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Daily SBA (BOF) Mock Test 008

Author: RxPG, Posted on Tuesday, June 15 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test

Daily SBA Mock Test 008



1) yr old woman: ABG - pH 7.51, pCO2 3.7 kPa, pO2 14.3 kPa, HCO3- 28 mmol/l. What is the SINGLE most likely diagnosis?

One answer only.
Pulmonary embolism
Panic attack
Sarcoidosis
Cystic fibrosis
Extrinsic tracheal compression





2) A 40 yr old Afro Caribbean woman: PFT - FEV1 2.51, FVC 2.91, FEV1/FVC 86%, Serum ACE levels - high. What is the SINGLE most likely diagnosis?

One answer only.
Pneumonectomy
Pulmonary fibrosis
Pulmonary embolism
Panic attack
Sarcoidosis



3) yr old male non smoker: PFTs - FEV 11.4 I, FVC 3.51, FEV1/FVC = 40%. After bronchodilator trial - FEV1/FVC = 50%. After 2 weeks of prednisolone 30 mg daily REV1/FVC = 65%. What is the SINGLE most likely diagnosis?

One answer only.
Asthma
Pulmonary haemorrhage
Emphysema
Extrinsic allergic alveolitis
Chronic bronchitis



4) A 29 yr old teacher is 7 months pregnant. She presents with sudden collapse and breathlessness. On examination, she is afebriie, severely cyanosed and hyperventilating. Her pulse is 140/min and BP 70/30 mmHg. What is the SINGLE most appropriate next investigation?

One answer only.
CT brain
Blood count and film
Spiral CT with contrast
ECHO
Arterial blood gases



5) A 74 yr old woman presents to casualty with acute breathlessness. She has had 3 similar admissions in last few months. She has a past history of rheumatic fever. On examination, she has an irregular pulse of 110/min. She has a non displaced tapping apex beat with no evidence of left ventricular dysfunction, No murmurs are audible. There are crepitations heard in both lower lung fields. What is the SINGLE most likely cause of pulmonary oedema?

One answer only.
Adult respiratory distress syndrome
Mitral stenosis
Anaemia
Aortic stenosis
Acute renal failure



6) A 67 yr old man has had an elective total knee replacement. He has no significant medical history. 36 hrs after operation he complains of increasing breathlessness. He is cyanosed and has crackles up to midzones of both lung fields, His ECG is normal and CXR shows pulmonary oedema with normal cardiac dimensions. His urine output since the operation has been poor and he has been persistently hypotensive with a BP of around 90/60 mmHg. What is the SINGLE most likely cause of pulmonary oedema?

One answer only.
Myocardial infarction
Constrictive pericarditis
Myocarditis
Iatrogenic
Cardiomyopathy



7) yr old farmer PFTs: FEV1 2.81, FVC 3.51, FEV1/FVC 80%. Reduced TLCO and KCBronchoalveolar lavage - lymphocytes and mast cells. Precipitins to Microspora faeni - positive. What is the SINGLE most likely diagnosis?

One answer only.
Emphysema
Extrinsic allergic alveolitis
Chronic bronchitis
Pneumonectomy
Pulmonary fibrosis



8) A 35 yr old woman ABG: pH 7.4, pCO2 4.4, pO2 9.4, TLCO 90% of predicted, KCO 160% of predicted. All results were normal 24 hours ago. What is the SINGLE most likely diagnosis?

One answer only.
Pulmonary haemorrhage
Emphysema
Extrinsic allergic alveolitis
Chronic bronchitis
Pneumonectomy



9) A 26 yr old nurse is brought to casualty as an emergency. She is hyperventilating but drowsy, She has been complaining of nausea and tinnitus and had an episode of haemetemesis. What is the SINGLE most appropriate next investigation?

One answer only.
Salicylate levels
Serum lactose
CT brain
Blood count and film
Spiral CT with contrast



10) A 21 yr old motorcycle courier was involved in an head on collision with a van. He had an obvious deformity of his left thigh and knee. X-ray confirmed communited fracture of the shaft of the femur that was reduced and placed in traction. 5 days later he suddenly deteriorates becomes drowsy confused and febrile. He is hyperventilating and cyanosed. There are crackles at both lung bases and petechiae over his chest and neck. What is the SINGLE most appropriate next investigation?

One answer only.
Blood count and film
Spiral CT with contrast
ECHO
Arterial blood gases
V/Q scan


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