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THEME 09 - Diagnosis of Acute Vomiting in Children

Author: RxPG, Posted on Saturday, October 18 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) A 21-year-old woman presents as an emergency with a four-hour history of a lower abdominal pain and bright red vaginal blood loss. She has not had menstrual period for nine weeks and has a positive home pregnancy test one week ago. On vaginal examination, the uterus is tender and bulky. The cervical os is open.

One answer only.
   A Renal colic
   B Pelvic inflammatory disease
   C Normal pregnancy
   D Missed abortion
   E Septic abortion
   F Threatened miscarriage
   G Tortion of ovarian mass
   H Irritable bowel syndrome
   I Inevitable miscarriage
   J Endometriosis
   K Ectopic pregnancy
   L Crohn’s disease
   M Bacterial vaginosis
   N Ulcerative colitis
   O Appendicitis





2) A 16-year-old woman presents with a sudden onset of severe right iliac fossa pain. On vaginal ultrasound examination a 6 cm diameter echogenic cystic mass is seen in the right fornix.

One answer only.
   A Renal colic
   B Pelvic inflammatory disease
   C Normal pregnancy
   D Missed abortion
   E Septic abortion
   F Threatened miscarriage
   G Tortion of ovarian mass
   H Irritable bowel syndrome
   I Inevitable miscarriage
   J Endometriosis
   K Ectopic pregnancy
   L Crohn’s disease
   M Bacterial vaginosis
   N Ulcerative colitis
   O Appendicitis



3) A 18 year old student, due to take her examinations, reports that she missed her last period and that a pregnancy test is negative. She has worsening abdominal pain, which has been troublesome for three months. She is otherwise well.

One answer only.
   A Renal colic
   B Pelvic inflammatory disease
   C Normal pregnancy
   D Missed abortion
   E Septic abortion
   F Threatened miscarriage
   G Tortion of ovarian mass
   H Irritable bowel syndrome
   I Inevitable miscarriage
   J Endometriosis
   K Ectopic pregnancy
   L Crohn’s disease
   M Bacterial vaginosis
   N Ulcerative colitis
   O Appendicitis



4) A 22 year old lady who has had two terminations of pregnancy, reports that she is pregnant again. She has noted a small amount of watery brown vaginal discharge and tenderness in the right iliac fossa.

One answer only.
   A Renal colic
   B Pelvic inflammatory disease
   C Normal pregnancy
   D Missed abortion
   E Septic abortion
   F Threatened miscarriage
   G Tortion of ovarian mass
   H Irritable bowel syndrome
   I Inevitable miscarriage
   J Endometriosis
   K Ectopic pregnancy
   L Crohn’s disease
   M Bacterial vaginosis
   N Ulcerative colitis
   O Appendicitis



5) A 27 year old, who conscientiously uses the oral contraceptive pill, has experienced intermittent vaginal bleeding and malodorous discharge for several weeks. When examined she has pain over the lower abdomen, worse on the left. Her temperature is 39C and her white cell count is elevated.

One answer only.
   A Renal colic
   B Pelvic inflammatory disease
   C Normal pregnancy
   D Missed abortion
   E Septic abortion
   F Threatened miscarriage
   G Tortion of ovarian mass
   H Irritable bowel syndrome
   I Inevitable miscarriage
   J Endometriosis
   K Ectopic pregnancy
   L Crohn’s disease
   M Bacterial vaginosis
   N Ulcerative colitis
   O Appendicitis


To discuss these EMQS please visit RxPG PLAB Forum




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