Posted by ANASTASIA on September 20, 2001 at 12:12:09:
PLAB JANUARY 2001 EMQS
THEMES
1. Transmission of diseases
2. HIV
3. pathology of poisons
4. infection
5. joint pain
6. abdominal aortic aneursym
7. pathology of asthma
8. acute abdomen
9. limb ischaemia
10. abdominal pain
11. joint pain
12. UTI
13. earache in children
14. arrhythmias
15. skin cancer
16. diagnosis of eye disorders
17. post operative complications
18. complications of DM
19. prevention of impending disease
20. cardiac laboratory
21. burns
22. dysphagia
23. investigation of a breast lump
24. side effects of antiepileptics
25. management af arrhythmias
EMQS
THEME: transmission of diseases
a. animal to human
b. faecal-oral
c. blood borne
d. fumite
e. sexual transmission
f. non infectious-contagious disease
g. close contact
1. pregnant female with toxoplasmosis
2. young male with meningococcic meningitis
3. a patient who has been diagnosed with salmonellosis
4. hepatitis C
5.scabies
THEME: HIV
a. AZT
b. antibiotics
c. do not breastfeed
d. serology
e. condom
1. SHO who has punctured himself with an HIV infected needle
2. pregnant female whose partner is a haemophiliac
3. 22 yr old female who is going to east Africa
4. IVDA comes to hospital for methadone but has no intentions to stop using drugs
THEME: poisons
a. paracetamol
b. CO
c. Aspirin
1. hepatic …….. enzymes are affected ( treated with methidione and N-acetylcistein)
2. binds to haemoglobin
THEME: infection
a. E coli
b. C. burnetti
c. Staph aureus
d. Klebsiella
e. Proteus
f. Listeria
1. UTI
2. patient with colicky, r. hypochondriac pain and jaundice
3. boils
THEME: patient with joint pain
a. oral NSAID
b. oral NSAID and omeprazole
c. paracetamol
d. CCS
e. Carbamazepine
f. Antidepressant
g. Joint replacement
1. 20 yr old male has been diagnosed with ankylosing spondilitis wants pain relief. Hasn’t used any medication until now
2. 70 yr old female has ischaemic heart disease and rheumatoid arthritis
3. 30 yr old female is on gold therapy for RA but still complains that she has pain every morning each day for 2 hours
4. trigeminal neuralgia
5. 70 yr old female whose laft knee is unstable. She has fallen down a few times. She says her knee is “giving away”
THEME: arrhythmias
a. 24 hour ambulatory ECG
b. amiodarone IV
c. digoxin
d. digoxin+anticoagulant
1. 70 year old patient has collapsed. His neighbour who is a nurse has recorded bradycardia . now he is at A+E and his ECG is OK
2. a male patient has ventricular extrasystoles. He has an ECG strip that his GP has recorded
3. 50 year old male diagnosed with AF. He has no symptoms
4. 70 year old female who has ischaemic heart disease and AF
THEME: investigations of abdominal aortic aneursym
a. USG
b. Spiral CT
c. Coronary angiography
d. Lower limb angiography
1. 68 year old male you think he might have an abdominal aortic aneursym
2. 68 year old male came with a dissecting abdominal aortic aneursym. Now he is stable
3. patient is waiting for abdominal aortic aneursym surgery. He also may have chest pain (?)
THEME: pathology of asthma
a. IgE
b. IgA
c. IgM
d. IgG
e. Histamine
f. Expiratory flow <75%
g. Mast cells
h. Leucocytes
1. in sputum of asthmatic patients
2. lung function test to diagnose asthma
3.a secreted thing which increases in asthma
THEME: acute abdomen
a. acute appendicitis
b. ectopic pregnancy
c. acute on chronic PID
d. bacterial vaginosis
e. trichomonas
f. chronic PID
1. female who has had 2 clamydia infection which have treated in the past. Now she c/o vaginal discharge and pain on examination of the right fornix
2. 40 year old female who has an IUCD. Pregnancy test is +. She has an amenorrhea of 6 weeks. Now she c/o vaginal bleeding and pain in the r lower abdomen
3. patient with foul smelling vaginal discharge
4. patient with a h/o clamydial infection and 4 weeks ao amenorrhea. She also has a vaginal dicharge
THEME: limb ischaemia
a. stop smoking and exercise
b. amputation
c. antibiotics
d. chemical sympathectomy
e. duplex scan
f. angiography
1. a male patient with a swollen red leg. He has ulcers and cellulites. He has had treatment for a previous leg ulcer
2. claudication on walking . he smokes
3. fracture of tibia and fibula and no dital pulses
THEME: abdominal pain
a. mesenteric angiography
1.a female patient with pain after meals each night 30 minute after meals. She also ischaemia of….
THEME:skin cancers
a. malignant melanoma
b. squamous cell carcinoma
c. basal cell carcinoma
d. pitriyasis versicolor
e. actinic/solar keratosis
f. kaposi’s sarcoma
g. mycosis fungoides
1. 70 year old man has worked in the sun for 30 years. He is bold and has multiple lesions on his head
2. 16 year old ♀has multiple lesions on her trunk . they are different colours
3. 80 years ♀ has a lesion on her face. It used to be a mole but now it has got bigger
4. patient HIV(+), multiple purple coloured lesions on his leg
THEME: investigation of eye disorders
a. MRI of the temporal lobe
b. MRI of the ccipital lobe
c. MRI of the parietal lobe
d. MRI of the optic nerve
e. ESR
f. MRI of the pituitary
g. Isotope brain scan
1. ♀ with weakness in her legs and has some sight problems
2. upper contralateral homonymous quadrontopia
3. an old lady has scalp tenderness
4. patient with groth in his hands. Now he c/o bitemporal hemianopsia
THEME: postoperative complications
a. impending wound dehiscence
b. local peritonitis
1. following an operation for acute appendicitis a patient develops pain in the abdomen. The only sign is tenderness on rectal examination anteriorly. There was an appendix mass on the first examination
2. ♀, following an operation has serous discharge from a wound
THEME: joint pain
a. congenital dislocation of the hip
b. slipped femoral epiphysis
c. septic arthritis
d. gout
1. 6 month old ♂ presents with painful right hip. He has been irritable for a few days.
2. 12 yr old ♂ pain in knee and hip. He has limited internal rotation of the hip
3. pain in a metatarsophalangeal joint. It is red and tender
THEME: DM
a. DKA
b. Nonhyperosmolar coma
c. …………dysrhythmia
d. CRV occlusion
e. Autonomic neuropathy
f. Somatic neuropathy
g. Vitreous haemorrhage
1. patient is on oral hypoglycaemics. He has been recently diagnosed with hypertension and has been given diuretics for this. Now he is confused
2. ♀ -every evening when she is waiting at the bus stop she loses consciousness (faints). She has measured her blood glucose and she isn’t hypoglycaemic
3. sudden loss of vision in a type 2 diabetic
4. a type 2 diabetic patient has diarrhea
5. type 2 patient has collapsed a few times. His blood glucose is normal
THEME: stoping impending pathology
a. corticosteroids
b. carbamazepine
1. an old lady can’t see in one eye(sudden). Scalp tenderness(+)
THEME: cardiac laboratory
a. pulmonary embolism
b. MI
c. LVF
d. Anxiety
e. Cor pulmonale
1.CXR: bilateral hilar puffiness
ECG: T inversion in V4-6
Shortness of breath
2.♀, tachycardia,chest pain
CXR: n
ECG: n
3.♂, was unconscious now has regained consciousness but has pain in the left arm
CXR: pleural effusion on the right lower lung fields
ECG:?
Blood alcohol ↑
4.chest pain, peripheral oedema, ↑JVP
CXR: enlarged heart
ECG:T inversion inV1-4
THEME: UTI in children
a. amoxicillin 3x
b. amoxicillin once daily
c. amoxicillin + clavulonic acid
d. fluclxacillin 2x
e. flucloxacilli once daily
f. trimethoprim 3mg/kg 2x
g. trimethoprim 1.5mg/kg once
h. clotrimazole
i. tetracycline
j. erythromycine
1. child with UTI. The culture showed E. coli .now he is treated and will be managed as an outpatient
2. proteus grows on a culture of urine
3. first time UTI
THEME: earache in children
a. amoxicilln
b. trimethoprim
c. syringing
d. using a forceps under GA
e. using a vacuum under GA
f. olive oil
1. ♀ whose both ears are affected. Scarred ear drum on the left and bulging red eardrum on the right
2. following an antibiotic course patient still has scarred ear drum
3. ♀ with earache o/e you can’t see the eardrum because of wax blocking the canal
4. a baby who is restless and is tugging his ear. You hardly can see his ear but you see a bead in it
THEME: drug abuse and alcohol
a. needle exchange programme
b. psychiatric assessment
c. disulfiram
d. group therapy
1. female who is a heroin user. Wants to stop using it and her partner is supportive
2. alcoholic patient who wishes to stop
3. an alcoholic patient who has been treated for alcohol abuse and now wants to stay off it
THEME: burns
a. fasciotomy
b. IV fluids
c. Syringe the bullae
d. Burst the bullae
e. Oxygen treatment
1. man with circumferential burn. No radial pulse. Pain(+)
2. fireman whose nasal hairs are burnt and he has dyspnoea
3. trunk is burnt and legs are red
4. burnt arm. There are bullae
THEME: dysphagia
a. achalasia
b. pharyngeal pouch
c. oesophageal ca
d. cancer of gullet
1. an old female coughs on swallowing and regurgitates stale food . she has a high dysphagia
2. 30 year old female has dysphagia . she regurgitates stale food and has lost weight recently
3. alcoholic male who has dysphagia and has lost weight recently
THEME: management of breast lumps
a. mammography
b. ductal graphy
c. FNAB
d. Core biopsy
e. Excisional biopsy
1. patient comes with discharge from her nipple. There is no abnormality on mammography
2. old patient. Mass in the right upper lobe of the right breast. It is attached to skin and to the muscles
3. patient with diffuse lumpiness of breasts and a lump on one of them
THEME: side effects of anti epileptics
a. pheytoin
b. carbamazepine
c. sodium valproate
d. clonazepam
1. gum hyperplasia
2. weight gain, hair thinning
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