PLAB: 1000 Extended Matching Questions

144 Pages·2000·23.59 MB·English

by  Una F. Coales

I dedicate Las book to may husband,
‘Wiliam O.N. Coales, MA.

PLAB: 1000 EXTENDED
MATCHING QUESTIONS

ey

Una F Coales

24 Ho RES (Ea) Res (Ora)

Senior House Officer
Department of Otolaryngology
The Reyal Surrey County Hospital
Guildford

Surrey, UK
© 2001 Ray Sori of Saisine Pas Le

[ Wispoi Sree, lomle WG LAL

207 Weare Roa, Lake Poses TL 620°5 USA
seperti

po nas ay Bie Bsn i eps iresarhs or pia sted,
hoe a erie at peed uae the UK Copyright.Desgss ind
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Contents

Frew
Protace

Questions

Araswers

co
{ was ssined in the USA and reloated to the UK so protic
sy, Eke my frou ler ia wih he
tisk of hone to” prepare and 10 sacceed in passing the

[rodeedal and Linge Asseasments Board test (better knows,
the PLAT exatn to obtain limited repistation wits the Gener
Shel Coune 1 pamed under te old format

Shc Jal 2000 he PLAB thay boon efrmered. This bool
is ces to pspare prospective candidates for this new PLAB
Son he fostat of Part T of the PLAB tes coast uf 200
‘ceadedl matching Questions, To ter Part, the candidate must
joss Part 1 Dat! 2 condgig of a Lé-station objective structure
UiNal cxainnaion (O60) ad ests yue clini and coma
catia sll

“he 1000 EMQs offre in his onk cover all areas aesed by
the new DLAB ust ad anc offre the Mental frag, esting
the four groups of lls eyed 1 pars PLAB Patt 1 This book
+ soaneapt taddnyalthecsmpannts of the new alaboe for
on 1 snmedued by ah Clneral Midical Cowl Ths neces
she prinipes set out in thc GMC Pybliention Dini of a Doctor,
Pncpks and practice of evidence-based tnalicie ond of elinical
Eovcrtnt, qaestons Gover proce of portant dicaex
ac UK snk factors and health prsmvion-

‘would Eke to thank Miss Philtops Huchacrstye= FRCS (Oro)
for eds the questions in otolaryagology, Me Mak Pal MRCOG
for sing the questions obercria and_gyiaccolgy, Dr
Dicchth Burrn BSc MRS tor edng the queso in payer,
Di Ache Sande NIRCD for eiting tne questions in sletatalngy,
ond Dr Tum Sewne: MBPS for cltig thy qusions in pacditrce,

‘Dow’ lose hear ay de BLAS xa Hor npesible tase
Blow met show youtour tn achlethe new PLAB sex

Una F. Costes
eruber 2000
Recommended texts and references _

Surgery
ply AG. or at (1993) Apley’s System of Orthopaedics and
Fractures, Th edn.

Amold, Tondo,

lis. et al (1998) Lerture Nutes ex General Surgery, Sth eda,
Flackwell Seienefie Publications Oalord.

[auiimer CR, etal 11996) Key Topics iu General Surgery, Int ed,
TIS Seionttic Publishe:s, Oxford.

Ml chic G8, (1990) Os ord Handbon oF Clinical Surgery, Ist
el

Oslosd Universiy Press, Oxford

Unsin 8. etal (1995) Emergency Orthopacilies and Trauma, 1s

rwverth-Hinenann, Oxford,

Medicine

Foci A etal (1997) Harrison's Principles of Tnsersal Medicine,
Leh edn

McGraw-Hill, New York,

Hove R.A. etal (19981 Oxford Handliook of Clinical Medicine,
tneda,

“Osiord Univessty Press, Orford

Xsmae Pet al (1998) Clinical Medicise, Ath edn.

1s. there Tindall, Lous

Ritcusin 1 otal (1991 Lecwe Notes on Cliscal Medicine,
“acleyell Scientific Publications, Oxford.

Obstetrics an! gynaecology

herlain G. & Tlamihioc-Haisly b. (1498) Lecmre Notes or
Cosivirizn & Comacolagy
laclawall Science, Oxford
Fasker NI eta
Gyvarcoogy, Sed edn
Wai. Saunders Company, Pilly ia

Tras, Evsentials of Obstetrics and

Lissauer Tot 84
Musby, London
Behrinan K, et al (1999) Nelson's Wextbook of Pediatrics.
WB. Saunders, Philadelphia,

sarated Textbook of Paediatrics.

Psychiatric Associaiion (2000) Diagnostic and
Stavstieut Manual of Mental Disurdirs, 4th edn. American
Psychiatrie Associarion, Washingion D.C.

Tomb, D-A. 1999) Psyehiary, 6chedu.

Lippincor, Willisans and Wikins, Baltimore

Otalaryngology

Roland Nf stl 11995) Key fopies ix Otolaryngology 1 ed
BIOS Scientific Publishers, Oxford

Question 1
Theme: Diagnosis of

Opts
Acite appends J Prcudo-obstructon

Diener dre K Acute choleystee

‘Abdominal sorte aneurysm Late diverts

Perforated peptic leer

Crohns desaso

Ulcers cle

‘Acute pancreatitis

CChron'e active hepaitis

‘cite ral nepal

ees

‘or each praseation blow, choase the SINGLE mos Wkly cagnosis ram
‘ebay lof oftons Each apn ty ba ued once ars than ence, of
eal

1A 20-pear-old sents with colicky perivmbilical pain,
‘stich sis so the night ae oss, fever, and Tos of appetite

2. A 4S:yearold man presemts seth severe epigastric pain raiae-
ing to the back. He is noted ro nave some bruising in te flanks,

5. 42-year-old woman presents with auoresia, akominel pain,
‘nd ideteasigg jaundice She isysthusatic and takes mcthyicopa
loc hypertension.

A SO-year‘old wan preseuts with left-sided colicky ili fosea
pam, change ivbowel hanits and, rectal bleecing. A thickened
Tuas alpen the sion ofthe snail colon His
blood count is nosmal

A78-yearcold woman with stabloangina prcsenss with massive
Abvousinal distension 10) days following a tonal hip replace
‘ment,

suis
189g.
Theme: Causes of vaginal discharge

Options
Anetororas vgs J, Candie abicons

Garéoercla IK Sopcae ours

CChismyaia

Gonerthoca

‘Ayesbectou tbersosi

HIV

Lmphaganuoe vere

Treponema paler

(Genulem ingle

Sea

For cach presen below, choose the SINGLE most \kely causave
‘organism from the above staf options Each ation maybe uted ance mace
than onc, oF totaal

1.A 2eyerrold woman presents with intensely iricaring
yellowish-preen frachy vaginal uisshacge with severe dys
ppareunia, The onganism is seen best ander the microscope in a
drop of sine

40-year-old pregnant woman presents with a thie, white
capil discharge associated with iretation ofthe vulva.

3. A 16-year-old girl who ses tampons presents with cervciis,
tureitls, and right knee pan.

4. A 2S-yearold woman presents with acute right upper
‘quadrant abdominal pain and warery vaginal discharge. The
‘eegan.sm is detected by m croimmunofuaresceice:

A 23-yearold woman prevents with fishy smelling vaginal
‘odon. Clie cells are found inthe sear

Question 3
‘Theme: Investigation of epilepsy”

opsons
lod uluret K Toxcology

Blood glicose Stall Xray

Lumbar puncere

Computed comography (CT)

sean of head

Marron rst

Eletro-sneephalogrm

Ful Blocd cout (FBC)

Cher Xeray

Urea and poctraisee

Blood akobol love

oom

For sath prsentaton below choote tho SINGLE most decimating nde
fon fram the above let of open, Each option may be wed onc, more
ian oe, oF not al

L.A Styearold obese man presents with sweating, senor,
Gnowsnesy, fits and, agitation. His wile denies any sistory oF
alcoholism.

2. A 12ycarold gil is bronghtto the Accident and Emergency
Deparement by hee perents complaipiny of a persistent cash
Phowophohia, and neck pain,

4. A.35.yearoid mechanic has recurrent epileptiform attacks. He
hes no history of rata,

4. An 18yearold student i brought co dhe Acidew and
uergency Depastaient by aumbulaace having beon flung of his
bicycie in a road traffic accident. Upon artval, he is noted to
nave deteriorafion in corse ousness

A Styear-old boxer presents with heediche, drowsin
Seizes, and 3 rising blond! presse,
Question’4 : ie

Theme: Causes of vertigo : =

Optom
‘A Manieras Ascase 1 Mgaine

Benign pestonal vertigo

© Acitavectbula neurone

Acoustic neucome

E Multiple sdleross

F_larogenc ergo

G Candovescular disse

Hi Musculoskeletal disease

1) Hypervendaon

For each preseraton Bulow, choose th SINGLE mos ely cus frm the
shove scot aptons, Each opton may be wrod once, mare than ence net
mal

1. A 42yearold woman preseuts with repeated epsodes of
actuating heoring los, vertigo, and innit lasting hours over
the past few mont.

2. A Si-yearold man presenty with asymanetrical sensorineural
hearing lens, dizziness, nilasral tusks, and facial pain, Hes
faking atenclol

3. A 70-year-old woman presents with verigo when colling yer
im hed. She also uotiees thar she wets dizay when bending aver
‘or teathiry for the top shel

4. A-Se-year-oid man complains of dizziness ever since he was a
‘passenger a car iavolved {n'a road tealic aiden: His heat=
ngs imtact

‘A. 26-year-old anxious woman peeseres with profound vertigo
Following an upper respisatory Tract infection Lasting days

Question5=
Theme: The treatment of testicular swellings

opsons
"A Surge exploration ofthe J Aspiration of aid
serotumn Inguinal horriorraphy
B Injections of etaonic
porotropin
(Sula fon of te testes in
thescowim

© Orchidectomy alone
E Orcidectomy alowed by

racotherspy

F Orchidectomy folowed by
sftetoxe chemotherapy

G.Bedrescane ch approprias
anabione

H1 Surge removal ofthe et
1) Noveestinene is required

For exch caus bslow, case the SINGLE most appropriate weatmene rom
the above Fst of opin. Each opson ray Be used anes mere han ones OF
roteeal

1. A.L4-yearold boy presents with aut acutely swollen ard painfal
‘etis and also pain inthe layer abdinuen, Oa examining, the
rests ies high nthe seratorn,

year-old man presents with a solid tists ane abdominal
lymph nodes. He aas history of undescended testes asa cil

A 20-year-old man presents with a solid testis that is markedly
tystic in appearance and Iymph node deposits,

An 18-year-old man presents with fever, leukocytosis, aad a
very painvul swelling: iu the testis, Examine.ioa. of the tine
reseals the prescnec of pus eels.

8 60-yearold man presents with a large scrotal swelling chat
vets in the way of lis clothes. On exareation, the swelling is
‘Tuctuant, and the resi is palpable separately from the swelling

preety

sauysis deypiseve waubeSH Say Sass
00

‘00

sa UL

sy seo ve inp SS JOsHR

feast RAM

Question’ ——
Theme: Principles of the duties of a doctor
registered with the General Medical Council

Options
[A Make Ue ure uf our pate your frsteonearn
2 Tres evaty pac polly ane cosidertly
Respect yates icy and preney
Liste 2 pass ad respect ther ee
Give pation innation in way they ear understand
F_Respacs igi of pants to Be fly nvalveain decisions
1G Keep your profes knowles and sup to ate
Hi Recoghise Ue fini of pau profesional competence
Be Ponost are enacwor dy
J Respor: a presec cof tl iforvaion
aks sre ene your pers lf do ot ph
pene ore
Let quick r prases pants an rif yeu have good razon
to bakeve vit yu or scala ay mot Leo race
Bod busing your porcon «down
‘Wark wir ellengues ine ways ha bes serve pate

ait

For each open alow, choors the SINGLE most appropriate pine far
‘he ix oF opens. Each opie may be wie. once, wore ha ones at al

1, A D2yearoid Talian wowan sexuests a female doctor co
perforin a pelvic exaun,

2, A SSyeanokd snan who is being admired for a tual kuee
eplacenuent states thach isa Johovab's witness and Userelore
eluscs any blood products,

3, A 16-year-old girl informs yous that she maay be programs and
het parents are unaware

‘old man is offered che choice ol wherner he would
ive interioeon injections for tclaple scleroni

4. A S0eye
Tike to

5. A 60-year diabetic sees you fora weuny logical opinion and
‘ses if ou would renew his insulin prescription wa favour

&

Tiaeeo js a hinch-time teaching session, bur a patient on the
ward experiencinu chest pai.

Your patient reports feelious of depression. You seek a
paychiaerie opiuiou,

You ask a patient wo undress co examine the abddouen. You
serember 10 cover the patleat’s pro

You are asked to exauline a patinul at his bedside, You
remember to pull Ge cunain arowal the bed 19 ensure
privacy.

You soc an overworkel volleague struggle yuth his duties
‘You intarvene-and offer assistance

7 9@8=N

i a WAM polonsssa osdop yo sainp sin jo Stina om,
sou swe
ee)

‘topbegy siaeiaste o's

Question 7
Theme: Diagnosis of psychiatric disorders

Options
Suita ese 1

Aemal abuse

‘smity

Dement

ani stacks

Peet prblers

pint ase ‘

Creston

Grie reaction
IK Schaophrenia

For each patient sem, chante tha SINGLE most tkely diagnosis fom he
above lic of options Fach option may be used ones. meré thn ence. oF not
Pet

1. A. 70-year-old retired ongineer experiences chang:s in person-
ality and impsited social sells. This is coxtcbaraced ny his
family, wh describe hin 98 forgeeful and not as sharp. There

are a0 abjetive feannres of depression

2. A 2eyer-gld man is voted to be withllrawa, solated, and
“peculiar. He experiences perseemrory delusions 1nd auditory
Nallacinations.

3. A 6)-yearld widoyr is nated ky her fly to be restless, dis
organised, crying, nn frequenely expresses her wish (0 jo. Cr
deceased pertncr

4. 4.49 sear-old rishinan ceimplains of frequert episodes of chest
pains, sweating. palptarions, a sense ni impending doom, and
frembling tut losie for minntes ata ime

{25-year old nan presents with siess, slurred speech, disor
fnlation, and respiratory Cepzession

pons
A. Mesos J, Preumecocea meninges
3 fuel K Hasmophlusinferzae
© Varela zoser glottis
D Mumps L._ Streptococcal dose
Ente infectossm infecion
FInectous mononudectis
G Tubereuloe
Hi Typhus
i

est syndrome

For exch patent below, eigese the SINGLE most tikely dagni from the
shove lof options. Ech aption may be used ance, mare than on

L.A LS-yearold giel presents with fever, enagh, conyea, and
conjunetiitis 9 case affer expoanre. On examinasion, she kas
‘ue white punctate Jesious on the buccal sauces,

2. A.17 years boy presents with foes srdor, nd shu He
‘Stoted te hedevulg salina. On exaainaron fe Bas palpable
‘el node. Het to sespond toa cours of peril,

5. A 7-year girl presents with a low grade fever anda ‘slapped
heck, erythematous eruplion an her ehocks.

A 4-year old boy presents with an acute onset of fever and a
‘csicalar eruption, following an incubation period of 12 days
The vesicles evalve into pustules and crust o¥er.

A Ieyear-old baby boy presents with a Slay history ol lever,
Siamrbesry tongue, and erythema of the alms aud soles. He
sso hes an enlarged 2 aa fee uode,

“aver

| sossoumn poouPIYD J0 sfeouBea foul
porn)

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i
3
e

Question ==

“Theme: Causes of dysphagia

Opin
7 Achalasia J Caustic stricture
Pharm pach ke Reson oct
Dios eeghacel

hss args

Pleo sero
arches she Sasori

& Fece erates

A elie

1 Samed rg by

S
8
5

For each presaretion low, chaoie th SINGLE most aly cause from the
hove seo options. Each opion may beused one more than o9ee,eF not
cal

1. A. B2-yearold female presents with progressive dysphagia with
regurtation of aids, She denies weight Js

2, -A.27-yeareld man with a history of depression presents with
ease dysphagia. He has a prior history of repeated suicide
Sttempts, There are assoriated burns in his ecopharya

3. A Oyar.old woman presen wth peogestive dysphugia, On
Seam the lisa smooth rong, krone, an sues fron
iron deficiency anaemia

4. A 6S.yearold man presents with regurgitation of food, dys
‘Phagia, halitosis, and a sencarion of luinp in tre thcoat'-

A 7O-yearold man presents with a short history of dvephaia,
“oight loss, and has palpahle neck noces on examination.

Question 10 ==
Investigation-of weight loss

Options:

Stool forests ovaand J, Bleod etures
pastes K Pisa ACTH and
Ureaand elecvolyes cortisol

hese Xray

Ful blood coune

Serum gucose

Usnanalysie

“Thyroid freton tens

Usraround of abdomen

Barkim swallow.

Dep mince

For each presentation below, choste che SINGLE mos dcriminatn inwes-
iaton from che above lst of optons. Eae1 cpion mey be used once, more
‘han one8 oF nota al

L.A 60-yea:-old mam recently treated for renal tuberculosis,
Presents ita weight loss, diarthora, anorexia, hyporension,
and is rote ty heve hyperpiigmented hnceal macnsa andl Rand

2. A Si-ysarcold woman presents with weight loss, increased
appecita, sweating, palprations, preference for cold veearher,
hho, moist palms, ard remors,

5. A 25-year-old an presents with sreatorrhoca, diarrhoea and
‘weight loss after eating contaminated food

A 6$-yearold man presents wich a sackden amsst of diabetes,
anorexia, weight loss, epigastric and hack pain

5. A 7ihysarold syoman presents with progressive dysphagia,
‘Welgat loss, and 2 sensation of food sticking in her thet.

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