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THEME 26 - Interpretation of Clinical Signs

Author: RxPG, Posted on Thursday, November 20 @ 10:09:30 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) A 67-year-old man with a history of rheumatic heart disease complains of dysnoea. On examination, his JVP is found to be raised with a large a wave. No cannon waves were visible.

One answer only.
A Cardiomyopathy
B Essential hypertension
C Ischaemic heart disease.
D Pulmonary hypertension
E Osteoarthrosis
F Rheumatoid arthritis
G Budd chiari malformation
H Portal systemic shunting
I pulmonary fibrosis
J Acute severe asthma
K Reactive arthritis
M Tuberculosis





2) A 43-year-old man with a chronic history of cough and weight loss complains of dysnoea. His JVP is raised with a pattern showing an abrupt x and y descent .A ‘pericardial knock’ was clearly audible on auscultation.

One answer only.
A Cardiomyopathy
B Essential hypertension
C Ischaemic heart disease.
D Pulmonary hypertension
E Osteoarthrosis
F Rheumatoid arthritis
G Budd chiari malformation
H Portal systemic shunting
I pulmonary fibrosis
J Acute severe asthma
K Reactive arthritis
M Tuberculosis



3) A 54-year-old woman with a 2-year history of symmetrical joint pains presents with a 3-month history of dyspnoea and cough. She is found to a raised JVP.

One answer only.
A Cardiomyopathy
B Essential hypertension
C Ischaemic heart disease.
D Pulmonary hypertension
E Osteoarthrosis
F Rheumatoid arthritis
G Budd chiari malformation
H Portal systemic shunting
I pulmonary fibrosis
J Acute severe asthma
K Reactive arthritis
M Tuberculosis





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