Plab 2023 recalls ( not in order)
(1)- sick patient hupoglycemia , now recovered ,
on long acting insulin and metformin
High Hba1 c
A- vrii
B- insulin with dext , pottasium
C- reduce dose
(2) post implant female trying to concieve
6 months (with regular mentruation). Advice !
a- keep doing regular sex
B- it takes time to return fertility
(3)- retinitis pigmentosa
The refrral ques
(4)- retinitis pigmentosa the diagnosis aues
(5)MND - peg tube
(6) glicazide stoppage due to hypoglycemia
(7)FBC ques preoperative
(8) fbc preoperative
(9) a neck lymph node
a - fnac
b - excision biopsy
(10) gastrectomy
a - hematinics
(11) prostate ca bony mets - burning pain.
A- pregaba
B - morphine
C - pcm
D- nsaids
(12) burning neuropathic pain.
Duloxetine
(13) skin condition . Picture was given
Patient was on nsaid
Developed bullae allover body with
desquamation
1- basement menbrane antibody
2- skin biopsy
?
(14) pityrasis rosea
(15) molluscum picture
(16) eczema herpeticum
Acyclovir
(17) cocaine ( high bp, tachy )
(18) post smoking dose adjustment
(19) pea in ear - refrral
(20) hydronephrosis ,retension, obstructive
uropathy - ca prostate
(21). Progressive retention - BPH
(22) mania - stop sertaline
(23) bronchopleural fistula
(24) 175. A lady who had surgical TOP 2 hours
ago developed stuck neck and facial stiffness
40 minutes ago. Following anaesthesia she had
nausea and vomiting for which she was given
meto, cyclizine and ondansetron an hour ago.
What is the most appropriate medication to give
A. Baclofen
B. Botulinum toxin
C. Diazepam
D.
E. Procyclidine
(25) one more procyclidine ques
(26) reduce noice - glycopyrollium
(27) stridor , croup - iv hcort
(28) zenkors - gurgling sound
(29) post radio - VUF
(30) tall tented waves - calcium gluconate
(31) Af irregular ecg - betablocker
(32) cerebellar lesion - nystagmus , ataxia and
vertigo
(33) epidural - headache
(34) odds ratio- ad/bc
(35) seizure phenytoin dose calculation - 32
(36) iliofasciaca block for analgesia
(37) child with ALL symptoms - bone marrow
biopsy
(38) tumor lysis syndrome - serum urate levels
(39) scarlet fever - sore throat , fever , red
toungue
(40) ace to arb change due to cough- valsartan
ques
(41) ?60 year old man presented with jaundice,
weight loss, 3 weeks of skin itching. No
abdominal pain. He is well and does not drink
alcohol.
Lab values: bilirubin
Alkaline phosphatase and other liver enzymes.
What is the investigation to diagnose the
condition.
A. ERCP
B. Abdominal USS
C. PET scan
D. CT scan of the abdomen, chest and the
pelvis
(42) Child adter RTA with amnesia loc and 4 epi
vomiting. - urgent ct
(43) Femoral hernia- swelling below inguinal
ligament
(44) cervical spine immoblization after a fall
(45) alcoholic , hallucination - chlordiazepoxide
(46) alcohol withdrawl post surgery
(47)parkingsons - iv lorazepam
(48)perforated tympanic membrane - review 6
weeks
(49) DAT scan
(50) UTI in female - nitrofurantoin
(51)fishy odour , discharge - metronidazole
(52) day time sleepiness ( hypoapnea / apnea -
25) stop car / lorry inform dvla
(53) Question about autosomal recessive dx.
Husband is heterozygous and wife
homozygous. Percentage of child being
affected
1 in 2
1 in 4
1 in 1
0
(54)alports -0 %
(55) 4 y old with reoccurring uti - usg only
(56)white patches / dysphagia - oral fluconazole
(57)acute dysphagia episode / drooling food-
endoscopy ( gastro duodeno)
(58)stress incontinence - diagnosis
(59) stress incontinence - management - pelvic
floor excersize
(60)MCA / ICA ques ?
(61) pacemaker ques - with hypotension
- Complete heart block - ans ?
(62) membranous glomerulonephritis
(63) hypertensive retinopathy
(64)preeclampsia diagnosis
(65)minimal change disease - prednisilone
(66)asthma - LTRa
(67) 11 mm stone with mild hydronephrosis -
pcn ( refer CT 3602)
(68)pain abdomen and vomitting , confused -
hypercalcemia
(69)brain mets vomitting nausea -
dexamethasone
(70) palliative care - nausea / vomitting - iv
cyclizine
(71)baby with diarrhea fever , dry mucosa - iv
fluids
(72) iv fluid rehydration choice - 0.9 NS with
5% dextrose
(73)4 hour after renal transplant -
hemofilteration
(74)HBa1c 66- newly diagnosed diabetes -
metformin
(75)crush injury - Myoglobin
(76)statin should be stopped before
clarithromycin
(77)lithium - codiene
(78)pneumonia - medical death certificate
(79)vascular dementia- stepwise cognitive loss
(80) dementia with postural hypotension-
LBD ?
(81) alzeihmers dementia
(82) pip and mcp - flexor superficialis
(83)missed pill - take the pill . Safe sex for 48
hour
(84) gastronemius - calf squeeze test
(85) steroids for RA - synovial thickening with
pain increased crp
(86)recurrent laryngeal nerve - hoarseness
(87) cough not relieved by antibiotics . Chest
exam normla
A- xray
B- ct
C- sputum culture
(88)PTSD after war - CBT
(89)life threatening- normal paco2
(90)scrotal tenderness - 3 hour history - urgent
refral
(91)divorce and suicide
(92)sudan - malaria
(93)alzeihmer with lbbb - memantine
(94) elderly patient repeated fall - flushed
A - echo
B - ecg
C - abpm
(95)78 year old female splenomegaly
- CLL ?
(96) promyelocytes in marrow , 50 year old -
AMl ??!!
(97)chest pain , absent pulse in left hand ,
patient on oxygent
A - tee
B - ct with contrast
(98) CML- large spleen 50 y
(99)alcoholic drowsy - iv glucose 75 ml
(100)return from US , B symptoms - Lymphoma
(101)CMV complication - microcephaly , low
birth weight , cataract , hearing loss
(102)ca pancreas- weight loss plus juandice
(103) young female breast lump - USg
(104) vaginal atrophy - vaginal oestrogen tablet
(105)galactorrhea - prolactin
(106)creamy breast discharge - ductal fistula /
duct ectasia
(107)ca breast on tamoxifen pain on morphine -
radiotherapy
(108)features of hypothyroidism - thyroid
function test
(110) subclinal hupothyroidism with isolated
HDl increment - repeat sample in 6 months
(111)red eye , lesion on face - HZV
(112)joint pain - butterfly lesion ( around nose
was mentioned )- antidsdna
(113)pcos - fsh/ lh high , shbg high ,
testosterone high , high bmi , moody
(114)sarcoid ques
(115)AOM
(116)secondary pnueumo (50%) - chest drain
(117)ADPKD (36) - usg abd
(118) post surgery fever ( hemicolectomy ) abd
pain - ct abd - absess
(119)PE - abg alkalosis post op patient
(120)Woman who had pap smear and was
tested positive for HPV , young female , next
mgt?
Cryotherapy
Repeat pap smear next year
Colposcopy
Trace contact
Invite for vaccination
(121)chicken pox in female
Check antibody
(122)neuralgic pain- anticonvulsant
(123)lmwh bridging for warfarin
(124)apla - aspirin plus heparin
(125) A 45 yr old man is getting a chest drain
inserted in his right 4th intercostal space, mid
axillary lime.
Which of these structures could get damaged?
A. Azygos vein
B. Intercostal Artery
C. Diaphragm
D. Internal thoracic Artery
E. Liver
(126)A man presents with chest pain which
happened 8hrs ago
ECG normal with normal rate and QRS
Creatinine kinase - elevated.
Troponin <0.01ng/ML
What is appropriate management
A. Give aspirin and fondaparinaux
B. Admit for 12hr troponin.
C. Discharge to cardiology
D . LMWH
E. Altepase
(127)15 year old presented requesting for
contraception. She currently uses condom with
her 23 year old bf. What’s the next step in mgt?
A. Inform Police
B. Inform safeguarding
C. Decline request
D. Inform parents
(128)
154; 35 years old woman went for routine
medical check-up. No complain. Urinalysis
shows protein +1.
What to do next?
A: Referral to renal clinic
B: Renal USS
C: repeat Urinalysis
(129) Elderly woman with mild cognitive
impairment and something, a nurse wanted to
involve her in a research and she agreed but
daughter declined
1. Assess her mental capacity to accept
2. Uphold daughter's wishes
3. Ignore daughter and go ahead
4. Send her to psychiatry for them to assess
capacity
(130) pathophysio of coleiac -atrophy
(131) 55 year old woman being managed for
moderate depression . She was given 40mg of
Citalopram and taken for 3 months with no
improvement and it was stopped. What is the
next appropriate management
1. Amitryptilline
2. Electroconvulsive therapy
3. Mirtazapine
4. Quietiapine
5. Can't remember
(132) woman, 4 weeks postpartum, light vaginal
bleeding.
Vitals stable. Uterus involution,non tender.
Action?
A. High vaginal swab(correct - it takes months
for mentruation normally)
B. Cervical smear
C.transvaginal scan
D reassure.
(133) A 6 years old boy with decreased school
pefrormace. Parent worried and visit the GP.
Complaining about a change is his behaviour as
he doesn't socialize as he used to and a decline
in his academics, inappropriate
behaviour ..What's the most appropriate mgt.
A) MRI brain
B) Psychiatric referral(correct)
C) Referral to Educational Psychologist
(134)A 45 year old woman, who has been
staying indoors and avoiding social places. She
has missed word since the past week.
What's the most appropriate mgt.
A) Brain Imaging
B) ECT
C) Graded Cognitive Based Therapy.(correct)✅
(135)
2 groups of women studied from 2017, one grp
treated with unit A, the other group treated by
unit D
Then by 2020 they were checked for recurrence
Type of study design
Randonmized control ✅
Prospective cohort
Case control
Retrospective cohor
(136)lithium - tremors - propanalol
(137)dexa for IVC syndrome
(138) A pregnant woman with reduced fetal
movements, on CtG showing 1min deceleration,
appropriate next step
1.Change position to left lateral✅
2. C/S
Can’t remember more
(139) 67 ur old htn and DM2 on ramipril and
metformin with tiredness back pain and
confusion
Hb low- 96?
Corrected CS -3.05
Na normal (-1 from upper limit)
Potassium- normal (-1 from upper limit)
Urea mildly elevated + 5 from upper limit
Crea- +10 from upper limit
A. Refer for blood iron studies test
B. Refer for PTH test✅
C. Stop Ramipril
D. Stop Metformin
E. Urgent admission at A&E
(140)Man with sever depression on ECT which
showed improvement but not in remission, after
6 sessions, man refuses more sessions but his
daughter wants him to have more. Psychologist
said he’s has capacity.
A. Advice on alternative medication ✅
B. Advocate/ legal team
C. Compulsory admission with ECT
D. Discharge and stop treatment due to LAMA
E. Listen to daughter
(141) transfuse prbc and perform femur fixation
(142)absence seizure - Eeg
(143)hepatitis serology
(144)HLAb27
(145)neurleptic malignant - AD
(146) x linked dominant pedigree
(147) cystic fibrosis pedigree - 1:4
(148) Autism spectrum
(149)A 48 year old homeless man presented
with history of fever, weight loss and cough of 3
months duration. X ray showed opacities at the
apical region. Where is the best place to admit
this patient?
A. Negative pressure side ward
B. Positive pressure side ward
C. An open bay in the ward
D. A room by the side of the ward
E. An open bay in the ??
(150)
Question about autosomal recessive dx.
Husband is heterozygous and wife
homozygous. Percentage of child being
affected
1 in 2
1 in 4
1 in 1
(151)perianal abscess
(152)
5months with chest recession
Wheeze, instead gained weight..
Bronchiolitis
Cystic fibrosis
(153)laparoscopic dye - endometriosis
(154) hypopitutarism
(155)post pitutary surgery - central insipidus
(156)NNT - 10
(157)60 mg s/c morphine
(158) temporal bone fracture
(159)confront colleague for alcohol
(160)musical ear - hearing test
(161)alcohol first investigation - blood
glucose
(162) Ques about a women being investigated
for financial irregularities at work and feel
anxious,eat less lost weight ,something going to
happen.all these going on for 3 months.mostly
likely dx?
A.acute stress disorder✅
B.generalized anxiety disorder
C.panic disorde
(163)
