 60/m with features of septicaemia (warm peripheries, low B.P)
3.fractures in a child.diag RPT OF JULY EXAM
options:
1. fr.clavicle.
2. fr.shaft humerus.
3. supracondyalr fr.humerus.
4. fe.sacphid.
5. fr.radius & ulna.
6. green stick fracture.
7. non accidental injury.
8. pulled elbow.
9. # ulna + radius
1.a new born cries whenever picked up. h/o difficult labour.
2.child trips while still holding mother's hand, not using arm due to pain.
3.fall on outstretched hand-radial pulse not felt.
4.fall on hand. plaster cast given to forearm. child makes it wet, reexamined and x-ray revealing fracture. patient gives history that previous x-ray was normal.
5.fall on hand. pain and tenderness of forearm, but no local swelling or deformity.
6.mother says child fell off bed. has multiple bruises
4.dementia.
(actually two themes- causes and pathology- with similar options but slight diff. in framing of questions. I will write both of them together.)
options:
1. senile d.
2. alzheimer's d.
3. pseudodementia.
4. frontotemporal d.
5. parietal d.
6. delerium.
7. lewy-body dementia.
8. Vascular dementia
9. AIDS related
10. Viral dementia
1.old lady. progressive cognitive impairment.
2.old person in ward. gets confused, agitated. has uti. no previous such episode.
3.lady having recent memory disturbance, poor concentration. feeling low and doesn't enjoy doing things which she previously did.
4. an elderly on treatment for hypertension, with personality changes disturbance of cognition. had dyphasia too.but spatial orientation normal.
5. Fluctuating dementia with parkinsonian symptoms.
6. HTNsive with progressive dementia
7. Lewy bodies +ve
8. Senile plaques and neurofibrillary tangles
9. commonest cause of dementia in UK
10.dementia that responds to anti-depresssants.
6.epidemiology.
options:
1. prevalence.
2. sensitivity.
3. specificity.
4. mean
5. mode
6. median.
7. "chi-sqaure"test.
8. Standard deviation
9. Null hypothesis
1.that which denoted the total no. of population afflicted with the disease at a point of time.
2.a quality of test which detects true positives.
3. a measure of dispersion most commonly used.
4.half of the items come before this, especially when used to study 'not normal'charateristic.
5.most common method to study comparison between control and study groups quantitatively.
7.methods of pain Rx.---pathopyiological basis.
options:
1. Central opioid centres.
2. Morphine receptors.
3. motor neuron block.
4. Chemical ablation.
5. surgical ablation.
6. dorsal root neuron block.
7. cyclo-oxygenase inhibition
8. Spino-thalamic ablation
9. Ant. Horn cell inhibition
1.Morphine.
2.TENS
3.NSAIDS
4.A Pt. suffering from intractable pain due to sarcoma chest had an OP. done in his spine
5. A woman in labour develops L.L weakness after epidural anaesthesia
8.Pain relief in labour.
options:
1. epidural a.patient controlled.
2. spinal a.
3. Halothane
4. pudendal block.
5. ? (70) 50%no with? (30) 50% o2
6. intravenous opioid.
7. im opioid.
8. Aspirin/indomethacin.
9. paracetamol
1.primi, W 6cm dilatation Win 4hrs requests pain relief.
2.primi wants to discuss pain relief in labour so that she can also move around.
3.primi, O.P position, poor progress of labour, 41 weeks of gestation, with 6cm dilatation after 14 hours. Already received two pethidine injections.
4.previous 2 normal deliveries. Now, progress good with near term labour, but contractions are painful.
5.manual removal of placenta to be done.
9.modes of transmission: RPT OF JULY PLAB
Options:
1. HPV.
2. Toxins from gravid female mite.
3. close personal contact.
4. immune-incompetence.
5. G.I Transmission
6. Transmission through pets.
1.viral warts.
2.scabies rash.
3.impetigo.
4.candidial nappy rash.
5. Papular urticaria
10. Terminal care
Options:
1. hydrocort inj.
2. oral predni.
3. predni suppositary.
4. phosphocodeine supposirory.
5. oral qunine sulphate.
6. iv midazolam.
7. metronidazole gel.
8. inj hyoscine.
9. Radiation ?
10. Haloperidol
1.elderly operated for colon cancer develops svc thrombosis.
2.rectal cancer treated with radiation therapy develops pr bleed and tenesmus.
3.breast ca. patient with extremely foul smelling discharge unpleasant to patient and relatives.
4.patient with ca bronchus with distressing cough unable to cough up the products.
5.Intractable hiccough.
11.Acute abdomen in female----Dx
options:
1. ruptured ectopic.
2. ac.pancreatitis.
3. perforated peptic uler.
4. ac.appendicitis.
5. ureteric colic.
6. uti.
1.16 yrs,pain with frequency of micturation.tenderness and rebound in rif,37.6 degrees temp.
2.8 weeks amenorrhoea,diffuse abdo pain,gaurding.
3.loin to groin pain,fever,rolling in pain.
4.h/o chronic analgesic use.sudden pain in epigastrium,patient still, not moving,rigid tender abdo.
5.pain in epigastrium,radiating to back,relieved on bending forwards.
12.breast conditions.inv.
Options:
1. Mammography
2. U/S
3. ( ? Stereo tactic) FNAC
4. Core biopsy
5. Cone biopsy
6. ? Open biopsy
7. Ductography
8. No Inv. at present.
1. 30/F bleeding through nipple, no mass, mammography and U/S normal
2. 40/f with scaly lesion on skin of areola, no mass, no axillary L.N
3. Freely mobile lump in UO Quadrant of 20/f. no other signs
4. 40/f with hard swelling in Rt.breast. Mammography and FNAC inconclusive
5. Multiple painful diffuse swellings bil. , esp. during mestruation
13.chest conditions (dyspnoea) in a child---Dx.
Options:
1. Foreign body
2. Bronchiolitis
3. Asthma
4.
1. SOB while child was playing with toys
2.
3.
4.
5.
14.pneumonia in adult---Dx
Options:
1. T.B
2. H.Inf.
3. P.Carinii
4. Psittacosis
5. S.Pneumoniae
6. Staph.
7. Legionella
8. Chlamydia pneum.
1. 40/f, pet owner
2. 20/f traveled to some place and stayed in hotel with colleagues and C/O bloody diarrhea. Similar symt. in colleagues
3. AIDS Pt + drug user
4. 50/m, diabetic, homeless with purulent sputum and fever w chills
5. Post influenza develops fever, malaise ? And lung abscess
15.epistaxis---causes.
Options:
1. orf
2. nasal polyposis
3. antral Ca.
4. N.P. Fibroma
5. ITP
6. Nasal perforation
7. Septal hematoma
1. Has other bleeding diathesis
2. A sheep farmer- O/E nasal polyp on ant. end of inf. Turbinate
3. A worker in nickel? Plating industry with whistling on breathing
4. Squint and swelling of Rt. Maxillary region +ve
5.
16.speech problems in a child.diag.
Options:
1. Ref to speech therapist
2. Reassure
3. Audiometry
4. Ref to ENT
5. Milestone assessment
1. 1 1/2 yr old child not able to speak sentences?, mother worried.
2. Some speech prob. Suggestive of hearing difficulty-not sure about wording
3. Symt. suggestive of cerebral palsy
4.
5.
17.bruises (in a child)?----causes.
Options:
1. ITP
2. Sickle cell
3. Pysiological
4. HS Purpura
5. Non-accidental injury
6. Accidental injury
1. 1 or2yr/f, mother white and father black with a single bluish patch on the lower back
2. 8/f living with step-father brought by him for URTI. O/E has petechial bluish lesions around ankles and waist.
3. bruises on forearm in a 70/m living with daughter who says he fell out of bed
4. bluish discolourations in a child with purple nodules on tibial chin, H?O prolonged bleeding.
5.
18.bladder symptoms. -management. (2 themes). I can't remember the questions separately from 19, but ill try
Options:
1. Permanent urinary cath.
2. Ring pessary
3. Colposuspension
4. local estrogens
5. self intermittent cath.
6. TENS
7. Hysterctomy
1. 80/f para >6- feels something heavy in her perineum on standing + frequency of micturtion. P/H of CHF? MI? (or some other debilitating disease)
2. ?40/f- urine gets out on coughing only
3. 50/f with sensory changes in lower limbs and incontinence + distension of lower abd.
4. 55/f- dysuria and dyspareunia
5.
19.causes of incontinence.
Options:
1. Urgencuy
2. Frequency
3. Stress incontinence
1. ?50/f with incontinence on sneezing and also during walking or minor activity
2.
3.
4.
5.
20.Side effects of drugs? Or Prescription in Renal failure RPT OF JULY PLAB
Options:
1. Cyclosporin
2. Bendrofluazide
3. Spironolactone
4. Cyclophosphamide
5. Captopril
6. Gentamycin
7. Frusemide
8. Bis phosphonate?
1.A ?60 yr old woman D.M+hypertensive was started on antihypertensive 2 weeks ago. Now has a creatinine level of 500 micromoles/l
2.A child with recurrent nephrotic syndrome is brought for treatment.3 weeks after start of treatment, he now has massive haematuria.
3.A patient in severe renal failure has K+ level of 2.5mmol/l.
4.Patient c/o ataxia and ?tinnitus+/-?hearing loss after Rx w antibiotics. He has moderate renal failure.
5. R.F Pt. with low Ca2+ (s) ?
21.haemoptysis.diag.
Options:
1. Foreign body ingestion
2. Lung Ca.
3. T.B
4. A-V Malformation?
5. Cystic Fibrosis?
1. A 8/m had dental extraction under G.A 1 month ago and now P/w hemoptysis
2. ? some condition suggesting T.B
3.
4.
5.
22.Ophthalmic Inv.& Mx RPT JULY PLAB
Options:
1. IOP
2. Field testing
3. Visual acuity test
4. CT Head
5. Carotid angio.
6. Blood Ph
7. (B) Glucose
8. Colour blindness testing
9. CXR?
10. Sjogren's syn
1. 30/m w recurrent blurring of vision and haloes +? redness. O/E cupping of disc?
2. Visual display worker c/o headache after working foe several hrs.
3. 70/m c/o diplopia, wt.loss, anorexia and P/w sudden left sided loss of vision.
4. 50/f- h/o symmetrical joint pains+ eye symt?+ schrimers test +ve
5. ?/f, obese , c/o headache. Ct-Norm. but Bil. Papilloedema +ve
23.causes of angina.
Options:
1. M.I
2. stable angina
3. Variant angina
4. Unstable angina
5. Reflux esophagitis
6. P.E
7. Coronary spasm
8. CHF?
1. Post op. Sigmoidectomy with central chest ain radiating to Lt. arm
2. 40/m, obese with central chest pain on lying down?
3. Pain at rest
4. Pain at rest+ ST elevation. Angio-no evidence of spasm or stenosis
5. Pain on treadmill test? Walking a distance
24.complications of diabetes.
Options:
1. Hypoglycemia
2. R.D
3. CRAO
4. CRVO ? BRVO
5. TIA
6. D. Ketoacidosis
7. Aut. Neuropathy
8. Sensory Neuropathy
1. 50/f D.M- presents with sudden left sided loss of vision
2. 40/m D.M c/o diarrhoea
3. 60?/f controlled D.M with supine hypotension
4. IDDM for 20yrs and had not changed insulin regimen for a long time has experienced 3 episodes of sweating & agitation (symt. suggestive of hypoglycemia)
5. 50/f with symt. suggestive of P.Neuropathy
25.next inv in anaemia.
????????
Shilling test, …?
26.causes of bleeding.
27.causes of Syncope/black outs.
Options:
1. Dysrrhythmia
2. Vaso vagal
3. Stokes-adams
4. Stroke
5. Aortic Valve disease?
6. Supine hypotension syn.
7. TIA
8. Todds palsy?
1. 70/f fell in market and broke her pelvis. P/H of similar prob. (b) glucose on admission N
2. 60/m working in garden, fell and broke his femur?
3. 50?/f has recurrent syncope while waiting for the bus in the evening
4. 19/m with syncopy +pallor and F/H of sudden deaths
5. ? 55/ alcoholic and smoker. After syncopy has numbness of left arm
28. GI (? Acute abd ) conditions. -MOST APPROPRIATE INV. RPT JULY PLAB
Options:
1. Angio (mesenteric)
2. AXR? CXR
3. U/S
4. CT
5. Sigmoidoscopy
6. Barium swallow
7. Barium meal
8. ERCP
9. Upper GI endoscopy
1. Abd pain 30 min after eating meals + radiating to Rt. Scapula ?(suggestive of Ac. Cholecystitis)
2. Pt. on antacids p/w ac. Abd pain rigidity and tenderness
3. ? pulsatile mass in abd. + pain
4. ? Abd. Pain + constipaton + vomiting + distension
5. ? Suggestive of Pancreatic ca.
29. Mx of acute urinary retention in adult
Options:
1. Fluid challenge
2. 20% mannitol- ?ml
3. Suprapubic cystostomy
4. Ur. Cath.
5. Tell him to walk around
6. Frusemide
7. I.V fluids
8. Blood transfusion
1. ? After RTA and resuscitation CVP 20 + anuria and ?(lung crepts) -
2. Had some abd. Op. 24hrs back. N urine output. But since 4 hrs output has fallen to <5/hr?
3. Miner after accident CVP ?7, B.P? 130/70 + brown urine
4. RTA #pelvis with blood at ext. urethral meatus
5.
30.diagnosis of arrythmias by signs and symptoms.
Options:
1. A.F
2. A.Fl
3. V.F
4. V.T
5. Heart Block
6. V. ectopics
7. Sinus brad.
8. Sinus Tach.
9. Physiological
1. 60/m with MI develops P.R of (70/150)?
2. 20/m on routine exam has P.R of 60, ECG shows occasional irregularities- ass. W palpitations?
3. 30/m athlete w P.R 60
4. Post hip replacement with P.R=120 and Hb%<
5.
31.management of alcohol and opioid addication.
Options:
1. Ref to psychiatrist
2. Ref to Deaddiction center
3. methadone
4. Diazepam
5. naloxone
6. Inform Police
7. NAC?
8. CO blood level
9. Decrease harm program
10. Reassure?
1. Heroin addict doesn't want to stop right now
2. 23/f says somebody put narcotic in her drink at a party
3. Addict stealing shirts and things- wants to stop
4. delirium tremens?
5.
32.inv in thyroid conditions.
Options:
1. TSH
2. Radio active scan
3. T4
4. Free T3
5. FNAC
6. U/S
7. CXR
8. CT
9. Biopsy?
1. F Pt. taking thyroxine Rx post thyroidectomy comes to check her thyroid status
2. Hyperthyroid sympt. But T4 Norm
3. 60/m w Bil. asymmetrical enlargement of thyroid. U/S and FNAC inconclusive
4.
5.
33.causes of oligo/ammenorrhia?.
34.causes of vaginal bleeding.
Options:
1. erosion of Cx
2. Vag Ca.
3. Vulval ca.
4. Ca. Cx
5. End. Ca
6. PCOD
1. 20/f on OCP
2. ? 50/f with PMB. U/S shows end thickening?
3.
4.
5.
35.causes of anaemia.
36.causes of fracture and backache in elderly.
Options:
1. Pagets
2. secondaries
3. Prostate Ca.?
4. Local malignancy
5. Osteomalacia
6. A.S
7. Osteoporosis
8. Potts disease
9. Chr. Pancreatitis?
1. 23/m with back pain and fever. XR shows paraspinal shadow + Lordosis
2. 60/m w CRF c/o back pain. Xr shows collapse of L1?
3. ?45/m alcoholic w abd.+back pain and Gen. Abd. Calcification on XR
4. m/60 wt. Loss back pain and nlargement of a single vertebrae (?L1) on XR
5. ?………20/m w symp suggestive of A.S
37. INV. of Coma Pt.
This is Rpt. of old Fischtest theme containing Q on Food poisoning i.e all family members affected (ans = blood culture), Meningococcemia without signs of meningism (ans= blood culture again). Don't have the Fischtest Q with me presently.
38. Management of emergencies in a child? I think the Q is Diagnosis
Options:
1. Bronchiolitis
2. C.F
3. Asthma
4. Volvulus
5. Appendicitis
6. G.I Obs
7. P.Stenosis
1. <1 yr old with recurrent wheeze and wt. Loss (50th percentile)
2. SOB in a 12 moth old ass. W. wheeze and diffuse rales in the chest. Other family members also have URTI
3. Sausage shaped mass in abd. + abd.pain?
4. Wt. Loss + recurrent URTI in a child?
5.
39.Causes of GI upsets in a child.
Options:
1. G.E
2. Py. Stenosis
3. Intususseption
4. GERD
5. Coeliac disease?
6. Mallory weiss?
7. Meningitis
1. D &V in 4/m. Brother had similar comp. 1 wk back
2. V after feeing in 4month old. Less if feeding in sitting position
3. 2/12 V (projectile?) after meals and hungry after meals +? Mass abd.
4. D + sausage shaped mass in abd.
5.
40.management of ischaemic heart disease presentations.?
41.management of convulsive episodes in a child.
Options:
1. Give parents rectal diazepam for home Mx
2.
3.
4.
1. Child with recurrent febrile seizures
2.
3.
4.
5.
42.post exposure IMMEDIATE tests
Options:
1. Store serum sample
2. HIV antibody test
3. Hep C antibodies
4. HbsAg
5. Anti HbsAg
6. HIV Viral load
7. Thick film
8. Complete blood picture
9. HbeAg
10. HEP B DNA
11.
1. A Hep B immune nurse accidentally Pricks herself with a needle used for a Pt. Pt. is HbsAg and HIV antibody -ve. Doctor tells nurse to get HIV antibody done after 3m- this is the exact wording. The q was originally unclear.
2. Fever with chills and sweats in a person returning from Kenya?
3. The test, which indicates the infectivity of a Hep B +ve Pt.
4. Some Q asking for test to Dx Hep B
5.
43.inv in uterovaginal conditions.
Follow Ups: