july 16th 2008 plab1 exam paper

july 16th 2008 plab1 exam

1-man presents with knee injury while skiing. On
examination there is pain on valgus stressing. Diagnosis?
Options;
A. medial collateral ligament
B. lateral collateral ligament
C. ant cruciate ligament
D. post cruciate ligament

theme : vaginal discharge :
2-an old lady 75 years has red and sore vagina , and she
also noticed pink coloured discharge in her underwear

3-pregnant female with vaginal itching,husband treated for
balanitis
options :
A-bacterial vaginosis
B-vaginal atrophitis
C-candidiasis –
D-trichomonas vaginalis –
E- chlamydia trachomatis –
F-herpes-
G-gonocoque -
H- cervical ectropion
I- endometrial carcinoma

ANS : 2B

4- an old man COPD has purulent sputum and
breathlessness , he has influenza , he has reduced air entry
in both chest and bilateral crepitations
what is the organism involved :
options :
A- hemophilus influenzae
B - staphylococus aureus
C- streptococus pneumoniae

3C

D- klebsielle pneumoniae
E-mycoplasma

5- a young men underwent surgery , in postop he has a red
wound discharging , a swab done shows MRSA
what`s is the appropriate management by hospital
A-transfer all patients from surgical to other wards
B- stop all surgery in hospital
C- take swab from hands of all staff in surgical ward
sorry can`t remember the other options

6- an old woman has ulcer in labia 3cm with 1.5cm deep ,
Which lymphe node will be involved?
Options :
A- superficial inguinal lymph node
B- deep inguinal lymph node
C- iliac
D- illioinguinal
E- para aortic

7- a COPD patient presents with breathlessness and purulent
sputum with oxymetry 85%
pa O2 – 8kpa
pa CO2- 7 kpa
what`s the appropiate management :
A-corticosteroids
B - 24% O2
C - 60% O2.
D - invasive ventilation
E - non invasive ventilation ....etc

ANS : 7B

8-a 60yr old man with a long standing COPD is complaining of

blurry eye vision,he is on multiple medications of COPD.
Which of his medication is responsible for his visual
disturbance?
a) theophylline

b)corticosteroid
c)oxygen
d)B agonist
e)ipratopium bromide

ANS; B ( CORTICOSTERIOD long time use may cause cataracts )

9- a man has undergone anterior resection of rectum ,
at five days postoperative , he has general abdominal
tenderness with abdominal pain
what`s the most likely diagnosis :
A- anastomose leakage
B- paralytic ileus
C - abdominal abscess....etc

ANS : 9A

10- a man has fit , there is history of weight loss ,
hemoptysis , breathlessness
what`s the investigation
CT scan ( cerebral metastasis)

11-trt of schyzophrenia :
A - olanzapine
B - disulfiram
C - diazepam
D - lithium .....

ANS : A

12-a woman has been stung by bee , has no symptoms ,
this time she was stung and has swollen arm
what`s the trt
A- adrenaline ( epinephrine )
B-hydrocortisone IV
C- antihistamine oral
D- corticoid oral –
E- antihistamine cream

13- a child has a clean wound , has never been immunised
as his parents were worried about it , there is no
contrindications to immunisation , what`s the best
management :
A- full course Diphter,tetanus , polio ....
B- 1 single injection DT
C - 1 Single injection DTP
D - only immnuogolbulin

ANS : A

14- a pregnant lady 39 weeks has a fit of eclampsia at
home , she was brought to A&E
how can you prevent further fits :
A- sulfate magnesium
B- diazepam
C- hydralazine
D- methyldopa

ANS : A

15-a woman 16 weeks pregnant is worried about abnormal
chromosome anomaly in her child
what`s the defintive investigation at this stage ;
options :
A- amniocentesis
B- chorionic villous sampling
C- parents karyotyping
D- coomb`s test ...

ANS : A

16-a 4 weeks breast milk infant has jaundice , what`s
management ;
A- continue breast feeding –
B- phototherapy

ANS : A

17- CPR paediatrics in 3 months child
Options :
A- put 2 thumbs
B- index& middle finger
C- heel of 1 hand
D- heel of 2 hands
E- all fingers

ANS : B

18-a man after travel was brought inconscious to A&E in his
bag there`s syringe and trt
what`s the initial management :
A- dextrose 50%
B- dextrose 5%

ANS : A

19- a 1 yr old boy brought in emergency, 5 day history of

diarrhoea and vomiting,not tolerating oral fluids,
in the last one hour he has become drowsy,his skin tugor is
reduced and skin mottled and eyes sunken,
heart rate 180 b/min and capillary refill is prolonged.(this is
severe dehydration)

what is the most appropiate treatment;
a)iv fluid bolus 20ml/kg over 20min
b)rehydrate over 48hrs
c)rehydrate over 4hrs
d)oral rehydration

E- rehydratation on nasogastric tube

ANS;A ( iv fluids bolus over 20mins first to keep he child alive)

THEME :

on feeding

20- A pt with parkinsonism having dysphagia

OPTIONS
A-Total parenteral nutrition
B-PEG ( gastrostomy)
C-gluten free diet
D--low protein diet +antibiotics
E--nasogastric feeding

ANS : B

21- a man with jaundice , cirrhosis ....hypoalbuminemia

22-a man with pearly nodule on face , diagnosis
Options :
A- squamous cell carcinoma
B- basal cell carcinoma
C- melanoma
D-Lentigo maligna

ANS : B

- theme : origin cells of diseases
23-Multiple myeloma --------------------------------plasma
cells
24- Glioblastoma----------------------------------------
astrocytes
25- Rhabdomyosarcoma-------------------------------skeletal
muscle
26- AML ----------------------------------------------------
neurtophil precursors

-theme : electrolyte imbalance
Options:
a. 5% Dextrose water
b. Insulin with normal saline
c. Potassium supplements with normal saline

d. Oral potassium supplements
e. Plasma expanders

27- question with patient on thiazide diuretics and there
was hypokalemia -----------------------------oral potassium

28- patient with hypotension , hypoglycaemia , with
hyperkalemia ---------------------------------------serum
saline + hydrocortisone

29-diabetics with glycemia , 30mmoll/l ------------------
insulin only
Insulin with saline
Na : 148

30- A child with sever gastroenteritis
Na and k both decreased-----------------------ANS :C

SBA :
31- A man after prostatectomy, requires D.V.T prophylaxis,
what would be the range on I.N.R to be maintained?
Options:
a. INR 1
b. INR 2-3
c. INR 3-4
d. INR 4-5

ANS : B

32- 27 yr male recently can hear his dead uncle's voice
telling him that they are spied ,being depressed started
alcohol ingestion , and goes to police thinking of someone
trying to kill him , what's diagnosis??
a.alcoholic psychosis
b.depression
c.bipolar disorder

33-lady with hodgkin/ having temp.40 degree centigrade,left
side abd pain lymphadenopathies ,blood was taken for test.
option-
a- await for blood report
b- start broad spectrum IV antibiotics
c-oral antibiotics
d-full blood count
e-monitor pyrexia

ANS : B

34- man with diabetes and hypertension presented with
proteinuria can`t exactly remember, all the question

which drug for trt
a-diuretics
b-thiazide
c-gilbenclamide
d-ACE inhibitor

ANS : D

35- woman with rash on cheeks , arthralgia , proteinuria

which investigation :

A- anti mitochondrial

B- Anti DNA

C- Anti nucleolus

D- Anti centromere

ANS : B

36- a woman with lump in the upper outer quadrant of
breast. she had a lump previously. there is family history of
breast cancer (i think mother) . lump is firm mobile..

options:
A- breast carcinoma
B-fibroadenoma
C- pagets
two more options were there

THEME : about child development

options were
A- refer to development paediatrics
B- reassure and review
C- hearing test
D- urgent referral to ophthamologist
E- hearing aids
F- tricyclic anti depressant
G- refer to paediatrician
H- refer to child psychologist
I- refer to GP
some more options.. sorry don't remember

37-. 14 month child not able to walk without support,
mother is worried

38-. 3 month child not paying attention to mother while
feeding.. on examination can't fix and follow an object

39- child plays well with other children but seems to neglect
mother when she calls him

40- child not interacting with other children , not playing
with other in the ground and avoid eye contact

41- boy with slap on face, after that he could not hear,
presents with deafness ,blood from ear, investigation is...

skull xray?

CORRECT ANSWER= otoscopy
CT scan …etc

SBA :
42- about a lady with 2 small children,
febrile ,,maculopapular rash, arthritis of small joints,cervical
lymphadenopathy...
options were
A- viral arthritis
B-SLE
C-psoriatic arthritis

what was the answer? ANS : A ,is Viral

44- a woman in nursing hostel,faecal impaction
what is the most immediate management
options
A- laxatives
B- phophate enema

ANS : B

THEME : about STAB injuries
options;
A- tension pneumothorax
B- simple pneumothorax
C- heamopneumothorax
D- heamothorax
E- cardiac tamponade
F- traumatic aortic rupture
G- diaphragmatic rupture
H- fracture rib
I- filial chest
some options don't remember

44- . pt got stabbed in right chest.. came with BP of 70/30
and PR around 130. on examination trachea is deviated and

hyperresonant in right side

45- pt with stab injury in the left 4th intercostal space
in mid clavicular line presents with increase in PR and
distended neck veins. on examination lung sounds clear

46- some injury with bowel sounds heard in the chest

47- one with patient injury in the chest presents with
decrease in BP and widened mediastinum

a patient presents with chest injury and shows paradoxical
breathing.

ANS : 44A

45

46G

47F

THEME : ENT
.48- a lady undergone syringing for ear wax now complains
of ear pain and discharge --------------- WAX IMPACTION

49- a lady has mild ear pain, her husband says that she
grinds her teeth in the night while sleeping -------------------
------------TEMPOROMANDIBULAR JOINT

50- a man went for holidays 6 week back... did swimming
etc... now complaints of intense bilateral earpain, with
redness and discharge

51-. a child had pharyngeal infection now has fever and
crying with ear pain

52- an old man came for a mini surgical procedure now
in the ward disoriented and behaving aggressively. which
of the following in the patients history should be given
attention?
A- History of trauma

B-history of medications
C- alcohol

ANS : C

53- a person with thinning of hair, feelind cold , obese ….
options were.
A- thyroid funtion tests ,
B- TSH
there wher more i wrote TFT

54- a 2 yr old boy is brought to A&E department by his
mother. he has been unable to bear weight since a fall from
chair last night. He is tender over the mid tibia but there is
no obvious limb deformity.

A angulated #
B compound #
C epiphyseal #
D no fracture likely
E spiral fracture

ans: spiral #

55- a lady with depoprogesteron for 9months and worried
she has no bleeding- during that time
advice
A-Do FSH levels
B-Give COC
C- Give POP
D- reassure

Theme : prostate
Options
A- PSA
B-Acid phosphatase alkaline

C-Ultrasound pelvis
D-Placental alkaline phosphatase
E-Radionucleotide scan

56 bone pain-back ache------------------------------- bone
scan?

57- prostate ca-on chemo--------------------------- follow up:
PSA

58- prostate extra cap spread---------------------------
ultrasound pelvis

59- paratyhroid tumor with acidity-----------------------------
----- gastrinoma

THEME : ophtalmo

60- in a 75 yr old man who complaints of declining
vision, cornea n pupil normal, but fundus shows obscured
margins???

THEME : investigation

61-.GSC in woman with head injury 15.at night falls to 12--
-----------------------CT SCAN

62- .slap on this during fight.bld.tinnitus deafness------------
----------------SKULL X ray

63-.child –subconjunctival haemorrhage with
redness,tenderness cheek -------------------

64-sudden headache, stiffness of neck , ----------------------
---------------CT SCAN

THEME : BLEEDING IN PREGNANCY
pregnancy with bleeding
65-.bld-heavy with uterine cavity empty- rx
66- h/o suggestive-----------------ectopic -lap
67- . 8wks spontaneous bld- uterine size corresponds to
dates
68- .post coital bld-12wks preg

a theme: on complications of MI
69- .dressler's syndrome
70- .acute pericarditis
71- cardiac tamponade

72- a boy with swelling from ear to jaw...mumps

73- a man with swelling below jaw,occurs during big meals
submandibular stone?
parotid stone?
is it sub-mandibular stone?

74- history of chest pain .no relief on GTN
pesistent ST elevation
TRT
A-lmw +antipaltelet
B-warfarin+aniplatelet
C-statin+antiplatelet
D-Aspririn + antiplatelet
E- Antiplatelet + clopidogrel

75- man thinks he leaves tap running and keeps coming
home to check every time
ANS : obsessive compulsive disorder

76- advice to a lady with ca cervix
A- stop smoking

B- stop ocps
C- stop alcohol

[hide]77- .a 64 year old lady on HRT, now has brown vaginal
discharge, what investigation?
ANS : Endometrial sampling

78- . a lady with vaginal bleeding ,10 weeks pregnant, on u/
s minimal uterine contents.....
ANS : remove retained products of conception

theme: on gastritis etiology

78- .child wiht bleed nasal blleds
79- .umblical cord with jaundice
80- .alterd bld in stomach

81- 19 yr old after playing football had asthma attack, he`
s already taking inhaled salbutamol as required, what will u
give?

options:
A- inhaled cromoglycate
B- inhaled steroids
C-inhaled salmeterol
D- oral theophylline

THEME : SCIENTIFIC BASIS
82- varicosities along the lateral side of the leg was ---------
--------------short saphenous
83- the one with calf swelling and redness after surgery ----
---------------------was popliteal
84- the one involving the whole upper extremity ------------
-----------------------was axillary
85- the one with lower abdominal wall varicosities and
testicular tumour --------------was IVC
86- the woman with a uterine tumour, -----------------------

-----------------------internal iliac

there was a Psychiatry ques
i just remember the ans
agorophobia
post traumatic stress disorder
social phobia

87- there was a ques about a lady who already had 2
operations for the lump in the breast.she worries as her
grand mother died of breast cancer when she was 72
choices were
A- breat carcinoma
B- cyst
C- fibroadenoma
i wrote the ans as fibroadenoma
not sure

88- .how is syncope investigated in a man who has
exertional syncope
A- 24 hour ECG
B- 24 hour BP
C- echo…..,etc

89- mother brings a child with pain in the arm and the boy
is not allowing to exam and crying with pain. he is staying
with his mother`s new boyfriend while mother goes to work
on examination facture humerus..
options;
A- admit in the paediatrics ward
B-discharge with advice
C-routine referral to gp
D-routine referal to follow up fracture clinic

ans : follow up in fracture clinic not sure

90- .man with testicular torsion,
- hydrocele(swelling 3 times larger than the other testis),
epididymal cyst( soft swelling at upper pole of testis)
epididymorchitis

91- a man on thiazide, has knee swelling after surgery..-----
-------------------------.gout

92- man who took 10 paracetamols, doesnt need treatment
what is his followup?
A- discharge with advice?
B-send to psychologist?
C-send to medical opd.
I wrote send to psychologist

93- depression with psychotic symptoms,
A- generalized anxiety disorder
B-,adjustment disorder
C-,major depression
D-Bipolar affective disorder

94-. inv of child whose ultrasound shows bilateral
hydronephrosis..-------
A-.renal scan?
B- nephrostomy
C- ultrasound
D- IVU ….

95- Mother brings child to hospital TWO hours after talking
paracetamol overdose .when will you check the blood level .
options
A-immediately
B-after 2hrs
C-after 4hrs

ANS : B

THEME: diagnosis of psychiatric symptoms
options;
A- low mood
B- thought insertion
C- thought broadcasting
D- insight
E- flight of ideas
F- pressure of speech
G- concentration
H- illusion

96- . pt has many ideas and jumps from one topic to
another

97- pt speaks continously and does not get distracted from
interventions

98- pt knows about his psychiatric problem

99- pt in ward claims that nurse knows what she is thinking

100- pt having difficulty falling asleep, early morning
waking and avoiding eye contact

ANS : 96E

101- SBA :
CHILD WHO IS ASTHMATIC HAS SEVERE PAIN in knee after an
injury with sprain, the knee is swollen .WE HAVE TO GIVE HIM
SOME PAIN KILLERS...

OPTIONS
A-Aspirin
B-PARACETAMOL
C-IBUPROFEN
D-MORPHINE
E-CODEINE

97F

98D

99C

100A

ANS : B paracetamol

102- SBA
14 year old develops an itchy scaly patch on her scalp.she
had a similar episode on her scalp that spotaneuosly went
2 yrs ago,her aunt has a similar undiagnosed rash on the
extensor aspects of her knee and elbows.
what is the single most diagnosis.
a)eczma
b)fungal infection
c)impetigo
d)lichen planus
e)psoriasis

answer is PSOARIAS

103- a woman with a diagnosis of mild ulcerative colitis is
not on any treatment.she develops diahrrea and mucus
in stool in the last 3 months.all other examinations are
normal.her HB is 9.8g/dl
.what is the single best treatment
A-ferrous gluconate
B-mesalazine
C-corticosteroids

cant remember other options

SBA
104-a patient with hyperventilation because he had panick
attacks sweating,palpitation etc feels he is having a heart
attack,peri oral tingling etc.
most appropitae or initial management
a)re breathe into a bag
b)diazepam or lorazepam
c)salbutamol

ANS: rebreathe into a bag

105- a a young woman with history of diahorrea and opening
bowels and rectal examination show inflammation and
granulomata-------------------------(crohns)
i think here the asked for treatment which is sulfazalasine

106- woman or man with iron and folate deficiency anaemia
with pale stool---------------------(coeliac dx)
What`s the investigation :
the answer endomyseal antibodies

107-6 year old with weekly abdominal pain with headache
not associated with vomiting and diarrhea and no abnormal
findings on examination..
what investigation( abdominal migraine)..
answer is none

108- question on young girl 12 years old with dysmenorrhea
Has to skip school
ans-------------------mefenamic acid
109- question lady 30yrs with heavy bleeding and passage of
clots
etc ans---------------------------_tranexamic acid

THEME : investigation on palpitations
choose the most appropiate diagnostic test
Options :
A- chest X ray
B-thyroid function
C- ECG
D- 24H ECG
E- ECHO

110- 25 year old develops lassitude,breathlessness,purulent
sputum,palpitations over 24hrs and pulse rate 88.
ECG shows sinus ryhthm.
answer her is chest xray....patient mot likely has
pneumonia. and there was no sputum mcs in the option

111- house wife has a history of weight loss 12months.she
aslo Family members noticed that she loses her temper
easily and has regular pulse rate of 90.ecg show sinus
rhythm.....
Ans: thyroid function test

112- old man with frequent episodes of breathlessness and
chest pain associated with irregular heartbeat.pulse is and
he is in sinus rhythm
ans......24hr amblatory ECG

113- 35yr old woman woken up 5 times in a previous month
with feeling of thumping in the chest.
on sitting up for about two minutes and taking a few deep
breaths and sensation subsides over further minutes,
ECG shows sinus rythm....-----ECHO .

THEME: etiology factor of Peptic ulcer
options
A- H- PYLORI
B- NSAIDS
C- Corticosteroids
D- gastrinoma
E- Barret`s oesophagus
F- achalasia

114- 20 year old with 3month hx of epigastric pain at night
who smokes 20 packs of cigarettes per day answer is -------
-------------H.pylori

115-55yr old with longstanding severe back pain presents
with hemetamesis answer is------------------- NSAIDS

116-woman with rheumatoid athritis who is intolerant to
NSAID present with anaemia and upper abdominal pain...
answer is ------------------------------CORTICOSTERIODS

117-woman with parathyroid hormone and a family history
of peptic ulceration and has epigastric pain not responding
to PPI answer s -----------------------------GASTRINOMA
118-75 yr old man with a 40 yr hx of heartburn and acid
regurgitation presents with a 3month history of increaing
dysphagia for solids
answer is------------------------- BARRETS OESOPHAGUS

119-they gave a history of sarcoidosis and asked of chest
xray findings.......
ans bilateral hilar lymphadenopathy

120-man gone fishing and develops jaundice .......i
put blood and urine culture here i was thinking of Weil
disease...leptosporosis....they have jaundice and it has to do
with pools,sewage,water etc
.i may be wrong but with the options given that was the
closet.

121- a tricky one about a man going to italy 5 months
earlier and now presents with blister on his trunk
options were:
A- varciella zoster
B- lymes,
C- acute pemphigoid.
D- shingles
since they gave a 5months history it ruled out varicella
zoster and the last option i have forgotten now.
what is acute pemphigoid and what it the link with Italy.

122- there was a question on 76 yr old woman who presents
with symptoms of feeling generally unwell,anorexia and
weight loss. and i think she was complaining about sudden
loss of vision.....the appropiate initial test
Options :

A- temporal biopsy
B- ESR ….

ANS; ESR

THEME : diagnosis of childhood disease
Options;
a. croup
b. acute epiglottis
c. bronchiolitis
d. recurrent aspiration
e. cystic fibrosis

123- child with barking cough ---------------------- croup
124- child not thriving with recurrent respt infection ---------
------ cystic fibrosis
125- child drooling saliva, _ -----------------------epiglotittis

a child presents with fever cough and breathless and mother
says this followed a choking event during playing

126- woman with breast cancer with abdominal
pain ,confusion...she wasn`t jaundiced.......
i think the question wanted the cause
ans i chose was hypercalcaemia

127- child with asthma not responding to inhaled B agonist
and ow dose steroid , symptoms are worse during exercise .
Options
A- Steroids
B-Salmeterol
C- Salbutamol
D- comoglycate disodique

ans...CROMOGLYCATE

128- bilateral iliac fossa pain comes with fever and vaginal
discharge.......endocervical swab
Options :
A- high vaginal swab
B- endocervical swab
C- ultrasound

129-CHILD PLAYING WITH TOY AND SUDDENLY has onset of
breathlessnes and wheezing:
answer is---------------------- foreign body

130- patient with previous breast lump and now has another
lump which is firm and mobile....
ANSWER IS Fibroadenoma

THEME : PSYCHIATRY

131- pt jumps from topic to topic ------------------ flights of
idea

132- pt speaks continously none stop --------- pressure
speech

133- pt knows he has a problem ----------------- insight

134- pt says people know what she is thinking -------------
thought broadcasting

135- pt having difficulty sleeping,avoid eye contact ----------
------- low mood

136- pt has unshakable belief about something - ---------
delusion of grandeur

SBA :
137- patient past prostectomy and has heart problem and
depression
i think answer is fluoxetine

THEME : OPHTALMO
138- there was an old woman with drusen.....macular
degeneration
139- there was a Diabetic with exudates.......proliferative
retionapthy
other options were
tobacco amblyopia
non proliferative retinopathy,

THEME:
options :
A- brocas area
B- wernickes area
C- internal capsule etc
cant remember all options sorry
140 - an old man wake up in the morning with slurrig
speech , on examination , nothing special

141-the one where there is aphasia and hemiparalysis,i
think was broca's aphasia.

there was a Psychiatry ques
i just remember the ans
142- agorophobia
143- post traumatic stress disorder
144- social phobia

145- man with jaundice ,ascitis , signs of encephalopathy --
---low protein diet + ATB

146- epididymal cyst( soft swelling at upper pole of testis)
147- epididymorchitis
148- - hydrocele (swelling 3 times larger than the other
testis)

149- patient due for some colon surgery having PE and DVT
i think already on warfarin what to do before surgery
Options :
A- continue warfarin
B- cont warfarin and start heparin
C- stop warfarin and start heparin
D- stop warfarin start aspirin
other 2 options i dont remember

ANS : C STOP WARFARINE AND START HEPARINE

150-old nulliparous lady with bleeding-------------------------
--------------------------------endometrial ca

151- a woman presents after delivery with painful and
tender , red breast
what is the causative organism?
a. staphylococcus aureus
b. streptococcus
c. E.coli
c. staphylococcus albus
ANS : A

152- a woman presents with bilateral iliac fossa pain and
comes with fever and vaginal discharge. What is the initial
investigation?
a. C reactive protein
b. full blood count
c. endocervical swab
d. high vaginal swab

153-a man while working in the garden had an episode of
syncope. By the time the GP reaches the patient about half
an hour later , he is fine. Investigation?

options;-
a. 24 hrs ECG
b. 24hr video ECG monitoring
c. echocardiography
D- CT scan

THEME : scientific basis of disease

Options.
a. hypoglossal nerve
b. trigeminal nerve
c. facial nerve
d. recurrent laryngeal nerve
f. internal capsule
g. cerebellum
h. cerebral cortex
i. broca’s area
j. wernicke’s area

154-. a person got stabbed on the right side of the neck.
Later when asked to protrude the tongue it was deviated to
right.

155-a person was not able to close the eye and some
difficulty with mouth movement

156- a persin with left sided upper and lower limb weakness
and left sided facial weakness.

157- a patient comes after a week after thyroidectomy

complains of difficulty with the speech.

158-a patient gets up in the morning and finds difficulty in
speaking. He has an incoherent speech but comprehension
was normal.

159- a person presents with some raised lesions on the
shin. He comes with cough and on examination hilar
lymphadenopathy is present.
diagnosis?
options;
a. erythema nodosum
b. lupus vulgaris
c. pyoderma gangrenosum
d. malignant melanoma

ANS : A

160- a person presents with painful red eye and blurring of
vision. He has a history of back pain .
diagnosis?
a. episcleritis
b. scleritis
c. iritis
d. conjunctivitis

THEME : Management of electrolyte imbalance

options;
a)fluid restriction
b)insulin only
c)iv glucose 5% / dextrose
d)iv normal saline and hydrocortisone
e)iv normal saline and potassium supplement

g)oral potassium supplement
h)oral potassium chloride
i)refer for immediate renal dialysis
j) IV normal saline and insulin

choose most appropiate management

161-. a young man presents with nausea and
vomitting.investigation show
NA 129
K 5.2
UREA 12
GLUCOSE 4

162. young man with weight loss,thirst and urinary
frequency.
NA 148
K 5.2
UREA 12
GLUCOSE 30

163. 20 yr old man involved in RTA suffers multiple fractures
and crush injuries.4 days later he is anuric with pulmonary
oedema.
NA 150
K 7.7
UREA 60

164-. 50 year man has had admitted for investigation
breathlessness and weight loss.he has been taking a thiazide
diurectic for raised blood pressure for 2 years.His blood
pressure is 150/100.
NA 138
K 2.9
UREA 5.8

165-. an 8 YR OLD boy with gastroenteritis gave a 2 day
hostory of profuse diarrhoea and vomiting.

NA 148
K 2.2
UREA 20[/hide]