PLAB 1 Exam Style Question 2 Start QuizPage 1 of 10 An 80yo man presented with pain in his lower back and hip. He also complains of waking up in the night to go to the washroom and has urgency as well as dribbling. What is the most likely dx? a. BPH b. Prostatitis c. UTI d. Prostate carcinoma e. Bladder carcinoma Page 2 of 10 An 18yo female has peri-orbital blisters. Some of them are crusted, others secreting pinkish fluid. What is the most likely dx? a. Shingles b. Chicken pox c. Varicella d. Rubella e. Measles Page 3 of 10 A 29yo lady who is a bank manager is referred by the GP to the medical OPC due to a long hx of tiredness and pain in the joints. An autoimmune screen result showed smooth muscle antibodies positive. What is the most appropriate next inv? a. ECG b. TFT c. LFT d. Serum glucose e. Jejunal biopsy Page 4 of 10 A 5yo with recurrent chest pain, finger clubbing with offensive stool. Choose the single most likely inv? a. Endomyseal/Alpha glidin antibody b. Sweat test c. Barium meal d. ECG e. Glucose tolerance test Page 5 of 10 A clinical picture of breast cancer originated from the mammary duct. Biopsy was done and there were neoplastic cells found. Choose the histological picture of the cancer. a. Neoplastic cells are arranged in small clusters occupying a space between collagen bundles (Seirrhous carcinoma) b. Spindle cell neoplasms with margins, which infiltrate adjacent structure, fat invaded (Breast sarcoma) c. Small cells with round nucleus and scant indistinct cytoplasm (Lobular carcinoma) Page 6 of 10 A 22yo man has a reduced conscious level and a fixed dilated pupil after being involved in a MVC. Choose the single most appropriate option? a. Facial nerve b. Oculomotor nerve c. Olfactory nerve d. Optic nerve e. Trigeminal nerve Page 7 of 10 A man with suspected active TB wants to be treated at home. What should be done to prevent the spread of disease? a. Immediate start of the tx with Anti-TB drugs b. All family members should be immediately vaccinated with BCG vaccine c. Patient should be isolated in a negative pressure chamber in his house d. Universal prevention application protocol Page 8 of 10 A 7yo child is brought to the ED with a 1 day hx of being listless. On examination, the child is drowsy with an extensive non-blanching rash. What advice would you give the parents? a. All family members need antibiotic therapy b. Only the mother should be given rifampicin prophylaxis c. All family members need isolation d. All family members should be given rifampicin prophylaxis Page 9 of 10 A 47yo man has a temp of 39C and is delirious. He has developed blisters mainly on his trunk, which appeared a few hours ago. He is well and not on any medications. He last travelled 5 months ago to Italy. Which of the following is the most likely dx? a. Shingles b. Chicken pox c. Pemphigoid d. Bullous pemphigus Page 10 of 10 A 64yo pt has been having freq episodes of secretory diarrhea, which is extremely watery, with large amounts of mucus. A dx of villous adenoma was made after endoscopy. What electrolyte abnormality is most likely in this pt? a. Hyperkalemia b. Hypernatremia c. Hyponatremia d. Hypokalemia
