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Daily SBA (BOF) Mock Test 012

Author: RxPG, Posted on Saturday, June 19 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) A 50 yr old taxi driver and heavy smoker complains that his feet swell up at the end of the day. He has also noticed increasing shortness of breath. What is the SINGLE next most appropriate step in management?

One answer only.
   Sputum culture
   Pericardial aspiration
   Streptokinase
   Frusemide
   Oxygen therapy





2) A middle-aged woman complains of a chronic cough and purulent sputum. Recently she has become very wheezy and dyspnoeic. An ECG gives a low voltage trace and a CXR shows a large heart shadow. What is the SINGLE next most appropriate step in management?

One answer only.
   Antibiotics
   Sputum culture
   Pericardial aspiration
   Streptokinase
   Frusemide



3) An elderly woman complains of acute chest pain, breathlessness and haemoptysis. A month ago she had pain and swelling in the legs but did not go to the doctor with these complaints. What is the SINGLE next most appropriate step in management?

One answer only.
   Antibiotics
   Sputum culture
   Pericardial aspiration
   Streptokinase
   Frusemide



4) His friends bring in a 48 yr old businessman. He is very distressed, breathless, cold and clammy. He has severe chest pain and he has vomited 3 times. What is the SINGLE next most appropriate step in management?

One answer only.
   Morphine
   Nasal IPPV
   Venesection
   Advise stop smoking
   Beta agonists



5) A 4 yr old child has severe cough and fever. She appears acutely ill and cyanosed. What is the SINGLE most likely diagnosis?

One answer only.
   Bronchogenic carcinoma
   Parainfluenzae
   Respiratory syncytial virus
   Rhinovirus
   Pleurisy



6) A 6 yr old child complains of a very sore throat. He has a mild fever and red fauces. What is the SINGLE most likely diagnosis?

One answer only.
   Bronchogenic carcinoma
   Parainfluenzae
   Respiratory syncytial virus
   Rhinovirus
   Pleurisy



7) A 33 yr old bus driver complains of a persistent cough and blood stained sputum. He does not smoke He has a fever and supraclavicular glands. A CXR shows a dense irregular hilar expansion. What is the SINGLE most likely diagnosis?

One answer only.
   Tuberculosis
   MI
   Asthma
   Meningitis
   Bronchiectasis



8) A 32 yr old lecturer has had a fever for a week with no cough. Her fever came on suddenly and she says half her department is similarily ill. She has fine rales and a positive chest X-ray. What is the SINGLE most likely diagnosis?

One answer only.
   Parainfluenzae
   Respiratory syncytial virus
   Rhinovirus
   Pleurisy
   Pneumococci



9) A 40 yr man complains of swollen legs and breathlessness. Examination reveals hepatosplenomegaly. And a chest x-ray shows a normal but dense heart shadow and clear lung fields. What is the SINGLE next most appropriate step in management?

One answer only.
   Pericardia! resection
   Radiotherapy
   Frusemide
   Anti emetics
   Aspirin



10) A middle aged decorator complains of severe chest pain radiating to the neck. The pain came on after dinner and as he was retiring for the night. What is the SINGLE next most appropriate step in management?

One answer only.
   Diamorphine
   Diazepam
   Combination antibiotics
   Anxiolytics
   Lobectomy


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