Questions June 2012 plabbers

[moody]

1)A woman who is a Hep B carrier gives birth to a baby.Management.
a.Check baby Hep B antibodies
B.check baby hep B antigens
C.check baby hep B immunoglobulin

2)A patient presents with 4 weeks hoarseness.Exam normal.Management
a.reassure
b.refer urgently to ENT
c.refer to outpatient ENT clinic
d.no treatment

3)A town has a population of 500,000people.In 5 yrs,100 people are reported to the GP with cancer Y.During the same period the coroner receives 1250 death certificates.What is the annual prevalence per million in this population
a.800
b.1000
c.500
d.600
e.1250

4)A man with a wound due to a sharp thorn in the garden
a.immunoglobulin and antibiotic
B.immunoglobulin and vaccine
c.immunoglobulin and vaccine and antibiotic
d.vaccine and antibiotic.

[meenal]

Q. A child comes to a/e with severe asthma and not responding to salbutamol nebuliser.What is the most appropriate management?
A.salmeterol
B.monterlukast
C.prednisolone
D.budenoside
E.oxygen
F.i/v salbutamol.

[meenal]

Q.

A)Subcutaneous morphine
B)fentanyl patch
C)oxycodone
D)methadone
E)gabapentin
F)bupremorphine

single most likely option:
1)Patient on morphine but cannot tolerate the increasing dose.
2)Morphine alone cannot control the pain
3)pain is controlled but patient needs to be mobile.

1----C it is more potent than morphine
2.....E recommend to add
3.....B

[komal]

1)A butcher stabbed accidentally in his groin bled so much that the towel was soaked with blood. BP is 80/50mmHg,pulse rate is 130.What percentage of circulatory blood did he lose?
a)less than 15%
b)15-30%
c)30-40%
d)40-50%
e)Above 50%

What's the mathematics involved in this question???

2)A 44 year old woman with breast cancer had an extensive removal and lymph node clearance.She needs an adjunctive treatment.Her mother had breast cancer when she was 65.Which of the following factors will be against the treatment?
a)family history
b)tumour grading
c)lymphnode enlargement
d)her age.

[komal]

1) 55 year, woman, two month history of a lump in her Rt breast. A firm, irregular lump at upper outer quadrant. There are also small, palpable mobiles nodes at Rt axilla.

2) A female patient has no complaints but radiologist found some calcifications in Lt breast on her CXR.

3) 40 year woman with a firm, mobile lump at Rt breast. Family history of breast cancer present. Small palpable mobile nodes also noted at Rt axilla.

Most appropriate investigation?
A) Ultrasound
B) Mammography
C) FNAC
D) Triple examination (palpation, scan, cytology)
E) Punch biopsy
F) Stereotactic biopsy
G) Excisional biopsy
H) Cone biopsy
I) BRCA 1&2


Let me try.

1. G
2. B
3. F


My choices.
1)55yrs old +firm irregular lump+mobile axillary nodes needs a mammography=B
2)No complaints but calcifications needs stereotactic biopsy=F
3)Firm MOBILE lump=fibroadenoma,answer then would be cone biopsy=H

[komal]

Q. A child comes to a/e with severe asthma and not responding to salbutamol nebuliser.What is the most appropriate management?
A.salmeterol
B.monterlukast
C.prednisolone
D.budenoside
E.oxygen
F.i/v salbutamol.

[guest2011]

Q. A woman with a history of poisoning 10 times with different substances. There are no obvious signs of depression or suicidal behaviour.
What is the best preventive step?
1) Open access to A&E
2) 24 hours help line
3) CBT
4) Antidepressants
5) Insight into the problem

Q. 2) 52 year man, Lt sided chest pain for one day. It is severe, costant and worse on respiration. He is also short of breath, nausea and feels unwell. He has a BMI 27 and smokes 15 cig per day. CXR is normal and tachycardia on ECG.
Most likely diagnosis?
A) Acute coronary syndrome
B) Costo-chondritis
C) GERD
D) Pericarditis
E) PE

[guest2011]

Q. These are technical questions and i am not sure how to go about them.
Management of VARICELLA
a.oral aciclovir
b.iv aciclovir
c.no treatment at present
d.varicella immunoglobulin
e.barrier nursing
f.quarantine
g.check immune statues.

1.A pregnant woman who is in her last trimester of pregnancy and her husband is infected with varicella
2.A boy who is taking steroids for asthma
3.A child who has lymphoma/leukaemia and his father has shingles
4.A boy who has chickenpox whose sister has just had a renal transplant and is returning from the hospital.
5.An 80 year old man develops ophthalmic shingles
6.A boy has developed vesicles all over his body and also has a high fever
7.A woman has vesicles on a small part of her chest.

[guest2011]

Q. A 47 yr old man who just lost his job found wandering in the park and muttering to himself that they are coming to get him.Alcohol test was negative.Next step in mgt?
a.Thiamine
b.CT scan
c.Neuropsychoanalysis
d.antipsycotics
e.antidepressants.

[guest2011]

Q. A 32 yr old woman has a breast cyst aspirated and a residual firm lump is found.What is the most appropriate series of investigations:
a.examination,USS & FNAC
b.examination,mammography and FNAC
c.Examination,MRI & FNAC
d.examination,USS & excision biopsy
e.examination,MRI & excision biopsy