Plab 1: some more questions

[guest2011]

1.there was question on stab injury chest-ans hemopneumothorax
2.investigation for fibroadenoma-ans fnac
3.ca breast treated now presents with bony changes-options were bone scan, ct chest ,etc ans-?
4.insect in the ear-ans alchohol instillation
5.swelling near the nose increasing in size gradually-ans malig melanoma or basal cell ca
6.a question on eclampsia on maintenance dose of mgso4-ans ? give bolus dose of mgso4
7.murmur in a new born radiating to axilla - ans ?
8.acute epiglotitis investigation- ans xray neck
9.bag of worms-ans usg
10.one ent emq with question on glue ear otosclerosis
11.one ophthal theme-had 2 answers for central retinal artery occlusion(one person having myopia and other one having painless loss of vision with pale retina) and one answer was cent ret vein occlusion ( a hypertensive patient with reddish fundus ) and other answer was retinal detachment as red reflex lost
12.uti in a child-ans supra pubic aspiration of urine
13.one theme on rta with pronation of hand -ans as brachial plexus injury
14.swellings in vulva-condyloma parvo virus
15.lymphatic drainage of vulva-? ans
16.treatment of trichomoniasis-ans metro
17.theme on infection in aids:
oral ulcers with rashes in face-? candidiasis
pneumonia- p.carinni
painful swallowing with ulceration of oesophagus-? salmonella
18.multiple glands in neck whts the investigation-ans ? biopsy
19.piercing structure in midline lap -? linea alba
20.piercing structure in drain tube in middle of mid axillary line and midline- ans ? lat or med rectus
21.bleeding 1 wk later tonsilectomy immediate first line traetment- ans packing with cotton
22.iucd not seen - ans x ray abdomen and pelvis
23.some question on humerus # nerve injured - ans ? radial nerve
24.epistaxis in child- ans pinch soft part of nose
25.celiac disease-ans jejunal biopsy

[guest2011]

which structures r injured while passing a chest drain in 4 ICS in midclavicular line:
a)intercostal artery
b)ICS artery
C)ICS nerve

56 yr male COPD.His symp. r deterioating despite maximal inhaled therapy.what is da most useful intervention for this pt.
a)oral steroids
b)injectible steroids
c)oral theophyline
d)oxygen
e)doxapram

wtat is da most appropriate investigation for branchial cyst:
a)usg
b)aspiratio with cytology
c)FNAC

what is da most appropriate investigation for pyloric stenosis:
a)abd. Xray
b)ba meal
c)endoscopy
d)serum electrolytes

a boy brought to A&E,vomitting n unwell for few days.his pulse is 100 bpm and is confued n his ABGS r as folows:
pH:7.25
PaCo2:3.2 kpa
paO2:20 kpa
Base excess:15
what is da correct interpretation of above ABGS
a)met acidosis
b)met. alkalosis
c)resp. disorder
d)resp. alkalosis

[guest2011]

32 yr.female wid routhine cervical smear done shows inflammatory changes.her last cervical smear was normal.what is the next step:

a)repeat smear after 6 months
b)repeat after 1 year
c)take swab
d)colposcopy
e)transvaginal usg

55yr lady wid mania associated with frequent n cyclical depressive symptoms.wats da t/m:

a)carbamezapine
b)sodium valproate

[guest2011]

Q. A 42y man, 3wks post MI, on atenolol,aspirin and a statin. Develops weakness of muscles. CK15000 u/l, urea 28mmol/l, creatinine 323um/l. What is diagnosis?
Acute tubular necrosis, acute interstitial nephritis,acute cortical necrosis, renal papillary necrosis, renal vein thrombosis, rapidly progressive glomerulonephritis, hemolytic uremic syndrome, renal azotemia, hepatorenal syndrome, acute glomerulonephritis

[guest2011]

Q. treatment of agoraphobia:

a)imipramine
b)cognitive behavioural therapy