September 2001 PLAB Part 1 Exam Paper

Theme-Mx Ophthalmology-1

A. Eye washing
B. Intra-ocular pressure
C. Fluorescence stain
D. Eye secretion swap culture
E. Dactrocyst drainage
F. X ray of orbit
1-- Blefarospasm, photophobia when a gardener trimming
2-- A pt p/w metal pieces to his eyes
3-- Headache, reduced vision in one eye, vomiting dilated pupil

Theme-Mx Ophthalmology-2

A. Do nothing
B. Steroids
C. Laser photocoagulation
D. Pilocarpine
E. Lens transplantation
F. Eye surgery
4-- HT sudden visual reduction, red optic disc
5-- An elderly 80 yr old has some black spots on macula and vision reduction
6-- Vision reduction, ESR is high and elderly

Theme- LOC

A. Diffuse brain damage
B. Cerebral haematoma
C. Extradural haematoma
D. Subdural haematoma
E. Temporal linear fracture
F. Subarachnoid haematoma
G. Epilepsy
H. Depression
7 Motorist with cascate has an accident—no localization sign, bilateral plantar reflex up going
8 Rugby player has had a blow to his head,. And lost his consciousness then he was fine. And in the house his wife found him unconsciousness
9 An elderly person, falling several times in last few weeks—he is well now
10 47 yrs old man p/w suddenly starting severe headache, neck stiffness, loss of consciousness
11 a pt p/w incontinence and drowsiness after some contractions


Theme- Poison Management

A- Carbon-monoxide
B- Warfarin
C- Heparin
D- Ethyl alcohol
E- Quinine
F- Paracetamol
G- Carbamazepine
H-
I-
J-

16- Condition in which pt was found his nasal involvement and nasal hairs sighing
17- Condition in which Vitamin-k is given to improve pt.
18- A 7 year old boy accidentally swallowed some unknown white tablets and now complaining of right hypochondrial pain after 12 hrs.
19- The side effect is urinary retention, heart block and ………………………………




Theme- Drugs

A. Opioid overdose
B. Opioid withdrawal
C. Triclics intox
D.
E.
F.
G.

24-- A pt-agitated, dilated pupils tremor. She demand her tablets which are not prescribed recently
25-- A pt. p/w resp. rate: 6/min, drowsy, small pupil, non-reactant to light


Theme- GIS

A. Chest x ray
B. Abd us
C. Amylase level
D. Brain ct
E. Barium enema
F. Laparotomy
G. Stool culture
H. Blood culture
I. Bulk laxatives
J. Stimulant laxatives
K. Colonoscopy
L. Sigmoidoscopy
26-- Pt with severe epigastrium pain & tenderness. Hypotension resuscitation in progress
27-- After a cholecystectomy operation, a pt with hypotension, severe epigastrium pain radiating to back
28-- After an abdominal surgery, a pt. p/w subfebrile, distension, tenderness, and constipation, o/e no bowel sound
29-- A pt comes with diarrhea and abdominal pain following a meal.
30-- A middle age man after morphine abuse presented with constipation


Theme-

A. Candidiasis
B. Ebstain-barr virus
C. Diffuse esophageal spasm
D. Achalasia
E. Esophageal. Ca
F. Pharyngeal pouch
G. Barrett’s Oesophagitis
31-- An HIV+ p/w pain on swallowing & some lesion in the mouth. The underlying tissue is red when the lesion is taken off
32-- A pt comes with dysphagia for solids for 5 yrs and now p/w regurgitation when he eats, it relieves a few hrs after meal
33- 65 yrs old male p/w weight loss, difficulty in swallowing solid
34- A pt p/w intermittent dysphagia for both solids and liquids and chest pain. no weight loss
35- A patient with difficulty in swallowing, filling defect,
36- A pt with regurgitation’s symptoms, associated with CA

Theme-

A. Chronic. Pancreatitis
B. Acute Pancreatitis
C. Duodenal ulcer
D. Gastric ulcer
E. Gallstones
F.
G.
H.
I.

37- A pt. with ALT and gamma GT are high and jaundice is found
38- A pt with gastric disturbances, relieved by eating
39--A pt has got some complaints just after eating something
40--Cause recurrent infections, colic pains(?)



Theme- Scrotal Mass

A. Acute epididymo-orchitis
B. Chronic epididymo-orchitis
C. Hydrocele
D. Varicocoele
E. Teratoma
F. Seminoma
G. Testis torsion
H. Lymphoma
I. TB
J.

41-- A pt with swelling in testis, 13 cm on US, removed surgically, histologically cystic, smooth linear epithelium
42-- A pt p/w severe testicular pain after massive exercise, operated, testis colour was is blue
43-- A pt p/w testicular pain and fever 2 wks after URTI, mass is separated from testis
44-- A 23 yr old patient p/w scrotal mass, operated, and Septal structure and some surely malignant cells are found
45-- A pt with scrotal mass, which is separated from testis, operated and histologically caseiting granuloma is found


Theme- Metabolism and Endocrine

A. Familial hypercholesterolemia IIA
B. Familial hypertrigliseridemia
C. Obesity
D. Diabetes
E. Alcoholism
F.
G.

46-- 13 yrs old female ____ high cholesterol level (11.2), tendon xanthoma is found
47-- A child 7 yrs old with high level (7.1) triglyseridaemia
48-- A pt (45 yr old) with both cholesterol (7.1) and triglyseride (3.1)-high




Theme-

A. Prolactin level
B. Skull x ray
C. Statin
D. Fish oil
E. Insulin
F. Calcium level
G. Carbimazole
H. Propranolol
I.
J.

49-- A pt. p/w diplopia, weight gain, libido decreasing
50-- A pt p/w angina, in blood test hypercholesterolemia is found..
51-- After thyroid surgery, a pt p/w numbness, peri-oral paraesthesia
52-- A pregnant woman p/w tachycardia, tremor, itching, sweating


Theme-Investigation GYN

A. Trans-vaginal us
B. Cervical os exam
C. Laparotomy
D. Colposcopic examination
E. Abdominal us
F. Lupus factor
G. Fibroid studying
H.
67- A lady doesn’t have menstruation for 7 wks, p/w vaginal bleeding, cervical os is closed
68-- A pregnant p/w bleeding, USG done by GP revels fetus is normal
69 - A pt with severe right lower abd. pain, pregnancy test(+), but no fetus in uterus
70-- A lady had DVT and 3 times miscarriage at 12, 14 and 13 wks and some fibroid tissue or uterus tenderness
71-- A woman p/w termination at 14 wks and at the moment, at 20 wks, there is miscarriage
72-- 2 wks after delivery, there is still bleeding and uterus tenderness

Theme-

A. Polycystic renal
B. UTI
C. Renal colic
D. Renal stones
E. Renal clear cell ca
F. Bladder ca
G. PAN
H. -IgA nephropathy
I. Post-streptococcal glomerulonephritis
86-- A lady with painless haematuria, HT. Her both uncle and mother died from renal problems
87-- A pt with HT and skin nodules—PAN
88-- A pt with renal involvement and haematuria after a viral infection
89-- A pt. with haematuria and proteinuria, 2-weeks after URTI
90- An elderly person p/w weight loss, haematuria, anaemia and a mass on abdominal palpation
91-- A smoker for long years, weight loss- associated with?


Theme-

A. ACE inhibitor
B. Decrease insulin dose
C. Increase insulin dose
D. Thiazide
E. B-blockers
F. Frusemide
G.

92-- A pt with transplanted kidney- cret: 700
93-- A pt with renal disease (creat: 700) DM, and HT (?)
94-- A pt with a transplanted kidney p/w creatinine: 700
95-- A pt. with renal disease (creatinine: 700) p/w legs oedema, proteinuria


Theme- Lung Management

A- Pleural biopsy
B- V/Q scan
C- Chest x ray
D- Echocardiography
E- Medianoscopy
F- Bronchoscopy
G- Sputum culture
H- Sputum EZN


96-- A man who has been worked as boil…(?) for 20 yrs p/w dyspnoea and pleurisy –most descriptive investigation?
97-- A pt 40 yr smoker, weight loss, fullness in his chest
98-- Pakistani man comes with cough, weight loss, sweating
99-- After an abdominal surgery, dyspnea, chest pain


Theme- diagnosis

A. Sarcoidosis
B. COPD
C. Allergic asthma
D.

100 wheezing, PaO2 is low, Pa CO2 is high

101 Bilateral hilar opacities, ACE is high – diagnosis?


Theme-

A. Analgesia
B. Chest drain
C. Chest bandage
D. Do nothing
E.
F.
G.
H.

101 A pt with last 2 ribs are fractured but there is no dyspnea or pneumothorax
102 A pt. after trauma p/w transverse fracture on sternum no other signs or vital sings
103 Apical pneumothorax on x ray, dyspnoea but otherwise normal





Theme- Breast CA

A. Hypercalcaemia
B. Metastasis
C. Cord compression
D. Femur head fracture
E. DM
F. Lymphedema
G.
H.
I.
J.

104-Pt with breast ca-p/w thirsty, polyuria, polydipsia, tiredness—
105-After breast surgery for CA, arm swelling (maybe legs too)
106-After breast surgery for CA, headache, dysphasia diplopia
107-A pt with breast CA p/w back pain, leg pain, sphincter disturbances


Theme- Non-accidental Injury

A. Accidental trauma
B. Normal sign
C. Sexual abuse
D. Physical abuse
E. Neglect
F. ITP

108-A newborn baby with some black spots on the buttock, whose parents- one is white man and the other black women
109-8 yrs old girl, recently started horse- riding course p/w bleeding in urination and dysuria but urine investigation is normal, pre-pubertal exam is normal, abdominal exam is normal
110-A child with poor hygienic conditions and earwax
111-A child with some bruises on the hands after her parents hold, epistaxis


Theme- Anatomical Sites of Neck Lumps

A. Cervical rib
B. Thyroglossal cyst
C. Bronchial cyst
D. Lymph node
E. Thyroid gland
F. Subclavian aneurysm

112-Posterior part of the neck, full-filling image
113-Between hyoid and … structure
114-In front of sternocleidomastoid muscle, placed deeply
115-At the base of anterior triangle pulsatile mass


Theme- Burns

A. IV line
B. Nasopharyngeal airway
C. Oropharyngeal airway
D. Endotracheal intubation

116-10% burns of a child’s body and dehydration
117-Burns of nose and face, breathing difficulty


Theme- Developmental Steps

A. One week
B. 2 Weeks
C. 6 Weeks
D. 3 Months
E. 6 Months
F. 9 Months
G. 1 yr
H. 2 yr
I. 3 yr
J. 4 yr

118-Copies circle, can say 4 words,
119-Smiles responsively, head lags
120-Can walk 4 steps upstairs
121-Holds head up at 45° when prone, vocalize


Theme- Anatomic Localization of MS

A. Optic disc
B. Optic nerve
C. Optic radiation
D. Cerebellum

122-A pt with MS p/w blurred vision, optic disc pale

123-A pt with MS p/w intension tremor, ataxia


Theme- Immunization

A. Hep A immunization
B. Hep B immunoglobuin
C. Hep B vaccine
D. Leptospirosis
E. Leishmaniasis

124-Sea shell products
125-Sewage workers-immunization
126-Swimmers
127-Health stuff who are related with blood products-immunization
128-It is done to prevent esp. Hepatic CA


Theme- Ear

A. Ear wax
B. Varicella zoster
C. Trigeminal nevralgia
D. Temporal petrosal fracture
129-A pt. had a blow to his head during a fight p/w hearing loss
130-A pt. With poor hygienic condition p/w hearing loss
131-Pain on one side of face, and blisters in the ear

Theme- Rheumatology

A. Transient synovitis
B. Septic arthritis
C. Slipped femoral epiphysis
D. JRA
E. Felty’s syndrome
F. Gout
G. Myeloma
132-A pt with all movements are restricted, he is better now and there isn’t any complaints
133-A child, hip abduction is limited
134-A child with fever and all movement are restricted
135-RF (-), fever & swollen fingers
136-RA with infections and splenomegaly, Hepatomegaly
137-A pt post-op, serum uric acid increase, first metacarpal pain
138-A pt with backache, ESR is high

Theme- Anaemia

A. Chronic blood loss
B. RA
C. Pernicious anaemia
D. Haemolysis
E. B-thalassemia
F. Alcoholism
G. Sickle cell anaemia
139-MCV:85 Hb :9.1 ret:<1% ESR is high
140-Ret:9%, MCV:82 Hb:7.5
141-Ret:1%, MCV:85 Hb:7.2
142-MCV:106, ret:<1%, Hb:9.2 smear: target cells
143-A black child, MCV:72, Hgb:8.6,ret:6

Theme- NOSE BLEEDING

A. Anterior pack
B. Posterior pack
C. Anterior pack and posterior pack
D. Electrocother
E. Surgery
F.
144-There is just blood clotting in the nostrils bleeding has stopped
145-A pt with nose bleeding, on exam vascular damage is found, there is still some leakage

Theme- Another

A. Central venous line
B. Intraosseos fluid injection
C. Fresh frozen plasma
D.
E.
146-A pt on anticoagulant , INR is high p/w deep anaemia or bleeding
147-13 yr old girl with severe dehydration—despite every effort no success for iv line— central venous line
148-2 yr old girl with severe dehydration—despite every effort no success for iv line


Theme- OTHERS

A.
B.
C.
D.
E.
F.
G.
149-Headache, papilloedema—CT of the brain
150-A known diabetic young person p/w perspiration, fell down from the sofa(or exercise) —hypoglycemia
151-Calf tenderness, mild fever, swelling—heparin
152-Papilloedema, nausea, vomiting—mannitol
153-One question on stroke( the answer was stroke)


September 2001 PLAB Part 1 Exam Answers
[hide]1.c
2.f
3.b
4.c
5.a
6.b
7.a
8.d
9.d
10.f
11.g
16. CO
17. Warfarin
18. Paracetamol
19. Quinine
24-b
25-a
26-e
27-c
28-b agree with parileus why not do usg
29-f
30-i
31-a
32-d
33-e
34-c
35-e
36-g
37- Alch. hepatitis
38- Duodenal ulcer
39- Gastric ulcer
40- Gall stones
41- Hydrocoele
42- Torsion
43- Acute epidi
44- Teratoma
45- tb
46- Familial hyperchole 11a
47- Familial hypertrigly
48- Combined fam. hyperlipeidemia
49- Prolactin levels
50- Statin
51- Cal levels
52- Propanalol
67-e
68-b
69-e
70-g
71-f
72-a
86-polycystic
87-PAN
88-IgA nephropathy
89-post streptococcal


90-renal cell ca
91-bladder- smoking more ass with bladder
92/94 i feel incomplete questions , if transplanted kidney i would put them on
immunosuprssion with cyclosporine
93-ace inh
95-?frusemide
96- a
97- f
98- c.do cxr first to look for details of tb lesions and later go in forputum ezn as it may take some time to get the results..
99- b
100- b was looking as copd for me as high co2
101- a
101- a
102- c
103- b
104- a
105- f
106- b
107- c
108- Normal
109- Accidental trauma
110- Neglect
111- ITP -the girl has epistaxis and bruises..significant of petechiae.. like the torniquet test,while hold the arm.
112- ? Branchial cyst
113- Answer throglossal cyst...question incomplete
114- Lymph node
115- Subclavian aneuyrsm
116- iv line
117- Endotracheal intubation

118,h
119,c
120,i
121,d
122,c
123,d
124,?f.hepatica\p.westremani?????
125,d
126,d
127,c
128,c

Answers by other sites



1.A A C C C
2.F F F F F
3.B B B B B
4.C C C C A
5.A A A A
6.E B E B B
7.A A
8.D C C
9.D D
10.F F F
11.G G G
12.B
13.D
14.F
15.J E
16.A A
17.F F
18.E D
19.C
20.C C
21.F
22.F A A A
23.H H
24.B B B
25.A A A
26.E E E
27.C C C
28.B
29.F F
30.I I H
31.A A A A
32.D D F
33.E E E E
34.C C D C
35.E E E
36.G G G G
37.A
38.C C C
39.D D D
40.A E E
41.C C C
42.G G G
43.A A
44.E E E
45.I I I
46.A A A
47.B B B
48.C C
49.A B A A B A
50.H C C C
51.F F F
52.G H H H G
53.A A
54.B
55.C
56.K J
57.
58.L L
59.J I
60.A A
61.D B
62.A A
63.E
64.
65.
66.
67.E A A E E
68.E D D B B
69.E C E E
70.F F F G G
71.B B F F
72.C G E A A
73.A A
74.D
75.A A A
76.B B B
77.E D A
78.C C C
79.D D C D
80.E E E
81.F F
82.A A A A A
83.C C D C C
84.D D E D D
85.H H H H H
86.A A A
87.G G G
88.H H H
89.I I I
90.E E
91.E F
92.F
93.A
94.
95.F
96.A A
97.C F F
98.H C H
99.B B B
100.C B B
101.A A A second101 A A
102.C A
103.B B B
104.A A A
105.F F
106.B B B
107.C C C
108.B B
109.A
110.E E E
111.D F F
112.D
113.B
114.D D C
115.F F F
116.A A A
117.C D D
118.H
119.C
120.I
121.D
122.B
123.D
124.A
125.D
126.E
127.C
128.C
129.D D
130.A A A
131.B B
132.A A A
133.C C C
134.B B B
135.D D D
136.E E E
137.F F F
138.G G G
139.B B B
140.D D E
141.A A A
142.F E F C
143.G G G
144.A A
145.D D
146.C C
147.A or b? (pt is 13yr old) --- as far 147 # its Central lins as the girl is 13 yrs old 148.B B
149.Ct of brain
150.Hypoglycemia hypoglycemia
151.Heparin heparin
152.Mannitol mannitol[/hide]