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Daily SBA (BOF) Mock Test 014

Author: RxPG, Posted on Monday, June 21 @ 00:00:00 IST by RxPG  

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PLAB Part 1

Multiple Choice Test

Daily SBA Mock Test 014



1) What is the single most characteristic lung function test picture in Neuromuscular disease?

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





2) What is the single most characteristic lung function test picture in Interstitial lung disease?

One answer only.
   FEV1/FVC ratio 90%, TLC reduced by 30%, Considerably reduced transfer factor
   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



3) A 30 yr old woman presents with a 3 day history of pyrexia, rigors and sweats. This was preceded by a 1 week history of cough and increasing dyspnoea. She had a swinging fever and dullness to percussion at the left lung base. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.
   Emphysema
   Rheumatoid arthritis
   Tuberculosis
   SLE
   Bronchial carcinoma



4) A 60 yr old woman presents with increasing breathlessness and abdominal swelling. She has a right sided pleural effusion. Examination of abdomen reveals ascites and a large pelvic mass, What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.
   Rheumatoid arthritis
   Tuberculosis
   SLE
   Bronchial carcinoma
   Yellow nail syndrome



5) A 31 yr old IV drug abuser presents with a 3 week history of cough, fever and general malaise with occasional haemoptysis. He has a right sided pleural effusion. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.
   Pneumonia
   Pleural metastases
   Emphysema
   Rheumatoid arthritis
   Tuberculosis



6) A 55 yr old retired builder has a 3 month history of cough and left sided chest pain. He has a pleural effusion on the left. On CXR there is evidence of pleural calcification. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.
   Cardiac failure
   Mesothelioma
   Hypoalbuminemia
   Meig's syndrome
   Pneumonia



7) A 25 yr old woman has just returned from a holiday in Kenya. She suddenly became breathless and is cyanosed. Her pulse is 120/min, BP 110/70 mmHg, PEFR 400 L/min. CXR is normal. What is the SINGLE most next appropriate step in management?

One answer only.
   IV Insulin
   IV adrenaline
   Rebreathing into paper bag
   Heparin
   Methylene blue



8) A 50 yr old with pulmonary fibrosis develops sudden left sided pleuritic chest pain and dyspnoea. He has reduced air entry in the left side of the chest and percussion is hyper resonant. 02 saturation is 80%. What is the SINGLE most next appropriate step in management?

One answer only.
   Chest drain
   IV frusemide
   Rapid infusion of saline
   Forced alkaline diuresis
   Intramuscular adrenaline



9) A 58 yr old woman presents with intermittent breathlessness and cough. On examination, she has a right sided pleural effusion and discoloured nails. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.
   Rheumatoid arthritis
   Tuberculosis
   SLE
   Bronchial carcinoma
   Yellow nail syndrome



10) A 72 yr old woman presents with a 2 month history of increasing breathlessness and swollen legs. On examination, she has a raised JVP and a left sided pleural effusion. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.
   Cardiac failure
   Mesothelioma
   Hypoalbuminemia
   Meig's syndrome
   Pneumonia


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