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Daily SBA (BOF) Mock Test 009

Author: RxPG, Posted on Wednesday, June 16 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test

Daily SBA Mock Test 009



1) A 15 yr old schoolgirl was out with her friends at a party last night. When she returned home this morning she was drowsy unwell and vomiting. She has lost 5 kg over last 2 months. On arrival at hospital, she is drowsy, confused and hyperventilating but not cyanosed. Her breath smells of pear drops. What is the SINGLE most appropriate next investigation?

One answer only.
Blood glucose
Salicylate levels
Serum lactose
CT brain
Blood count and film





2) A 24 yr old car mechanic is brought to casualty by his girlfriend. She describes a 2 day history of rigors, sweats and intermittent confusion. On examination he is agitated sweaty and pyrexial with 38.6He is hyperventilating and cyanosed despite receiving 02 by face mask. There is dullness to percussion and bronchial breathing at the left lung base. What is the SINGLE most appropriate next investigation?

One answer only.
None required
Urea and electrolytes
Chest X-ray
Blood glucose
Salicylate levels



3) A 14 yr old boy presents to casualty complaining of severe chest pain and difficulty breathing. He hyperventilating and pale but not cyanosed. He has had 4 similar admissions in last year and his older brother also attends the hospital frequently. What is the SINGLE most appropriate next investigation?

One answer only.
Blood glucose
Salicylate levels
Serum lactose
CT brain
Blood count and film



4) A 21 yr old man has become increasingly breathless over a period of 4 days. He has also had severe central chest pain and a fever. He was. previously fit and well. On examination, he looks unwell, cyanosed and dysp-noeic. Pulse is 120/min regular BP 90/40 mmHg. JVP elevated and he has a galfop rhythm with no murmurs. There are crackles in both lung bases. CXR shows pulmonary oedema and a normal heart rate. ECG shows extensive ST elevation in the anterior and inferior leads without Q waves. What is the SINGLE most likely cause of pulmonary oedema?

One answer only.
Myocarditis
Iatrogenic
Cardiomyopathy
Hypoalbuminemia
Mitral regurgitation



5) A 38 yr old woman was admitted to hospital 2 days ago with abdominal pain and vomiting. She was tender in the epigastrium and was found to have a very high serum amylase level. She has been treated with large volumes of IV fluids and has maintained a good urine output. Nonetheless she has been persistently hypoxic and is deteriorating rapidiy. She now has crackles throughout both lung fields and a pO2 of 5.1 kPa despite receiving 60% O2 by mask. CXR shows massive bilateral pulmonary oedema. Her serum albumin is 30 mmol/l. 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 30 yr old lady complains increasing breathlessness, tiredness, malaise poor appetite and weight loss. What is the SINGLE most likely cause of breathlessness?

One answer only.
Asthma
Tuberculosis
Angioneurotic oedema
Thyroiditis
Branchial cyst



7) A 56 yr old man wheezes and coughs. He has tried to give up smoking, but he finds it very difficult. He is thin and healthy looking with a rounded chest. His breathing is noisy. His cough is unproductive. What is the SINGLE most appropriate next step in management?

One answer only.
Ipratropium
Amoxycillin
Aminophylline
Prednisolone
Salbutamol



8) A 37 yr old man who has had recurrent chest infections since a serious bout of influenza 3 yrs ago presents with chronic productive cough. His sputum is tenacious and blood stained, On auscultation you find crackling. What is the SINGLE most appropriate next step in management?

One answer only.
Postural drainage
Aspiration
Chest wall drain
Bronchoscopy
Pleurectomy



9) A woman who has been treated for hypothyroidism cannot breathe, At night she must sit propped up and she has a constant dull chest pain. On examination of her chest you find stony dullness and bronchial breathing. What is the SINGLE most appropriate next step in management?

One answer only.
Postural drainage
Aspiration
Chest wall drain
Bronchoscopy
Pleurectomy



10) A healthy young woman comes to you complaining of a swelling in front of the neck and diarrhoea. She also has palpitations and is short of breath. What is the SINGLE most likely cause of breathlessness?

One answer only.
Asbestosis
CML
Erysipelas
Primary thyrotoxicosis
Hay fever


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