A 43-year-old woman was texting while driving when she lost control of her car and ran into a tree. She is complaining of chest pain; physical examination reveals pallor, cool extremities, a heart rate of 120 bpm, and JVD. Blood pressure is 80/40. Chest x-ray reveals 3 broken ribs over the left side of the chest. Which of the following is the most likely type of shock?
a. Hypovolemic shock
b. Cardiogenic shock
c. Neurogenic shock
d. Septic shock
A child comes with recurrent joint pain, multiple bruises, swollen ankle and unable to move his legs. What is the inv of choice?
c. Clotting factors
Ans. The key is C. Clotting factors.
A patient with long-standing RA is to have coronary bypass surgery. Which of the following is most important prior to surgery?
a. Cervical spine x-ray
b. Rheumatoid factor
c. Extra dose of methotrexate
e. Pneumococcal vaccination
A pt on HTN drugs develops hyperkalemia. Which anti-HTN is likely to cause it?
A 27yo 34wk pregnant lady presents with headache, epigastric pain and vomiting. Exam:
pulse=115, BP=145/95mmHg, proteinuria ++. She complains of visual disturbance. What is the
best medication for the tx of the BP?
a. 4g MgSO4 in 100ml 0.9%NS in 5mins
b. 2g MgSO4 IV bolus
c. 5mg hydralazine IV
d. Methyldopa 500mg/8h PO
e. No tx
A 6yo girl started wetting herself up to 6x/day. What is the most appropriate tx?
a. Sleep alarms
d. Behavior training
A 26yo man presents with painless hematuria. He has no other complaints and on examination
no other abnormality is found. What is the most appropriate initial inv to get to a dx?
b. Midstream urine for culture
c. Abdominal US
d. MRI spine
A patient is admitted to the hospital for head trauma and a subdural hematoma. The patient is intubated for hyperventilation and a subsequent craniotomy. Several days after admission, the patient starts to vomit blood and is found to have stress ulcers of the stomach. Lansoprazole is started. VAP develops and the patient is placed on imipenem, linezolid, and gentamicin. Phenytoin is started prophylactically. Three days later, the creatinine rises. The patient then starts having seizures. A repeat head CT shows no changes. What is the most appropriate next step in the management of this patient?
a. Switch phenytoin to carbamazepine
b. Stop lansoprazole
c. Stop imipenem
d. Stop linezolid
e. Perform an electroencephalogram
A 60 year old man has developed vesicles on the maxillary division of the
trigeminal nerve. What is the most likely mucous membrane to have been
e. Posterior part of the tongue
PLAB 2: Dr Samson / Dr Hamed
I would really appreciate the feedbacks from people who have attended either Dr Samson's or Dr Hamed's academy for PLAB 2.
One of the main difference I have read is that Dr Samson provides all printed notes which you will require for the course whereas at Dr Hamed you have to write down everything yourself.
I was wondering whether that would be an issue as you might miss something out while writing.
Secondly, Dr Hamed gives all the lectures by himself as compared to Dr Samson.
Thirdly, when you're practicing on the mannikins etc, is there someone there (a teacher or one of the above doctors themselves) who supervise what you're doing?
Finally, what time do they normally finish everyday? I've read Dr Hamed can sometimes finish at 11pm at night.
Any additional information will be really helpful. Thanks.
An HIV-positive African American man is admitted with dyspnea, dry cough, high LDH, and a pO 2 of 63 mm Hg. He is started on TMP/SMX and prednisone. On the third hospital day he develops severe neutropenia and a rash. He has anemia and there are bite cells visible on his smear. What is the most appropriate next step in the management of this patient?
a. Stop TMP/SMX
b. Begin antiretroviral medications
c. Switch TMP/SMX to intravenous pentamidine
d. Switch TMP/SMX to aerosol pentamidine
e. Switch TMP/SMX to clindamycin and primaquine