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Daily SBA (BOF) Mock Test 013

Author: RxPG, Posted on Sunday, June 20 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) An elderly housewife was operated on for gall stones and at operation a gangrenous gall bladder was removed. A couple of days later she complained of nausea and feeling unwell. What is the SINGLE next most appropriate step in management?

One answer only.
   Diamorphine
   Diazepam
   Combination antibiotics
   Anxiolytics
   Lobectomy





2) A 62 yr old lifelong smoker has a dry cough, weight loss and haemoptysis. CXR and CT show right middle lobe collapse. He is sent to chest clinic for investigation. What is the SINGLE next most appropriate investigation?

One answer only.
   Bronchoalveolar lavage
   ECHO
   Serum precipitins and
   Fibreoptic bronchoscopy
   Flow volume loop



3) A 54 yr old farmer with intermittent dry cough fever and dyspnoea progressive weight loss and fine crepitations on auscultation. What is the SINGLE next most appropriate investigation?

One answer only.
   Serum precipitins and
   Fibreoptic bronchoscopy
   high resolution CT
   Mantoux test
   Seek immediate expertise help



4) A 24 yr old male develops sudden onset dyspnoea, chest pain on inspiration an haemoptysis whilst straining at stool. He had a cholecystectomy 10 days previously. He rapidly becomes cyanosed and loosed consciousness. On examination his blood pressure is 75/50 heart rate 156 and thready with a loud pulmonary heat sound. His jugular venous pressure is raised by 6 cm. What is the SINGLE next most appropriate investigation?

One answer only.
   Seek immediate expertise help
   Arterial blood gases
   EGG, blood gases and V/Q scan
   Serum calcium, ACE levels
   Static lung volumes



5) A 22 yr old barman presents with a dry cough of sudden onset. He complains of a chest pain and rusty sputum. He also has a very high fever, rapid breathing, cyanosis and crepitations. What is the SINGLE most likely diagnosis?

One answer only.
   Pleurisy
   Pneumococci
   Pleura! effusion
   Q fever
   Chronic bronchitis



6) A young officer manager complains of palpitations for 2 months. He says that when he mounts the stairs he can feel his heart beating. His health history is unremarkable. What is the SINGLE next most appropriate step in management?

One answer only.
   Combination antibiotics
   Anxiolytics
   Lobectomy
   Pericardial tap
   Incision and drainage



7) A 37 yr old Nigerian woman develops clubbing, erythema nodosum, iritis, dyspnoea and iymphedenopathy on her CXR. What is the SINGLE next most appropriate investigation?

One answer only.
   Seek immediate expertise help
   Arterial blood gases
   EGG, blood gases and V/Q scan
   Serum calcium, ACE levels
   Static lung volumes



8) A 47 yr old Caucasian childminder in Glasgow presents with dry cough night sweats and haemoptysis. What is the SINGLE next most appropriate investigation?

One answer only.
   Flow volume loop
   Mantoux test
   Seek immediate expertise help
   Arterial blood gases
   EGG, blood gases and V/Q scan



9) What is the single most characteristic lung function test picture in emphysema?

One answer only.
   FEV1/FVC 62%, no reversibility to Bronchodilators, gas trapping,hyperinflation & reduced transfer factor
   Normal PFTs
   FEV1/FVC 89%
   FEV1/FVC 85%, globally reduced lung vols. Reduced inspiratory & expiratory mouth Pressures
   Reduced transfer factor alone



10) What is the single most characteristic lung function test picture in pneumonectomy?

One answer only.
   FEV1/FVC 85%, globally reduced lung vols. Reduced inspiratory & expiratory mouth Pressures
   Reduced transfer factor alone
   Inspiratory & expiratory fixed obstruction on volume loop
   Spirometry, lung volumes and incorrected transfer factor 50% predicted. Corrected factor normal.
   Increased transfer factor FEV1/FVC 58%, 25% reversibility to broncho-dilators, normal transfer factor


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