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THEME 24 - Management of Thromboembolism

Author: RxPG, Posted on Sunday, November 16 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) A 33 year old woman who has just flown in to the UK from California (USA) complains of calf pain. While passing stool at Gatwick Airport, he suddenly gets breathless and coughs up blood. He is rushed to the nearby Crawley hospital where a Ventilation –Perfusion scan and femoral venography are done with equivocal results.

One answer only.
A Spiral Computed tomography
B Low dose subcutaneous heparin
C Chest X-ray
D Subcutaneous dose up to 15000U/12 hrly (low Molecular weight Heparin)
E Warfarin
F Abciximab
G TED (thrombo-embolic deterrent) Stockings.
H Glyceryl trinitrate
I Acetylsalicylic acid
J Streptokinase
K Fresh frozen plasma
L Loading dose of 5000U(unfractionated Heparin)
M Cefotaxime (IV)
N Aspirin and Heparin





2) A 67-year-old man suffers an acute loss of consciousness, associated with weakness of the left arm and leg CT scan done in A&E reveals no haemorrhagic areas.

One answer only.
A Spiral Computed tomography
B Low dose subcutaneous heparin
C Chest X-ray
D Subcutaneous dose up to 15000U/12 hrly (low Molecular weight Heparin)
E Warfarin
F Abciximab
G TED (thrombo-embolic deterrent) Stockings.
H Glyceryl trinitrate
I Acetylsalicylic acid
J Streptokinase
K Fresh frozen plasma
L Loading dose of 5000U(unfractionated Heparin)
M Cefotaxime (IV)
N Aspirin and Heparin



3) An obese 34 year old woman on Depo provera (contraceptive) is recovering from surgery to fix an intra-medullary nail for a mid-shaft fracture of the femur she sustained while ice–skating.

One answer only.
A Spiral Computed tomography
B Low dose subcutaneous heparin
C Chest X-ray
D Subcutaneous dose up to 15000U/12 hrly (low Molecular weight Heparin)
E Warfarin
F Abciximab
G TED (thrombo-embolic deterrent) Stockings.
H Glyceryl trinitrate
I Acetylsalicylic acid
J Streptokinase
K Fresh frozen plasma
L Loading dose of 5000U(unfractionated Heparin)
M Cefotaxime (IV)
N Aspirin and Heparin



4) A 24 year old woman, who has been taking the oral contraceptive pill for 2 months, presents with a 2 day history of cough, producing ‘rusty’ sputum, and fever. Further history was unremarkable.

One answer only.
A Spiral Computed tomography
B Low dose subcutaneous heparin
C Chest X-ray
D Subcutaneous dose up to 15000U/12 hrly (low Molecular weight Heparin)
E Warfarin
F Abciximab
G TED (thrombo-embolic deterrent) Stockings.
H Glyceryl trinitrate
I Acetylsalicylic acid
J Streptokinase
K Fresh frozen plasma
L Loading dose of 5000U(unfractionated Heparin)
M Cefotaxime (IV)
N Aspirin and Heparin



5) A 31-year-old woman with a history of two mid-trimester arbotions is found to have anti-cardiolipin antibodies. Further tests reveal Lupus ant-coagulant antibodies but no antinuclear antibodies are seen. She has an ESR of 3mm/Hr.

One answer only.
A Spiral Computed tomography
B Low dose subcutaneous heparin
C Chest X-ray
D Subcutaneous dose up to 15000U/12 hrly (low Molecular weight Heparin)
E Warfarin
F Abciximab
G TED (thrombo-embolic deterrent) Stockings.
H Glyceryl trinitrate
I Acetylsalicylic acid
J Streptokinase
K Fresh frozen plasma
L Loading dose of 5000U(unfractionated Heparin)
M Cefotaxime (IV)
N Aspirin and Heparin


This test can be discussed in PLAB Part 1 Forum




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