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Daily SBA (BOF) Mock Test 011

Author: RxPG, Posted on Friday, June 18 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) An elderly woman cannot carry on her household chores but has to sit down every few minutes. A CXR shows diffuse reticular nodular shadows especially in her lower lobes. What is the SINGLE next most appropriate step in management?

One answer only.
   Oxygen therapy
   Thymectomy
   Chemotherapy
   Change occupation
   Radiotherapy





2) A middle aged housewife presents with exertional dyspnoea. She also has a dry cough, general malaise and is mildly cyanosed. On auscultation of chest you find crepitations. She has a history of arthritis. What is the SINGLE most likely diagnosis?

One answer only.
   Respiratory failure
   Bronchitis
   Bronchial asthma
   Emphysema
   Rheumatoid lung



3) A 35 yr old accountant presents with a chronic cough, dyspnoea and wheezing. He produces copious sputum. His arterial carbon dioxide is low and his arterial oxygen is normal, What is the SINGLE most likely diagnosis?

One answer only.
   Rheumatic heart disease
   Respiratory failure
   Bronchitis
   Bronchial asthma
   Emphysema



4) A middle aged smoker presents with chronic cough and phlegm. His sputum is tenacious but not yellow or blood stained. His chest is hyperinflated. His arterial carbon dioxide is high and is arterial oxygen is low. What is the SINGLE most likely diagnosis?

One answer only.
   Bronchitis
   Bronchial asthma
   Emphysema
   Rheumatoid lung
   Fibrosing alveolitis



5) A 53 yr old smoker with chronic cough and copious yellow sputum presents in a state of agitation. He is confused. His pulse is bounding. He has a terrible headache and you find papilloedema on fundoscopy. What is the SINGLE most likely diagnosis?

One answer only.
   Tuberculosis
   Pulmonary embolism
   Rheumatic heart disease
   Respiratory failure
   Bronchitis



6) A young woman complains of wheeze, dyspnoea and cough. She cannot sleep at night because of a chronic cough. She and her mother love animals and together they have 14 cats. Her PEFR is normal but her CXR suggests hyperinflation. What is the SINGLE most likely diagnosis?

One answer only.
   Respiratory failure
   Bronchitis
   Bronchial asthma
   Emphysema
   Rheumatoid lung



7) yr old woman presents "with increasing breathlessness over a period of 10 months. She now finds herself unable to climb stairs. Also she has just had her 3rd child in 3 yrs and complains of feeling depressed. What is the SINGLE next most appropriate step in management?

One answer only.
   Blood transfusion
   Lobectomy
   Antidepressants
   A healthy diet
   Anticoagulants



8) A 43 yr old shipyard worker complains of gasping for breath. On physical examination you discover mild cyanosis and restricted chest movements. What is the SINGLE next most appropriate step in management?

One answer only.
   Oxygen therapy
   Thymectomy
   Chemotherapy
   Change occupation
   Radiotherapy



9) A 62 yr old man says he can't get enough air. Over the past few months he has become increasingly breathless. Also, he has noticed he has had difficulty finishing his dinner. His jaw tires. What is the SINGLE next most appropriate step in management?

One answer only.
   Edrophonium chloride
   Iron supplements
   Oxygen therapy
   Thymectomy
   Chemotherapy



10) A 65 yr old warehouse man is admitted with severe wheeze and breath-lessness. He has had to sleep propped up. And during the past few days his legs have become swollen. What is the SINGLE next most appropriate step in management?

One answer only.
   Frusemide
   Oxygen therapy
   GTN
   Morphine
   Nasal IPPV


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