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Daily SBA (BOF) Mock Test 010

Author: RxPG, Posted on Thursday, June 17 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test

1) A 50 yr old train conductor complains of chronic productive cough. He is also a heavy smoker. What is the SINGLE most likely diagnosis?

One answer only.
   Primary thyrotoxicosis
   Hay fever
   Bronchogenic carcinoma

2) A 14 yr old girl is brought into A&E with very difficult and noisy breathing. What is the SINGLE most likely cause of breathlessness?

One answer only.
   Bronchogenic carcinoma
   Angioneurotic oedema

3) A young woman complains of sore eyes, a dull chest pain, malaise and a low grade fever. She thinks she has had a recurrent low grade fever for 4 months. A CXR shows bilateral hilar enlargement. What is the SINGLE most likely diagnosis?

One answer only.
   Aspergillus fumigatus

4) A middle aged pharmaceutical engineer presents with increasing breath-lessness and cough. He doesn't smoke. On CXR you find diffuse bilateral mottling and multiple small cystic lesions. 6 months ago he had a Pneu-mothorax. What is the SINGLE most likely diagnosis?

One answer only.
   Aspergillus fumigatus

5) For the last 3 yrs a young man has complained of recurrent bouts of pneumonia with wheeziness, cough, fever and malaise. His sputum is tenacious. Peripheral blood shows a very high ESR and IgE. What is the SINGLE most likely diagnosis?

One answer only.
   Aspergillus fumigatus
   Lung fibrosis
   Idiopathic thrombocytopenia
   Polyarteritis nodosa

6) A 30 yr old computer engineer with a long history of asthma and rhinitis presents with wheezing cough and fever. A CXR shows patchy consolidation. Physical examination shows multiple tender subcutaneous nodules and purpura. What is the SINGLE most likely diagnosis?

One answer only.
   Polyarteritis nodosa
   Lung collapse

7) A 43 yr old man presents with chest pain and cough. He complains of fullness and pressure in the chest and a sharp pain affecting 2 or 3 ribs on the right side. A CXR shows a right sided hilar enlargement What is the SINGLE most likely diagnosis?

One answer only.
   Lung collapse
   Silent MI
   Bronchogenic carcinoma

8) A middle aged woman brings her husband into your surgery. She complains of his heavy snoring. Also in the middle of the night he stops breathing gags and wakes up. Also his performance at work has been declining and he is being threatened of retirement. What is the SINGLE most appropriate next step in management?

One answer only.
   Surgical excision

9) A young man with chronic hepatitis develops chest complaints. He has become breathless and coughs. He has lost weight and his joints bother him. On physical examination you note mild cyanosis. What is the SINGLE most appropriate next step in management?

One answer only.

10) A middle aged woman complains of dyspnoea. Over the past year she had to give up her gardening. An ECG shows right ventricular hypertrophy and strain. What is the SINGLE next most appropriate step in management?

One answer only.
   A healthy diet

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