A 55 year old man presents with history of weight loss and tenesmus

UK PLAB 1
#1
  1. A 55 year old man presents with history of weight loss and tenesmus. He is diagnosed with rectal carcinoma. Which risk factors help to develop rectal carcinoma except following?

A. Smoking
B. Family history
C. High fibre diet
D. Previous Carcinoma
E. High fat diet
F. Polyp

  1. A 80 year old man diabetic and hypertensive presents with acute onset of vomiting and vertigo with a tendency to fall to the right. He also had difficulty in swallowing. Examination shows right sided partial ptosis, constricted pupils and exolphthalmus. There is also right sided soft palate palsy and sensory loss of the face on the right side and left half of the lower body.
    A. Weber Syndrome
    B. Left middle cerebral artery infarct
    C. Right posterior cerebral artery infarct
    D. Lateral medullary syndrome

  2. A 30 year old patient presents with heavy bleeding. She is in a stable relationship and is not keen for conception. USG shows normal uterus. What would you advise her?
    A. Mirena coil
    B. Combined Oral Contraceptive Pill (COCP)
    C. IUCD
    D. Progesterone only pill
    E. Tranexamic acid

  3. 8 month old child chocked on food, parents are worried as to what to do if it happens again. What is the most appropriate advice you would give the parents?
    A. Heimlich manoeuvre
    B. Back blows with child on lap
    C. Chest Compression with child on lap
    D. Induced Vomiting
    E. Back blows on back with child standing

  4. A 5 year old boy was diagnosed with urinary tract infection, which was later found to be due to E.Coli. What is the most appropriate treatment?
    A. Trimethoprim
    B. Nitrofurantoin
    C. Amoxicillin
    D. Cefalexin
    E. Metronidazole

  5. A 23 year old female presented with a swelling of her neck that moved upwards on protrusion of tongue. What is the next appropriate investigation?
    A. FNAC
    B. Punch biopsy
    C. Core biopsy
    D. MRI neck
    E. Radioactive thyroid scan

  6. A 27 year old woman presented with amenorrhoea of 10 months duration. FSH – 28, LH – Normal, Testosterone – 1.8, Estradiol – 80. What is the most probable diagnosis? \

A. Hypothalamic
B. Polycystic ovary syndrome (PCOS)
C. Premature ovarian failure
D. Hyper androgenism

  1. How to perform CPR on a 5 month old child?
    A. 15 chest Compressions with both hands
    B. 30 chest compressions with single hand
    C. 30 chest compressions with both thumbs
    D. 15 chest Compressions with index and middle finger
    E. 15 chest compressions with thumb and index finger

  2. Patient with a history of alcoholism, ataxic gait, hallucinations and loss of memory. He is given acamprosate. What other drug you can give with this?
    A. Chlordiazepoxde
    B. Thiamine
    C. Diazepam
    D. Disulfiram
    E. Haloperidol

  3. A 63 year old man has vague persistent upper abdominal pain. Endoscopy shows columnar epithelium dipping into muscularis. What is the most probable diagnosis?
    A. Adenocarcinoma
    B. Peptic ulcer
    C. H.Pylori ulcer
    D. Gastrinoma