A 35 year old African woman presents with cyclical menorrhagia since last 8 month

UK PLAB 1
#1

  1. An elderly man with dementia who has a lesion on his head and wants it removed because he believes it’ll improve his memory, wife disagrees. Choose the most appropriate management:
    A. Asses patient’s capacity to give consent.
    B. Refuse to do the surgery.
    C. Do the surgery.
    D. Get wife to sign consent form.
    E. Talk to senior colleague.

  2. A 60 year old man presents to the ENT department with progressive hearing loss and ringing sound on the right side. On examination external ear and tympanic membrane was normal. Hearing tests: Rinne’s AC>BC in the right and left ears, Weber’s test lateralises to the left ear. What is the next best investigation to diagnose the medical condition?
    A. Audiometry
    B. CT scan
    C. MRI scan
    D. CT angiography
    E. Otoscopy

  3. A 35 year old African woman presents with cyclical menorrhagia since last 8 month. She is nulliparous and has been trying to conceive for some years now. What do you suspect from the history?
    A. Dysfunctional Uterine Bleeding
    B. Endometriosis
    C. Endometrial polyp
    D. Adenomyosis
    E. Fibroids

  4. A 65 year old woman complaining of symptoms suggestive of Reynaud’s phenomena and difficulty in swallowing. O/E she has painful lesions on her finger tips and facial telangiectasia. What is the single most likely positive antibody?
    A. Anti Jo 1
    B. Anti Scl 70
    C. Anti Ro
    D. Anti Ds DNA

  5. A 62 year old man has had ano-rectal pain aggravated by defecation for 3days. Rectal exam: purple, tender lump at the anal verge. Flexible sigmoidoscopy report shows normal rectal mucosa and hard faeces. What is the best management strategy?
    A. Anal hematoma
    B. Anal fissure
    C. Rectal ca
    D. Diverticulitis
    E. Angiodysplasia

  6. A 34 year old man fell off a ladder and hit his head on the pavement. He now has blood coming out of his ears and nose. Which bone has he fractured?
    A. Maxilla
    B. Base of skull
    C. Mandible

  7. A young man presented with fall on the hand. On examination, he is unable to oppose the thumb and there is wasting of thenar muscles. Which is the most likely nerve that is damaged?
    A. Ulnar nerve
    B. Radial nerve
    C. Both radial and median nerve
    D. Median nerve

  8. A 45 years old woman has been diagnosed with giant cell arteritis (GCA) and is being treated with steroids. What is the other drug that can be added to this treatment?
    A. ACE inhibitors E. IV Ig
    B. Beta blockers
    C. Aspirin
    D. Interferons

  9. A 62 year old man with progressive SOB for 6months, now presenting with features of HF. Has irregular pulse, systolic murmur radiating to the axilla. What is the likely cause of the heart failure?
    A. Aortic stenosis
    B. ASD
    C. Mitral regurgitation
    D. Mitral stenosis

  10. A man after a fall presents to A &E .On examination his tibial and popliteal pulses are absent. Which artery is most likely to be affected?
    A. Femoropopliteal
    B. External iliac
    C. Aortoiliac
    D. Dorsalispedis
    E. Internal iliac