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Daily SBA (BOF) Mock Test 017

Author: RxPG, Posted on Saturday, July 03 @ 18:54:37 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) A married 52 yr old woman who has a family history of breast cancer has been experiencing mild discomfort for a few hrs following intercourse for last month. She is worried about using hormones. What is the single most likely management plan?

One answer only.
   Psychological support
   Referral to psychiatrist
   Regular exercise
   Vaginal lubricant
   Vaginal estrogens





2) A 45 yr old woman who has had a total abdominal hysterectomy and bilateral salpingo-oopherectomy for fibroids and menorrhagia complains of hot flushes, night sweats and mood swings. She has no other medical problems. What is the single most likely management plan?

One answer only.
   Mineral supplements
   Oestrogen only HRT
   Psychological support
   Referral to psychiatrist
   Regular exercise



3) A 41 yr old woman complains of being unable to conceive for 2 yrs despite having regular unprotected sex. She complains of sweating all the time,frequent defecation and says this explains her loss in weight in recent weeks. She denied starving herself and says she has a very good appetite. HbAlc levels are 5%. What is the single most likely diagnosis?

One answer only.
   Hypopituitarism
   Hyperthyroidism
   Hypothyroidism
   Pulmonary tuberculosis
   Possible malignancy



4) A 28 yr old woman complains of infertility for 3 yrs. She has a low libido, and has put on a lot of weight. Her breasts are discharging. What is the single most likely diagnosis?

One answer only.
   Hyperprolactinemia
   Hypopituitarism
   Hyperthyroidism
   Hypothyroidism
   Pulmonary tuberculosis



5) A 38 yr old complains of infertility and is otherwise healthy. She had been on Haloperidol treatment for a schizophreniform illness for last 6 yrs She has a healthy 3 yr old daughter. What is the single most likely diagnosis?

One answer only.
   Hyperprolactinemia
   Hypopituitarism
   Hyperthyroidism
   Hypothyroidism
   Pulmonary tuberculosis



6) A 31 yr old woman complains of abdominal pain, which seems to increase during her periods. Over the last year she has noticed difficulty in breathing and chest pain associated with occasional haemoptysis, following her periods. Her mother is asthmatic and she has eczema. She has been unable to conceive. On examination she is found to have an enlarged and tender uterus. Her BMI is just 20. What is the single most likely diagnosis?

One answer only.
   Polycystic ovary disease
   Endometriosis
   Adenomyosis
   Chronic salpingitis
   Diabetes mellitus



7) A 21 yr old woman presents as an emergency with a 4 hr history of abdominal pain and bright red vaginal blood loss. She has not had a men- strual period for 9 weeks and had a positive home pregnancy test I week ago. On vaginal examination the uterus is tender and bulky. The cervical os is open. What is the single most likely diagnosis?

One answer only.
   Inevitable miscarriage
   Irritable bowel syndrome
   Missed abortion
   Normal pregnancy
   Pelvic inflammatory disease



8) A 16 yr old woman presents with a sudden onset of severe right iliac fossa pain. On vaginal ultrasound examination a 6cm diameter echogenic cystic mass is seen inright fornix. What is the single most likely diagnosis?

One answer only.
   Pelvic inflammatory disease
   Renal colic
   Septic abortion
   Threatened miscarriage
   Torsion of ovarian cyst



9) An 18 yr old student due to take her examinations, reports that she missed her period and that a pregnancy test is negative. She has worsening abdominal pain, which has been troublesome for 3 months. She is otherwise well. What is the single most likely diagnosis?

One answer only.
   Irritable bowel syndrome
   Missed abortion
   Normal pregnancy
   Pelvic inflammatory disease
   Renal colic



10) A 27 yr old who conscientiously uses OC pill, has experienced intermittent breakthrough vaginal bleeding and malodorous discharge for several weeks. When examined she has pain over the lower abdomen, worse on the left. Her temperature is 39C and her white cell count is elevated. What is the single most likely diagnosis?

One answer only.
   Pelvic inflammatory disease
   Renal colic
   Septic abortion
   Threatened miscarriage
   Torsion of ovarian cyst


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