Exam (elaborations)
15 June Plab 1 Recall.
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15 June Plab 1 Recall.
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15TH JUNE,2016 PLAB 1 RECALLMy take on the exam is as follows;
Topics are relatively those covered in 1700 file with a bit twist
All lab values were given at the back of the question paper
Be as fast as you can while avoiding simple mistakes
Practise thoroughly the last 3 recalls(you can do more)for example,if you
are preparing for September 2016,do recalls from june 2016,march 2016
and November 2015.
Be very careful with answers/craming answers from recalls as they
occasionally represent the answers of the person compiling rather than the
true questions asked in exam
With regards to this recall(june 2016),the keys are the written in ‘capital
bold’,they are based on our post exam discussion in the PLAB FORUM and
thorough research after the exam,however,kindly disregard any key you
think is wrong
I deliberately left some questions unanswered as i am not sure of the final
answer(i left the closest options in these cases)
Don’t waste time if some of these recalls are vague,it was much clearer in
exam
Finally,i pray that almighty ALLAH make our PLAB journey itch-free. .Aamiyn
1.A patient with spider naevi, ascitis demonstrated by shifting dullness,aspirate
clear with low leukocytes,patient stable clinically,most important drug to give
a.corticosteroid b.azathioprine C.SPIRONOLACTONE
2.A child fell from bicycle and thereafter ceased breathing/seizure/loc,and
regained full consciousness again,mother said this had happened with previous
fall,diagnosis? BENIGN ANOXIC SEIZURE
3.A patient on medication with progressive loss of/deterioration in
vison,which drug is responsible? CORTICOSTEROID
,4.Treatment of mild ulcerative colitis? MESALAZINE
5.Finding of crypt abscess along with inflammation of sigmoid/descending
colon.Diagnosis? ULCERATIVE COLITIS
6.A Scenario of a patient in shock with widened mediastinum/mediastinitis.
Diagnosis? RUPTURED THORACIC AORTA
7.Patient with partial thickness burn with features of inhalational injury/soothe
/burn in airway/mouth,appropriate next step? INTUBATION
8.Woman bleeding per vaginum(painless) currently on cocp,last smear 2yrs
ago was normal , has ectropion not bleeding on touch.,appropriate step?
A.REASSURANCE b.cervical smear c.colposcopy
9. A man screwing something,felt a rupture in cubital fossa with a lump in th
forearm,which tendon is ruptured? BICEPS TENDON RUPTURE
10.A patient with severe unilateral headache(?for 3 days),red eye and runny
nose,had similar presentation last week.Diagnosis?
a.CLUSTER HEADACHE b.acute migraine c.acute sinusitis
11.Elderly man with UTI symptoms later developed confusion,initial
investigation was asked.URINALYSIS
12.Pt with nocturnal enuresis and balanitis,appropriate investigation? FBS
13.A chid with blank stare/seizure,the teacher had noticed this
before.Diagnosis? ABSENCE SEIZURE
14.A scenario of fever,pain and testicular swelling.Diagnosis? ACUTE
EPIDIDYMIS(NB:epididymorchitis was not in the option)
15.A preterm with murmur that disappeared at the time of discharge
from icu.Diagnosis? PDA
16. Risk of cystic fibrosis for sibling from a carrier sister(cant recall how
the question was framed) A.no risk B. 1:2 C.1:4
, 17.A patient with dementia,tremor and visual hallucination. LEWY BODY
DEMENTIA
18.A scenario of DKA,immediate treatment was asked. IVF and INSULIN
19.A patient with left abdominal pain and a single large stone was found
in the biliary duct.what to do? A.lap cholestectomy B.NOTHING
20.Malodorous non itchy discharge with PH >4.5
A. GARDRENELLA B.trichomonas C.chlamydia D.Neisseria
21.Child with seizure for 4 minutes,then recovered completely,initial
investigation? A. Blood glucose B.electrolytes
22.A description of chicken pox,mode of spread was asked?
A.AIR BORNE B. Contact C.blood borne
23.A Woman that smokes,diagnosed with CIN,worried that her aunt died
of ovarian cancer.what is the most important risk factor for ovarian ca in
her. A.Smoking B.FAMILY HISTORY C.CIN
24.2 week old bay with cyanosis,70% oxygen saturation, likely cause
A.TOF B.ASD C.VSD D.PDA
25.A case of metastatic bone fracture/osteoporotic fracture(not so sure
how the question was framed ) appropriate investigation? BONE
SCAN/DEXA SCAN( not sure if dexa scan was given)
26.A patient with liver pathology/ascitis had nausea and
vomiting(symptoms of hypercalcemia to me),values were given for
calcium(was high) and albumin(cant remember if high or low).what will
be given to treat the patient symptom?
A .IVF B.Albumin
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