A woman is admitted to the hosp for elective abdominal hysterectomy. 2m ago she was dx with
DVT and pulmonary embolism and was started on warfarin. What is the most appropriate preop
measure you will take on this occasion?
a. Continue warfarin
b. Stop warfarin
c. Stop warfarin and start heparin
d. Increase warfarin dose
e. Add heparin
A 4 year old boy is brought by his parents with complains of wetting the bed at night and whenever he gets excited. What would be the most appropriate management for this child?
a. desmopressin
b. oxybutanin
c. behavioural therapy
d. tamsulosin
e. restrict fluid intake
A man has a BP of 160/90mmHg, proteinuria++. KUB US are equally reduced in size with smooth
borders and normal pelvic calyceal system. What is the cause of HTN in the pt?
a. Chronic glomerulonephritis
b. Chronic pyelonephritis
c. Bilateral renal artery stenosis
d. Essential HTN
e. Polycystic kidney
A 32yo man on psychiatric meds presents with coarse tremors and diarrhea. What is the most likely alt to the drug causing the prb?
a. Lithium
b. Diazepam
c. Haloperidol
d. Valproate
e. Citalopram
A 20yo student came to the OPD with complains of headache, malaise, dry cough, joint pain and vomiting. Exam: temp=39C. CXR: patchy consolidation. What is the single most likely causative organism?
a. Pneumococcal pneumonia
b. Mycoplasma
c. Klebsiella
d. Streptococcus
e. PCP
A 38 year old woman requires long term contraception. She has 3 healthy children and does not wish to have any more children in the near future. Upon examination she is found to have extensive fibroids which are distorting her uterine cavity. She says she has difficulty in remembering to take pills. What is the SINGLE best contraception for her?
Plab Lab Values
A.
Implanon (Nexplanon®)
B.
Depo-Provera
C.
Intra-Uterine System (Mirena®)
D.
Combined oral contraceptive pills (COCP)
E.
Progestin-Only pill
A 26yo man presents to ED with increasing SOB on left side and chest pain. He has been a heavy
smoker for the past 4 years. He doesn’t have any past med hx. What is the likely dx?
a. Pulmonary embolism
b. MI
c. Asthma
d. Pleural effusion
e. Pneumothorax
Patient with puffiness of face and rash showing cotton wool spots on fundoscopy. What is the
single most likely diagnosis?
A. Macular Degeneration
B. Hypertensive retinopathy
C. Diabetic background
D. Proliferative Diabetic retinopathy
E. Systemic Lupus Erythematosus (SLE)
A lady with depression has a bag full of meds.Now presents with coarse tremors.Drug?
A lithium
B thyroxine
C sodium valproate
D amitryptyline
6 wk child presents with progressive cyanosis poor feeding tachypnea over first 2 weeks of life and holosystolic murmur.Diagnosis
A ASD
B VSD
C TRICUSPID ATRESIA
D PDA
E TOF
A 16yo boy came home from boarding school with a cough. His CXR showed bilateral
consolidations. What is the most likely organism which would have caused his symptoms?
a. Legionella pneumophilia
b. Mycoplasma pneumonia
c. Mycobacterium TB
d. Pneumocystis jiroveci
e. Pseudomonas aeruginosa
A young man returns to his hostel and gets headache and lethargy. Now presents with fever.
There are crepitations on the auscultation of lung. What is the most likely organism which would
have caused his symptoms?
a. Legionella pneumonia
b. Mycoplasma
c. Staphylococcus
d. Streptococcus
A woman with sickle cell disease complains of heavy menstrual blood loss. What is the most appropriate treatment for her?
A. Cocp
B. Mirena
C. Depot provera
D. Copper T insertion
E. Transdermal patch
A 30 year old woman presents with intermittent breast pain. On examination a tender smooth
mobile lump measuring approximately 4cm by 3cm is found, which is not attached or fixed to deep
tissues. What is the best method for diagnosis?
A. Mammogram
B. Ultrasound
C. CT scan
D. Fine Needle Aspiration
E. Core Biopsy