Passable 350 Q&a

PLAB 1
SINGLE BEST ANSWER
Al-Khair
1. A homeless alcoholic with a chronic productive cough, presents with haemoptysis. The chest
x-ray shows a cavitating lesion
What is the single most likely causative organism?
a. Chlamydia psittaci
b. Mycobacterium tuberculosis
c. Staphylococcus aureus
d. Haemophilus influenzae
e. Streptococcus pneumoniae
2. A 50 year old man became suddenly breathless whilst eating. He has marked stridor and is
choking and drooling.
What is the single most next appropriate step in management?
a. IV aminophylline
b. Plueral aspiration
c. Heimlich maneuver
d. Chest drain
e. IV furosemide
3. A 60 year old man presents with acute breathlessness and a cough productive of frothy, pink
sputum. He cannot lie flat. On examination he has crackles in both mid-zones and a few
scattered wheezes.
a. Chest drain
b. IV frusemide
c. Rapid infusion of saline
d. Forced alkaline diuresis
e. Intramuscular adrenaline
4. A 20 year old woman is too breathless to speak. Her pulse is 120/min respiratory rate 30/min
and PEFR is 100L/min. examination reveals a very quiet chest and CXR is normal.
a. Nebulisd salbutamol
b. IV aminophylline
c. Plueural aspiration
d. Heimlich maneuver
e. Chest drain
5. A chronic smoker with COPD develops a fever. He reports bringing up green phlegm on
coughing.
a. Staphylococcus aureus
b. Haemophilus influenzae
c. Streptococcus pneumoniae
d. Chlamydia trachomatis
e. Mycoplasma pneumoniae
6. A young male homosexual with Kaposi’s sarcoma complains of increasing breathlessness and
a dry
a. Chlamydia trachomatis
b. Mycoplasma pneumoniae
c. Pneumocystis carinii
d. Legionella pneumoniae
e. Klebsiella pneumoniae
7. A 25 year old man has a 3 day history of shivering, general malaise and productive cough. The
x-ray shows right lower lobe consolidation.
a. Mycobacterium tuberculosis
d. Staphylococcus aureus
8. A 26 year old man presents with severe shortness of breath and dry cough which he has had
for 24hrs. He is very distressed. He has been on IV drug abuser. The x-ray shows perhilar fine
mottling.
a. Mixed growth of organisms

c. Mycoplasma pneumoniae
d. Pneumocystis carinii
e. Staphylococcus aureus
9. A 35 year old previously healthy man returned from holiday five days ago. He smokes 10
cigarettes per day. He presents with mild confusion, a dry cough and mild pyrexia. His chest is
normal. The x- ray shows widespread upper zone shadowing.
a. Legionella pneumophila
b. Mixed growth of organism
c. Mycobacterium tuberculosis
d. Mycoplasma pneumoniae
e. Pneumocystis carinii
10. A 20 year old previously healthy woman presents with general malaise, severe cough and
breathlessness, which has not improved with a 7 day course of amoxicillin. There is nothing
significant to find on examination. The x-ray shows patchy shadowing throughout the lung
fields. The blood film shows clumping of red cells with suggestion of cold agglutinins.
a. Mixed growth of organisms

11. A 35 year old woman presents with 4 month history of cough, productive and recent
haemoptysis. She has lost 5kg in weight. The CXR shows right upper lobe consolidation.
What is the single most likely diagnosis?
a. Streptococcus pneumoniae
b. Influenza
c. Tuberculosis
d. Klebsiella pneumoniae
e. Viral
12. A previously well 18 year old has had influenza for the last 2 weeks. She is deteriorating and
has a swinging fever. She is coughing up copious purulent sputum. CXR shows cavitating
lesions.
a. Influenza
b. Tuberculosis
c. Klebsiella pneumoniae
d. Viral
e. Lung cancer
13. A 65 year old man currently undergoing chemotherapy of chronic leukaemia has felt unwell
with fever and unproductive cough for 2 weeks despite treatment with broad spectrum IV
antibiotics. The CXR shows an enlarging right sided mid zone consolidation.
a. Fungal
b. Streptococcus pneumoniae
c. Influenza
d. Tuberculosis
14. A 27 year old male prostitute has felt generally unwell for 2 months with some weight loss.
Over the last 3 weeks he has noticed a dry cough with increasing breathlessness. Two courses
of antibiotics from the GP have produced no improvement. The CXR shows bilateral interstitial
infiltrates.
b. Haemophilus influenzae
c. Tuberculosis
e. Pneumocystis carinii
15. On return to university, a 20 year old student presented with the onset of fever, malaise and
a dry cough. The student health service gave him amoxicillin. After a week he felt no better
and his CXR showed patchy bilateral consolidation.
a. Klebsiella pneumoniae
b. Viral
c. Lung cancer
16. A 64- year old man with COPD presents with pneumonia clinically he improves with antibiotics.
In the outpatient clinic 4 weeks later, the consolidation on his CXR has not resolved.
a. Haemophilus influenzae
b. Tuberculosis
c. Klebsiella pneumoniae
d. Viral
e. Lung cancer
17. A 27- year old male patient has just returned from holiday abroad presents with flu like illness,
headache, and high fever prior to this, he had complained of abdominal pain, vomiting,
diarrhoea associated with blood per rectum.
a. Klebsiella pneumoniae
b. Viral
c. Lung cancer
18. A 30 year old obese man complains of retrosternal chest pain worse at night and after meals.
What is the single most appropriate investigation?
a. Pulmonary angiography
b. Gastroscopy
c. Cardiac catheterization
d. Oesophagoscopy
e. Indirect laryngoscopy
19. A 32 year old woman who works in a pet shop complains of fever, a dry cough and increasing
breathlessness.
What is the single most causative organism?
c. Staphylococcus aureus
20. A 30 year old woman has just returned from a holiday in Cyprus. She complains of a dry cough,
fever, malaise. A CXR shows patchy consolidation.
a. Mycoplasma pneumoniae
b. Pneumocystis carinii
c. Legionella pneumoniae
e. Mycobacterium tuberculosis
21. A 34 year old man presents with history of chest pain radiating to the jaw, brought on by
exercise and relieved by rest.
a. CT scan
b. ECG
c. USG
d. ECHO
e. Pulmonary angiography
22. A 67 year old woman presents with a 2hr history of chest pain radiating to the left shoulder.
He is sweating and feels sick.
a. CXR
b. CT Scan
c. EEG
d. ECG
e. ECHO
23. A tall young man presents with history of sudden chest pain radiating to the back and
interscapular area
a. CT scan
b. ECG
c. USG
d. ECHO
e. Pulmonary angiography
24. A 52 year old woman on HRT presents with swollen left calf, chest pain an shortness of breath.
What is the single most likely disease process?
a. Pulmonary embolism
b. Pneumonia
c. Bronchial asthma
d. Plueral effusion
e. Cryptogenic fibrosing alveolitis
25. A 78 year old man has been short of breath for a few weeks. His chest radiography shows a
right basal shadow rising towards axilla.
b. Pneumonia
c. Bronchial asthma
d. Plueral effusion
26. A 45 year old woman presents with progressive breathlessness and cyanosis. Clinical
examination reveals clubbing and bilateral inspiratory crackles.
b. Pneumonia
c. Bronchial asthma
d. Plueral effusion
27. A 27 year old farmer presented with fever, malaise, cough and breathlessness which he has
had for a few days. His symptoms were worse in the evening. Clinical examination
demonstrated coarse end inspiratory crackles.
a. Anaemia
b. Pulmonary oedema
c. Bronchogenic carcinoma
d. Extrinsic allergic alveolitis
e. Pneumothorax
28. A 34 year old tall slim porter presents with sudden onset chest pain and breathlessness. He
has had similar episodes in the past.
a. Anaemia
b. Pulmonary oedema
e. Pneumothorax
29. A 76 year old man presents with acute breathlessness, cough, frothy blood stained sputum
and palpitations. He is apyrexial. ECG shows sinus tachycardia.
a. Anaemia
b. Pulmonary oedema
e. Pneumothorax
30. A 37 year old man presents with dyspnoea, cough, weight loss and night sweats. His CXR
shows diffuse bilateral infiltrates.
a. Pneumocystis carinii
b. Chlamydia psittaci
c. E.coli
d. Pseudomonas aeruginosa
31. A 48 year old presents with fever, rigors, headache and diarrhoea. He recently had been on
holiday abroad. CXR shows consolidation.
a. Staphylococcus aureus
b. Cryptococcus
d. Legionella pneumophilia
e. Mycobacterium avium-intracellulare
32. A 45 year old farmer presents with flu like illness, anorexia and dry cough. His CXR shows
patchy consolidation.
a. Legionella pneumophila
b. Mycobacterium avium-intracellulare
e. Chlamydia psittaci
33. A 41 year old drug abuser presents with fever, cough and breathlessness. This was preceded
by viral influenza. Chest radiograph shows multiple abscesses.
b. Chlamydia psittaci
c. Escherichia coli
d. Pseudomonas aeruginosa
34. A 14 year old student with cystic fibrosis rapidly deteriorated developed acute respiratory
failure while in hospital.
a. Cryptococcus
c. Legionella pneumophila
d. Mycobacterium avium-intracellulare
35. A 35 year old smoker with a long history of recurrent chest infection presents with
haemoptysis and greenish sputum. On examination he has clubbing and coarse crepitations
over the bases of both lungs.
a. Pulmonary infarction
b. Pneumonia
c. Tuberculosis
d. Bronchiectasis
e. Mitral stenosis
36. A 69 year old woman who had a total hip replacement a week ago presents with severe chest
pain, shortness of breath and haemoptysis.
a. Pulmonary infarction
b. Pneumonia
c. Tuberculosis
d. Bronchiectasis
e. Mitral stenosis
37. A 52 year old diabetic presents with fever, pleuritic pain and rusty coloured sputum.
a. Pneumonia
b. Tuberculosis
c. Bronchiectasis
d. Mitral stenosis
e. SLE
38. A 45 year old bank manager presents with cough, pleuritic chest pain and haemoptysis. This
was preceded by rhinitis, recurrent epistaxis and haematuria, CXR shows multiple nodular
masses.
a. Foreign body inhalation

b. Wegener’s granulomatosis
c. Haemorrhagic telangiectasia
d. Polyarteritis nodosa
e. Bronchogenic carcinoma
39. A 70 year old smoker presents with cough, haemoptysis and weight loss. On examination,
there is clubbing and gynaecomastia.
a. Foreign body inhalation

b. Wegener’s granulomatosis
c. Haemorrhagic telangiectasia
d. Polyarteritis nodosa
40. A 72 year old Asian immigrant presents with cough, haemoptysis, night fever and sweating.
a. Tuberculosis
b. Bronchiectasis
c. Mitral stenosis
d. SLE
e. Foreign body inhalation
41. A 50 year old man presents with progressive burning pains in the sole of his left foot, bilateral
cramps in both calves, and left foot drop. He is known asthmatic and suffers from recurrent
sinusitis. FBC shows eosinophilia.
a. Acute myocardial infarction

b. Churg-Strauss syndrome
c. Pulmonary embolism
d. Pneumothorax
e. Allergic bronchopulmonary
42. A 33 year old man presented with breathlessness at rest, cough and haemoptysis all of which
he has had for a few days. On examination he is cyanosed and there are bilateral inspiratory
and expiratory wheezes. His PEFR is normal. Blood investigations show evidence of renal
failure.
a. Extrinsic allergic alveolitis

c. Cystic fibrosis
d. Cryptogenic fibrosing alveolitis
e. Good pastures syndrome
43. A 73 year old presents with pneumonia which he has had for two weeks and which was
resistant to antibiotics. He has had asthmatic bronchitis for more than 50 years. CXR shows
consolidation of the right upper zone and the left perhilar consolidation. Blood tests shows
neutrophilia.
a. Acute myocardial infarction

b. Churg-Strauss syndrome
d. Pneumothorax
e. Allergic bronchopulmonary
44. A 29 year old farmer presented with worsening cough breathlessness and flu like symptoms
which he had each winter for 3 years. CXR showed fine military shadows. Pulmonary function
tests showed evidence of restrictive lung disease.
a. Extrinsic allergic alveolitis

c. Cystic fibrosis
d. Cryptogenic fibrosing alveolitis
e. Good pastures syndrome
45. A 30 year old woman presents with fever, pharyngitis and cough. The CXR shows widespread
bilateral patchy consolidation. Erythema multiform is present.
a. Mycoplasma pneumoniae
b. Bilateral bronchopneumonia
c. Adult respiratory distress syndrome
d. Sarcoidosis
e. Pulmonary contusion
46. A 40 year old alcoholic presents with repeated small haemoptysis and cough of mucoid
sputum. His CXR shows right upper lobe consolidation and a large central cavity. Heaf test is
positive.
a. Bilateral bronchopneumonia
b. Adult respiratory distress syndrome
c. Sarcoidosis
d. Pulmonary contusion
e. Tuberculosis
47. A 60 year old presents with dyspnoea and cough. The CXR shows extensive pulmonary fibrosis,
bilateral Plueral thickening and Plueral calcification.
a. Pneumoconiosis
b. Carcinoma bronchus
c. Cystic fibrosis
d. Pancoasts tumour
48. A 14 year old boy presents with repeated lower respiratory infections. On examination he is
noted to have finger clubbing and suffers weight loss and steatorrhea. The CXR shows
bronchial wall thickening, ring shadows of bronchiectasis and wide spread ill- defining
shadowing.
a. Cystic fibrosis
b. Pancoasts tumour
d. Bilateral bronchopneumonia
e. Adult respiratory distress syndrome
49. A 40 year old man presents with cough and haemoptysis. The CXR shows a right hilar mass
and a patch of consolidation in the right upper lobe laterally.
What is the single most likely process?
a. Carcinoma bronchus
b. Cystic fibrosis
c. Pancoasts tumour
e. Bilateral bronchopneumonia
50. A 20 year old woman presents with a week’s history of fever, rigors and productive rusty
cough. CXR shows right lower lobe consolidation.
What is the single most appropriate treatment?
a. Tetracycline
b. Flucloxacillin
c. Benzyl penicillin
d. Cefotaxime
e. Prednisolone
51. A 12 year old boy with cystic fibrosis presents with persisted productive cough. The CXR shows
spherical shadow containing a central lucency. An air fluid level is also seen.
a. Erythromycin
b. Tetracycline
c. Flucloxacillin
d. Benzyl penicillin
e. Cefotaxime
52. A 50 year old man presents with shortness of breath and dry cough. CXR shows widespread
of pulmonary shadowing. He takes azathioprine for resistant rheumatoid arthritis.
a. Erythromycin
b. Tetracycline
c. Flucloxacillin
d. Benzyl penicillin
e. Cefotaxime
53. A 20 year old woman presents with malaise, cough and progressive shortness of breath. The
CXR shows symmetrical lobulated bilateral hilar hand enlargement.
a. Tetracycline
b. Flucloxacillin
c. Benzyl penicillin
d. Cefotaxime
e. Prednisolone
54. A 50 year old diabetic presents with a productive cough and malaise. CXR shows right upper
lobe consolidation and hilar lymphadenopathy.
a. Rifampicin + isoniazid
b. Pyridoxine and ethambutol
c. Isoniazid alone
d. Cotrimoxazole
e. Salbutamol inhaler
55. A 35 year old pet shop owner presents with high fever, excruciating headache and a dry
hacking cough. The CXR shows patchy consolidation.
b. Actinomycosis
d. Streptococcus pneumoniae
56. A 30 year old man who works in an abattoir presents with sudden onset of fever, myalgia,
headache, dry cough and chest pain. CXR shows patchy consolidation of the right lower lobe
giving a ground glass appearance.
a. Tuberculosis
b. Pseudomonas aeruginosa
c. Coxiella burnetti
e. Aspergillosis
57. A 44 year old travelling insurance salesman presents with high fever, myalgia, abdominal pain,
and haemoptysis. CXR shows diffuse patchy lobar shadows. The cough progresses from a
modest non productive cough to producing mucopurulent sputum. The fever persists for 2
weeks.
a. Tuberculosis
e. Aspergillosis
58. A 10 year old man with HIV presents with a productive cough and haemoptysis. CXR shows a
round ball in the right upper lobe super mounted by a dome of air.
a. Tuberculosis
e. Aspergillosis
59. A 20 year old male IV drug abuser presents with breathlessness and cough. CXR reveals patchy
areas of consolidation with abscess formation.
c. Haemophilus influenzae
d. Staphylococcus aureus
e. Legionella pneumophila
60. A 12 year old boy with cystic fibrosis presents with a chest infection. The boy also suffers from
mild renal failure.
a. Tobramycin and carbenicillin

b. Plasmapheresis
c. Ciprofloxacin
d. Tetracycline
e. Cotrimoxazole
61. A 30 year old presents with haemoptysis, dyspnoea and haematuria. CXR reveals bilateral
alveolar infiltrates. Urine analysis reveals presence of protein and red cell casts.
What is the single most appropriate next investigation?
a. 12 lead ECG
b. Tissue biopsy
c. ANA
d. Sputum cytology
e. Antiglomerular basement antibodies
62. A 60 year old man presents with a chronic cough and mild haemoptysis. On examination he
has digital clubbing with pain and swelling around his wrists. CXR reveals a single nodule.
a. Pulmonary angiogram
b. 12 lead ECG
c. Tissue biopsy
d. ANA
e. Sputum cytology
63. A 30 year old IV drug abuser presents with dyspnoea and haemoptysis. His CXR is
unremarkable and ECG shows sinus tachycardia with a mean paxis shift to the right. ABG
shows a low PaCO2 and an elevated pH.
a. Heaf test
b. Bronchography
c. Urinalysis
d. Chest x-ray
e. Pulmonary angiogram
64. A 40 year old mental patient with dry cough and confusion. Blood tests reveal lymphopenia
and hyponatremia. CXR shows right lobar shadowing.
a. Erythromycin
b. Cyclophosphamide
c. Tobramycin and carbenicillin
d. Plasmapheresis
e. Ciprofloxacin
65. A 10 year old boy presents with wheezing attacks and episodic shortness of breath. His PEFR
is 400 L/min.
a. Beta 2 agonist
b. Rifampicin + isoniazid
c. IV aminophylline
d. Prednisolone
e. Erythromycin
66. A 40 year old male presents with rhinorrhoea, cough, haemoptysis and pleuritic chest pain.
CXR shows multiple modules.
a. Erythromycin
b. Cyclophosphamide
c. Tobramycin and carbenicillin
d. Plasmapheresis
e. Ciprofloxacin
67. A 60 year old farmer presents with fever, cough and shortness of breath. He had been forking
hay that morning. CXR shows fatty n=nodular shadows in the upper zone.
a. Prednisolone
b. Erythromycin
c. Cyclophosphamide
d. Tobramycin and carbenicillin
e. Plasmapheresis
68. A 440 year old man presents with recurrent epitaxial, haemoptysis and haematuria. On
examination he has nasal septai perforation and nodules on CXR.
a. Pulmonary angiogram
b. 12 lead ECG
c. Tissue biopsy
d. ANA
e. Sputum cytology
69. A 50 year old man presents with occasional haemoptysis and chronic productive cough. He
has a history of recurrent pneumonia. CXR reveals peri bronchial fibrosis.
a. FBC
b. CT chest
c. Clotting studies
d. Heaf test
e. Bronchography
70. 30 year old woman: ABG- pH 7.51, pCO2 3.7 KPa, pO2 14.3 KPa, HCO3- 28mmol/l.
b. Panic attack
c. Sarcoidosis
d. Cystic fibrosis
e. Extrinsic tracheal compression
71. A 40 year old afro Caribbean woman: PFT-FEV12.51,FVC2.91,FEV1/FVC86%,serumACElevels-

high
a. Pneumonectomy
b. Pulmonary fibrosis
d. Panic attack
e. Sarcoidosis
72. A 60 year old male non-smoker: PFTs- FEV 1.14L, FVC 3.51, FEV1/FVC = 40%. After
bronchodilator trial- FEV1/FVC = 50%. After 2 weeks of prednisolone 30 mg daily REV1/FVC =
65%.
a. Asthma
b. Pulmonary haemorrhage
c. Emphysema
e. Chronic bronchitis
73. A 29 year old teacher is 7 months pregnant. She presents with sudden collapse and
breathlessness. On examination, she is afebrile, severely cyanosed and hyperventilating. Her
pulse is 140/min and BP 70/30 mmHg.
a. CT brain
b. Blood count and film
c. Spiral CT with contrast
d. ECHO
e. Arterial blood gases
74. A 74 year old woman presents to causality with acute breathlessness. She has had 3 similar
admissions in last few months. She has a past history of rheumatic fever. On examination, she
has an irregular pulse of 110/min. she has a non-displaced tapping apex beat with no evidence
of left ventricular dysfunction. No murmurs are audible. There are crepitation’s heard in both
lower lung fields.
What is the single most likely cause of pulmonary oedema?
a. Adult respiratory distress syndrome

b. Mitral stenosis
c. Anaemia
d. Aortic stenosis
e. Acute renal failure
75. A 67 year old has had an elective total knee replacement. He has no significant medical history.
36 hrs after operation he complains of increasing breathlessness. He is cyanosed and has
crackles up to mid zones of both lung fields. His ECG is normal cardiac dimensions. His urine
output since the operation has been poor and e has been persistently hypotensive with a BP
of around 90/60 mmHg.
a. Myocardial infarction
b. Constrictive pericarditis
c. Myocarditis
d. Iatrogenic
e. Cardiomyopathy
76. A 50 year old farmer PFTs: FEV1 2.81, FVC 3.51, FEV1/FVC 80%. Reduced TLCO and KC Broncho
alveolar lavage – lymphocytes and mast cells. Precipitins to microspore faeni – positive.
a. Emphysema
b. Extrinsic allergic alveolitis
c. Chronic bronchitis
d. Pneumonectomy
e. Pulmonary fibrosis
77. A 35 year old woman ABG: pH 7.4, pCO2 4.4, pO2 9.4, TLCO 90% of predicted, KCO160% of
predicted. All results were normal 24 hours ago.
a. Pulmonary haemorrhage
b. Emphysema
c. Extrinsic allergic alveolitis
d. Chronic bronchitis
e. Pneumonectomy
78. A 26 year old nurse is brought to casualty as an emergency. She is hyperventilating but drowsy,
she has been complaining of nausea and tinnitus and had an episode of hematemesis.
a. Salicylate levels
b. Serum lactose
c. CT brain
d. Blood count and film
e. Spiral CT with contrast
79. A 21 year old motorcycle courier was involved in a head on collision with a van. He had an
obvious deformity of his left thigh and knee. X- Ray confirmed communited fracture of the
femur that was reduced and placed in traction. Five days later he suddenly deteriorates
becomes drowsy, confused and febrile. He is hyperventilating and cyanosed. There are
crackles at both lung bases and petechiae over his chest and neck.
a. Blood count and film

b. Spiral CT with contrast
c. ECHO
d. Arterial blood gases
e. V/Q scan
80. A 15 year old school girl was out with her friends at a party last night. When she returned
home this morning she was drowsy unwell and vomiting. She has lost 5kg over last 2 months.
On arrival at hospital, she is drowsy, confused and hyperventilating but not cyanosed. Her
breath smells of pear drops.
a. Blood glucose
b. Salicylate levels
c. Serum lactose
d. CT brain
e. Blood count and film
81. A 24 year old car mechanic is brought to casualty by his girlfriend. She describes a 2 day history
of rigors, sweats and intermittent confusion. On examination he is agitated, sweaty and
pyrexial with 38.6°C temp. He is hyperventilating and cyanosed despite receiving O2 by face
mask. There is dullness to percussion and bronchial breathing at the left lung base.
a. None required
b. Urea and electrolytes
c. Chest X-ray
d. Blood glucose
e. Salicylate levels
82. A 14 year old boy presents to casualty complaining of severe chest pain and difficulty in
breathing. He is hyperventilating and pale but not cyanosed. He has had 4 similar admissions
in last year and his older brother also attends the hospital frequently.
a. Blood glucose
b. Salicylate levels
c. Serum lactose
d. CT brain
e. Blood count and film
83. A 21 year old man has become increasingly breathlessness over a period of 4 days. He has also
had severe central chest pain and a fever. He was previously fit and well. On examination, he
looks unwell, cyanosed and dyspnoeic. Pulse is 120/min, regular BP 90/40 mmHg. JVP elevated
and he has a gallop rhythm with no murmurs. These are crackles in both long bases. CXR shows
pulmonary oedema and a normal heart rate. ECG shows extensive ST elevation in the anterior
and inferior leads without Q waves.
a. Myocarditis
b. Iatrogenic
c. Cardiomyopathy
d. Hypoalbuminemia
e. Mitral regurgitation
84. A 38 year old woman was admitted to hospital two days ago with abdominal pain and
vomiting. She was tender in the epigastrium and was found to have a very serum amylase
level. She has been treated with large volumes of IV fluids and has maintained a good urine
output. Nonetheless she has been persistently hypoxic and is deteriorating rapidly. She now
has crackles throughout both lung fields and a pO2 of 5.1kPa despite receiving 60% O2 by
mask. CXR shows massive bilateral pulmonary oedema. Her serum albumin is 30 mmol/l.
a. Adult respiratory distress syndrome

b. Mitral stenosis
c. Anaemia
d. Aortic stenosis
e. Acute renal failure
85. A 30 year old lady complains increasing breathlessness, tiredness, malaise, poor appetite and
weight loss.
What is the single most likely cause of breathlessness?
a. Asthma
b. Tuberculosis
c. Angioneurotic oedema
d. Thyroiditis
e. Branchial cyst
86. A 56 year old man wheezes and coughs. He has tried to give up smoking, but he finds it very
difficult. He is thin and healthy looking with a rounded chest. His breathing is noisy. His cough
is unproductive.
What is the single most appropriate next step in management?
a. Ipratropium
b. Amoxicillin
c. Aminophylline
d. Prednisolone
e. Salbutamol
87. A 37 year old man who has had recurrent chest infections since a serious bout of influenza 3
years ago presents with chronic productive cough. His sputum is tenacious and blood stained,
on auscultation you find crackling.
a. Postural drainage
b. Aspiration
c. Chest wall drain
d. Bronchoscopy
e. Pluerectomy
88. A woman has been treated for hypothyroidism cannot breathe. At night she must sit propped
up and she has a constant dull chest pain. On examination of her chest you find stony dullness
and bronchial breathing.
a. Postural drainage
b. Aspiration
c. Chest wall drain
d. Bronchoscopy
e. Pluerectomy
89. A healthy young woman comes to you complaining of a swelling in front of the next and
diarrhoea. She also has palpitations and is short of breath.
a. Asbestosis
b. CML
c. Erysipelas
d. Primary thyrotoxicosis
e. Hay fever
90. A 50 year old train conductor complains of chronic productive cough. He is also a heavy
smoker.
a. Erysipelas
b. Primary thyrotoxicosis
c. Hay fever
d. Depression
91. A 14 year old girl is brought into A and E with very difficult and noisy breathing.
a. Bronchogenic carcinoma
b. Sinusitis
c. Asthma
d. Tuberculosis
e. Angioneurotic oedema
92. A young woman complains of sore eyes, a dull chest pain, malaise and a low grade fever. She
thinks she has had a recurrent low grade fever for 4 months. A CXR shows bilateral hilar
enlargement.
a. Sarcoidosis
b. Asthma
c. Histiocytosis
d. Emphysema
e. Aspergillus funigatus
93. A middle aged pharmaceutical engineer presents with increasing breathlessness and cough.
He doesn’t smoke. On CXR you find diffuse bilateral mottling and multiple small cystic lesions.
Six months ago he had a pneumothorax.
a. Sarcoidosis
b. Asthma
c. Histiocytosis
d. Emphysema
e. Aspergillus funigatus
94. For the last three years a young man has complained of recurrent bouts of pneumonia with
wheeziness, cough, fever and malaise. His sputum is tenacious. Peripheral blood shows a very
high ESR and Ige.
a. Aspergillus fumigatus
b. Lung fibrosis
c. Idiopathic thrombocytopenia
d. Pleurisy
e. Polyarteritis nodsa
95. A 30 year old computer engineer with a long history of asthma and rhinitis presents with
wheezing, cough and fever. A CXR shows patchy consolidation. Physical examination shows
multiple tender subcutaneous nodules and purpura.
a. Pleurisy
b. Polyarteritis nodosa
c. Lung collapse
d. Hyperparythyroidism
e. Tuberculosis
96. A 43 year old man presents with chest pain and cough. He complains of fullness pressure in
the chest and a sharp pain affecting 2 or 3 ribs on the right side. A CXR shows a right sided
hilar enlargement.
a. Lung collapse
b. Hyperparathyroidism
c. Tuberculosis
d. Silent MI
97. A middle aged woman brings her husband into your surgery. She complains of his heavy
snoring. Also in the middle of the night he stops breathing, gags and wakes up. Also his
performance at work has been declining and he is being threatened of retirement.
a. Surgical excision
b. CPAP
c. Ipratropium
d. Amoxicillin
e. Aminophylline
98. A young man with chronic hepatitis develops chest complaints. He has become breathless and
coughs. He has lost weight and his joints bother him. On physical examination you note mild
cyanosis.
What is the single most appropriate step to take in management?
a. Ipratropium
b. Amoxicillin
c. Aminophylline
d. Prednisolone
e. Salbutamol
99. A middle aged woman complains of dyspnoea. Over the past year she had to give up her
gardening. An ECG shows right ventricular hypertrophy and strain.
What is the single next appropriate step in management?
a. Lobectomy
b. Antidepressants
c. A healthy diet
d. Anticoagulants
e. Contraception
100. An elderly woman cannot carry on her household chores but has to sit down every few minutes.
A CXR shows diffuse reticular nodular shadows especially in her lower lobes.
What is the single next most appropriate step in management?
a. Oxygen therapy
b. Thymectomy
c. Chemotherapy
d. Change occupation
e. Radiotherapy
101. A middle aged housewife presents with exertional dyspnoea. She also has a dry cough, general
malaise and is mildly cyanosed. On auscultation of chest you find crepitations. She has a history of
arthritis.
a. Respiratory failure
b. Bronchitis
c. Bronchial asthma
d. Emphysema
e. Rheumatoid lung
102. A 35 year old accountant presents with a chronic cough, dysponea and wheezing. He produces
copious sputum. His arterial carbon dioxide is low and his arterial oxygen is normal.
a. Rheumatic heart disease

b. Respiratory failure
c. Bronchitis
d. Bronchial asthma
e. Emphysema
103. A middle aged smoker presents with chronic cough and phlegm. His sputum is tenacious but
not yellow or blood stained. His chest is hyper inflated. His arteria carbon dioxide is high and his
arterial oxygen is low.
a. Bronchitis
b. Bronchial asthma
c. Emphysema
d. Rheumatoid lung
e. Fibrosing alveolitis
104. A 53 year old smoker with chronic cough and copious yellow sputum presents in a state of
agitation. He is confused. His pulse is bounding. He has a terrible headache and you find papilledema
on fundoscopy.
a. Tuberculosis
b. Pulmonary embolism
c. Rheumatic heart disease
d. Respiratory failure
e. Bronchitis
105. A young woman complains of wheeze, dyspnoea and cough. She cannot sleep at night because
of a chronic cough. She and her mother love animals and together they have 14 cats. Her PEFR is
normal but her CXR suggests hyperinflation.
A. Respiratory failure
B. Bronchitis
C. Bronchial asthma
D. Emphysema
E. Rheumatoid lung
106. A 36 year old woman presents “with increasing breathlessness over a period of 10 months. She
now finds herself unable to climb stairs. Also she has just had her 3rd child in 3 years and complains
of feeling depressed.
A. Blood transfusion
B. Lobectomy
C. Antidepressants
D. A healthy diet
E. Anticoagulants
107. A 43 year old shipyard worker complains of gasping for breath. On physical examination you
discover mild cyanosis and restricted chest movements.
A. Oxygen therapy
B. Thymectomy
C. Chemotherapy
D. Change occupation
E. Radiotherapy
108. A 62 year old man says he can’t get enough air. Over the past few months he has become
increasingly breathless. Also, he has noticed he has had difficulty in finishing his dinner. His jaw tires.
A. Edrophonium chloride
B. Iron supplements
C. Oxygen therapy
D. Thymectomy
E. Chemotherapy
109. A 65 year old warehouse man is admitted with severe wheeze and breathlessness. He has had
to sleep propped up. And during the past few days his legs have become swollen.
A. Furosemide
B. Oxygen therapy
C. GTN
D. Morphine
E. Nasal IPPV
110. A 50 year old taxi driver and heavy smoker complains that his feet swell up at the end of the
day. He has also noticed increasing shortness of breath.
A. sputum culture
B. Pericardial aspiration
C. Streptokinase
D. Furosemide
E. Oxygen therapy
111. A middle ages woman complains of a chronic cough and purulent sputum. Recently she has
become very wheezy and dyspnoeic. An ECG gives a low voltage trace and a CXR shows a large heart
shadow.
A. Antibiotics
B. Sputum culture
C. Pericardial aspiration
D. Streptokinase
E. Furosemide
112. An elderly woman complains of acute chest pain, breathlessness and haemoptysis. A month ago
she had pain and swelling in the legs but did not go to the doctor with these complaints.
A. Antibiotics
B. Sputum culture
C. Pericardial aspiration
D. Streptokinase
E. Furosemide
113. His friends bring in a 48 year old businessman. He is very distressed, breathless, cold and
clammy. He has severe chest pain and he has vomited 3 times.
A. Morphine
B. Nasal IPPV
C. Venesection
D. Advise stop smoking
E. Beta agonists
114. A 4 year old child has severe cough and fever. She appears acutely ill and cyanosed.
A. Bronchogenic carcinoma
B. Parainfluenzae
C. Respiratory syncytial virus
D. Rhinovirus
E. Pleurisy
115. A 6 year old child complains of a very sore throat. He has a mild fever and red fauces.
A. Bronchogenic carcinoma
B. Parainfluenzae
C. Respiratory syncytial virus
D. Rhinovirus
E. Pleurisy
116. A 32 year old bus driver complains of a persistent cough and blood stained sputum. He does not
smoke. He has a fever and supraclavicular glands. A CXR shows a dense irregular hilar expansion.
A. Tuberculosis
B. MI
C. Asthma
D. Meningitis
E. Bronchiectasis
117. A 32 year old lecturer has had a fever for a week with no cough. Her fever came on suddenly
and she says half her department is similarly ill. She has fine rales and a positive chest X-ray.
A. Parainfluenzae
B. Respiratory syncytial virus
C. Rhinovirus
D. Pleurisy
E. Pneumococci
118. A 40 year man complains of swollen legs and breathlessness. Examination reveals
hepatosplenomegaly. And a chest X-ray shows a normal but dense heart shadow and clear lung
fields.
A. Pericardial resection
B. Radiotherapy
C. Furosemide
D. Anti-emetics
E. Aspirin
119. A middle ages decorator complains of severe chest pain radiating to the neck. The pain came on
after dinner as he was retiring for the night.
A. Diamorphine
B. Diazepam
C. Combination antibiotics
D. Anxiolytics
E. Lobectomy
120. An elderly housewife was operated on for gallstones and at operation a gangrenous gallbladder
was removed. A couple of days later she complained of nausea and feeling unwell.
A. Diamorphine
B. Diazepam
C. Combination antibiotics
D. Anxiolytics
E. Lobectomy
121. A 62 year old lifelong smoker has a dry cough, weight loss and haemoptysis. CXR and CT show
right middle lobe collapse. He is sent to chest clinic for investigation.
What is the single next most appropriate investigation?
A. Bronchoalveolar lavage
B. ECHO
C. Serum precipitins
D. Fibreoptic bronchoscopy
E. Flow volume loop
122. A 54 year old farmer with intermittent dry cough, fever and dyspnoea, progressive weight loss
and fine crepitations on auscultation.
A. Serum precipitins
B. Fibreoptic bronchoscopy
C. High resolution CT
D. Mantoux test
E. Seek immediate expertise help
123. A 24 year old male develops sudden onset dyspnoea, chest pain on inspiration and haemoptysis
whilst straining at stool. He had a cholecystectomy 10 days previously. He rapidly becomes cyanosed
and loosed consciousness. On examination his blood pressure is 75/50, heart rate 156 and thread
with a loud pulmonary heart sound. His jugular venous pressure is raised by 6cm.
A. Seek immediate expertise help

B. Arterial blood gases
C. EGG, blood gases and V / Q scan
D. Serum calcium, ACE levels
E. Static lung volumes
124. A 22 year old barman presents with a dry cough of sudden onset. He complains of a chest pain
and rusty sputum. He also has a very high fever, rapid breathing, cyanosis and crepitations.
A. Pleurisy
B. Pneumococci
C. Pleural effusion
D. Q fever
E. Chronic bronchitis
125. A young officer manager complains of palpitations for 2 months. He says that when he mounts
the stairs he can feel his heart beating. His health history is unremarkable.
A. Combination antibiotics
B. Anxiolytics
C. Lobectomy
D. Pericardial tap
E. Incision and drainage
126. A 37 year old Nigerian woman develops clubbing, erythema nodosum, iritis, dyspnoea and
lymphadenopathy on her CXR.
A. Seek immediate expertise help

B. Arterial blood gases
C. EGG, blood gases and V / Q scan
D. Serum calcium, ACE levels
E. Static lung volumes
127. A 47 year old Caucasian childminder in Glasgow presents with dry cough, night sweats and
haemoptysis.
A. Flow volume loop

B. Mantoux test
C. Seek immediate expertise help
D. Arterial blood gases
E. EGG, blood gases and V / Q scan
128. What is the single most characteristic lung function test picture in emphysema?
A. FEV1/FVC 62% no reversibility to bronchodilators, gas trapping, hyperinflation and reduced

transfer factor
B. Normal PFTs
C. FEV1/FVC 89%
D. FEV1/FVC 85% globally reduced lung vols. Reduced inspiratory and expiratory mouth
pressures
E. Reduced transfer factor alone
129. What is the single most characteristic lung function test picture in pneumonectomy?
A. FEV1?FVC 85% globally reduced lung vols. Reduced inspiratory and expiratory mouth
pressures
B. Reduced transfer factor alone
C. Inspiratory and expiratory fixed obstruction on volume loop
D. Spirometry, lung volumes and incorrected transfer factor 50% predicted. Corrected factor
normal
E. Increased transfer factor FEV1?FVC 58%, 25% reversibility to bronchodilators, normal
transfer factor
130. What is the single most characteristic lung function test picture in neuromuscular disease?
A. FEV1/FVC 85% globally reduced lung vols. Reduced inspiratory and expiratory mouth
pressures
B. Reduced transfer factor alone
C. Inspiratory and expiratory fixed obstruction on volume loop
D. Spirometry, lung volumes and incorrected transfer factor 50% predicted. Corrected factor
normal
E. Increased transfer factor FEV1?FVC 58%, 25% reversibility to bronchodilators, normal
transfer factor
131. What is the single most characteristic lung function test picture in interstitial lung disease?
A. FEV1/FVC ratio 90%, TLC reduced by 30%, considerably reduced transfer factor
B. FEV1/FVC 62%, no reversibility to bronchodilators, gas tapping, hyperinflation and reduced
transfer factor
C. Normal PFTs
D. FEV1/FVC 89%
E. FEV1/FVC 85%, globally reduced lung vols. Reduced inspiratory and expiratory mouth
pressures
132. A 30 year old woman presents with a 3 day history of pyrexia, rigors and sweats. This was
preceded by a 1 week history of cough and increasing dysponea. She had a swinging fever and
dullness to percussion at the left lung base.
What is the single most likely cause of pleural effusion in this case?
a. Emphysema
b. Rheumatoid arthritis
c. Tuberculosis
d. SLE
e. Bronchial carcinoma
133. A 12 year old female presents with increasing breathlessness and abdominal swelling. She has a
right sided Plueral effusion. On examination she has generalised lymphadenopathy.
a. Rheumatoid arthritis
b. Tuberculosis
c. SLE
d. Bronchial carcinoma
e. Yellow nail syndrome
134. A 31 year old drug abuser presents with a 3 week history of cough, fever and general malaise
with occasional haemoptysis. He has a right sided pleural effusion.
a. Pneumonia
b. Pleural metastases
c. Emphysema
d. Rheumatoid arthritis
e. Tuberculosis
135. A 55 year old retired builder has a 3 month history of cough and left sided chest pain. He has a
pleural effusion on the left. On CXR there is evidence of pleural calcification.
a. Cardiac failure
b. Mesothelioma
c. Hypoalbuminemia
d. Meig’s syndrome e
e. Pneumonia
136. A 25 year old woman has just returned from a holiday in Kenya. She suddenly became
breathless and is cyanosed. Her pulse is 120/min, BP 110/70 mmHg, PEFR 400 L/min. CXR is normal.
a. IV insulin
b. IV adrenaline
c. Rebreathing into paper bag
d. Heparin
e. Methylene blue
137. A 50 year old with pulmonary fibrosis develops sudden left sided pleuritic pain and dysponea.
He has reduced air entry in the left side of the chest and percussion is hyper resonant. O2 saturation
is 80%.
a. Chest drain
b. IV furosemide
c. Rapid infusion of saline
d. Forced alkaline diuresis
e. Intramuscular adrenaline
138. A 58 year old woman presents with intermittent breathlessness and couihg. On examination,
she has a right sided pleural effusion and discoloured nails.
a. Rheumatoid arthritis
b. Tuberculosis
c. SLE
d. Bronchial carcinoma
e. Yellow nail syndrome
139. A 72 year old woman presents with a 2 month history if increasing breathlessness and swollen
legs. On examination, she has a raised JVP and a left sided pleural effusion.
a. Cardiac failure
b. Mesothelioma
c. Hypoalbuminemia
d. Meig’s syndrome e
e. Pneumonia
140. A pet shop owner presents with high swinging fever, cough, and malaise. He has scanty rose
spots over his abdomen. CXR reveals diffuse pneumonia.
141. A 70 year old woman presents with confusion and productive cough. CXR shows right lower
lobe consolidation.
a. Actinomycosis
142. A 70 year old alcoholic man presents with sudden onset of purulent productive cough. CXR
shows consolidation left upper lobe.
b. Aspergillus fumigatus
c. CMV
d. Actinomyces israelii
143. A 10 year old boy with cystic fibrosis presents with pneumonia.
a. Pseudomonas aeruginosa
c. Aspergillus fumigatus
d. CMV
e. Actinomyces israelii
144. A 30 year old man with AIDS presents with fever, dry cough and dysponea, CXR shows diffuse
bilateral alveolar and interstitial shadowing beginning in the perihilar regions and spreading
outward.
a. Pseudomonas aeruginosa
c. Aspergillus fumigatus
d. CMV
e. Actinoyces israelii
145. What is the best criterion for the diagnosis of asthma?
a. 10% reversibility
b. 5% reversibility
c. 15% reversibility
d. FVC
e. Positive pollen skin test
146. A 9 year old boy has a mild cough and wheeze after playing football in the cold weather.
What is the single most appropriate treatment option?
a. Oral theophylline
b. Inhaled steroids
c. Regular inhaled bronchodilation
d. Intermittent inhaled bronchodilation
e. Regular oral bronchodilation
147. A 6 year old girl with asthma uses her bronchodilator twice a day to relieve her mild wheeze.
Her parents refuse to give her any treatment containing steroids.
a. Desensitization
b. Oral steroids
c. Inhaled long acting bronchodilator
d. Nebulized bronchodilator
e. Inhaled sodium cromoglycate
148. A 9 year old with chronic asthma presents to A and E with rapidly worsening wheeze not
relieved with inhaled Bronchodilator steroids have been given orally.
a. Nebulized bronchodilator
b. Inhaled sodium cromoglycate
c. Oral theophylline
d. Inhaled steroids
e. Regular inhaled bronchodilation
149. A 4 year old boy with eczema and recurrent wheeze whenever he gets a viral infection has now
developed night cough. There has been no improvement in spite of using inhaled bronchodilator
twice each night.
a. Inhaled sodium cromoglycate

b. Oral theophylline
c. Inhaled steroids
d. Regular inhaled bronchodilation
e. Intermittent inhaled bronchodilation
150. A 14 year old boy with well controlled asthma, using inhaled steroids and a bronchodilator
comes to A and E with breathlessness and swollen lips after eating peanut butter sandwich.
a. As required bronchodilator
b. IV aminophylline
c. Adrenaline intramuscularly
d. Milk free diet
e. Desensitization
151. A 10 year old boy is getting very poor grades at school and according to the headmaster seems
to think like a 2 year old. The mother also says that he has a very short temper. On examination
unusually large testes are found. The boys elder brother and uncle had similar complaints.
a. Fetal alcohol syndrome

b. Normal finding
c. Familial predisposition
d. Fragile X syndrome
e. Tay-sachs’ disease
152. A 5 year old girl was born after a normal delivery has been developing normally. After an acute
illness a regression of milestones has been noticed.
a. Birth asphyxia
b. Meningoencephalitis
c. Duchene’s muscular dystrophy
d. Klimefelter’s syndrome
e. Celiac disease
153. A 2 year old girl was born weighing 4kg after a labour that lasted 15hrs in a mother of 2
children. She is able to stand but is yet to walk. The mother says her other child had a similar history.
a. Birth asphyxia
b. Meningoencephalitis
c. Duchene’s muscular dystrophy
d. Klimefelter’s syndrome
e. Celiac disease
154. A 25 year old bartender gives birth to a 2.9kg baby boy. The baby is found to have a head
circumference of 35cm. she has had her job for last 6 years.
a. Celiac disease
b. Phenylketonuria
c. Fetal alcohol syndrome
d. Normal finding
e. Familial predisposition
155. A 5 year old boy presents with a painful knee joint. His mother notices that he has started to
limp. On examination all the movements of the hip joint are limited. X-ray of the femoral head
shows patchy density.
a. Transient synovitis (irritable hip)

b. Ankylosing spondylitis
c. Slipped upper femoral epiphyses
d. Perthes’ disease
e. Congenital hip dislocation
156. A 3 year old girl is brought to hospital by an anxious mother, who says the child is taking too
long to walk normally. On examination her perinem appears wide and the lumbar lordosis appears
to be increased. She complains of occasional hip pain and is seen to have a waddling gait.
a. Slipped upper femoral epiphyses

b. Perthes’ disease
c. Congenital hip dislocation
d. Septic arthritis
e. Juvenile rheumatoid arthritis
157. A 5 year old presents with painful right hip and is seen to be limping. Ther is no history of
trauma. The SHO in-charge admits the boy and 24hrs later, the boy has no complains and is
discharged. X-ray of the right hip appears normal and no other joints are involved.
a. Transient synovitis (irritable hip)

b. Ankylosing spondylitis
c. Slipped upper femoral epiphyses
d. Perthes’ disease
e. Congenital hip dislocation
158. A 3 year old girl with a running nose, fever and loss of appetite, presents to hospital. This was
followed by stridor and cough described by mother as ‘barking’
a. Laryngotracheobronchitis
b. Mediastinal tumour
c. Foreign body
d. Recurrent laryngeal nerve paralysis
e. Largynomalacia
159. A 4 year old boy presents to the A and E with sever difficulty in breathing and stridor. He was
febrile and had a pulse of 200/min. throat cultures done upon arrival revealed a growth of influenza
type b.
a. Foreign body
b. Recurrent laryngeal nerve paralysis
c. Laryngomalacia
d. Acute epiglottitis
e. Laryngeal stenosis
160. A 2 day old breastfed male infant is vomiting after each feed. Abdominal X- ray demonstrated a
“double bubble”.

a. Duodenal atresia
b. Pancreatitis
c. Gastro-esphageal reflux
d. Psychogenic vomiting
e. Gastroenteritis
161. A 6 week old breast fed boy has had projectile vomiting after every feed for the pat 2 weeks. He
is now lethargic, dehydrated and tachypneic.
a. Pyloric stenosis
b. Meconium ileus
c. UTI
d. Meningitis
e. Whooping cough
162. A 4 month old boy who is thriving has persistent vomiting, which is occasionally blood stained
and is associated with crying.
a. Duodenal atresia
b. Pancreatitis
c. Gastro-esphageal reflux
d. Psychogenic vomiting
e. Gastroenteritis
163. An 8 year old girl shows signs of moderated dehydration. She has vomited all fluids for 24 hrs
and the vomit is not bile stained. Her abdomen is now soft and non-tender. She has had 2 similar
episodes in the past year.
a. Mesenteric adentitis
b. Cyclical vomiting
c. Overfeeding
d. Duodenal atresia
e. Pancreatitis
164. A 12 week old thriving baby is vomiting after every feed. He is developmentally normal and is
fed by the bottle at 260 ml/hg day.
a. Mesenteric adentitis
c. Overfeeding
d. Duodenal atresia
e. Pancreatitis
165. A 15 year old boy has very poor grades at school despite being very attentive and hard working.
His mother reckons its becausehe is teased at school because his breasts look like a girls. On further
examination he is found to have a small testes. He is mildly asthmatic.
a. Klinefelters syndrome
b. Sickle cell tarit
c. Patau syndrome
d. Beta thalassemia
e. Downs syndrome
166. A 5 year old South African boy is brought to the A and E deeply jaundice. He is found to have
mildly swollen, tender feet and hands. His mucosae are pale.
a. Di George syndrome
b. Fragile X syndrome
c. Acute myeloid leukaemia
d. Sickle cell disease
e. Edwards syndrome
167. A 6 year old Asian boy gets regular blood transfusions for his haematological abnormality. His
mucosae are pale and skull is grossly bossed. Haematological investigations were done and are as
follows:
MCH 25 g/dl
HB 8 g/dl
MCV 74 fl
a. Patau syndrome
b. Beta thalassaemia
c. Downs syndrome
d. Williams syndrome
e. Turners syndrome
168. A 10 year old boy is brought to the A and E with a swollen right arm. His temperature is 38.5°C
and is unable to move his arm due to severe pain. Blood cultures confirm salmonella osteomyelitis.
This is his second presentation this mouth and earlier presented with an acute onset
hepatosplenomegaly associated with severe pallor. The SHO does a sodium metabisulphite test on
the patients’ blood, which turns out to be positive.
c. Patau syndrome
d. Beta thalassemia
e. Downs syndrome
169. A 39 year old male is getting progressively forgetful and is later found to have Alzheimer’s
disease. He has small ears and an IQ score of 67.
c. Patau syndrome
d. Beta thalassemia
e. Downs syndrome
170. A 4 year old girl looks wasted and appears short for herage. The mother reports the daughter
has been vomiting on several occasions in the past with associated diarrhoea. The SHO thinks she
has an enteropathy and on serology, anti-endomysial antibodies were found.
a. Chronic non-specific diarrhoea

b. Irritable bowel syndrome
c. Celiac disease
d. Endometriosis
e. Ulcerative colitis
171. A mother brings her 5 year old son who has been passing bloody stool associated with severe
abdominal pain. On examination he is found to have mildly swollen tender wrists and red nodular
tender lesions were found on his forearms.
a. Endometriosis
b. Ulcerative colitis
c. Acute on chronic appendicitis
d. Giardiasis
e. Enterobius vermicularis infection
172. An 8 year old girl has got repeated episodes of diarrhoea. On each occasion the stool contains
segments of undigested vegetables. The paediatrician recommends restricting fluids to meal times.
The girl’s condition improves and she is thriving.
a. Chronic non-specific diarrhoea

b. Irritable bowel syndrome
c. Celiac disease
d. Endometriosis
e. Endometriosis
f. Ulcerative colitis
173. A mother and her daughter have just returned from a tropical holiday and the mother is
concerned that her daughter has an STD, since she complains of constant perianal and vulvar
irritation. There is no associated vaginal discharge.
a. Endometriosis
c. Acute on chronic appendicitis
d. Giardiasis
e. Enterobius vermicularis infection
174. A 15 year old girl complains of episodic diarrhoea which typically starts in the morning with a
constant urge to go to the toilet on waking and after breakfast. She says there is associated
abdominal pain in the right iliac fossa relieved by defection or flatus. She has the symptoms for 3
months.
a. Hirschsprungs disease
b. Acrodermatitis enteropathica
c. Intussusception
d. Chronic non-specific diarrhoea
e. Irritable bowel syndrome
175. A 5 month old baby presents with vomiting, following a 2 hr history of abdominal pain
associated with drawing up of legs. The mother says her baby has passed reddish stool.
a. Acute cholecystitis
c. Duodenal atresia
d. Necrotizing enterocolitis
e. Intussusception
176. A 12 year old presents with fever, flank pain. Abdominal mass is found on examination. Urine
microscopy shows no haematuria.
a. Wilms’ nephroblastoma
b. UTI
c. Mesenteric thrombosis
d. Acute pancreatitis
e. Gastro-esophageal reflux
177. An 8 year old girl shows signs of moderate dehydration. She has vomited all fluids for 24hrs and
the vomit is not bile stained. Her abdomen is now soft and non-tender. She has had 2 similar
episodes in the past year.
a. Meconium ileus
b. Acute choleystitis
c. Cyclical vomiting
d. Duodenal atresia
e. Nectrotizing enterocolitis
178. A 6 week old breastfed girl has projectile vomiting after every feed for the past 2 weeks. She is
now lethargic, dehydrated and tachypnoeic.

a. Hirschsprung’s disease
b. Meningitis
c. Pyloric stenosis
d. Meconium ileus
e. Acute cholecystitis
179. A 1 year old breastfed infant is vomiting after each feed. Abdominal X-ray shows a double-
bubble sign.
a. Cyclical vomiting
b. Duodenal atresia
c. Nectrotizing enterocolitis
d. Intussusception
e. Psychogenic vomiting
180. A 6 year old febrile child is drowsy and vomiting. She is being treated for otitis media by her GP.
a. Meningitis
b. Pyloric stenosis
c. Meconium ileus
d. Acute cholecytitis
e. Cyclical vomiting
181. Eight days after a premature birth, a mother notices her baby crying excessively and has passed
blood and mucus per rectum. The infant is still in the special care baby unit.
a. Acute cholecystitis
c. Duodenal atresia
d. Necrotizing enterocolitis
e. Intussusception
182. A 15 year old boy who is thriving has a mild abdominal pain and is passing “rice water” stools.
She had been at a mates’ birthday party the night before.
a. UTI
b. Mesenteric thrombosis
c. Acute pancreatitis
d. Gastroesophageal reflux
e. Gastroenteritis
183. A 15 month boy is admitted to A and E shocked. There is no history of diarrhoea, but he has
been passing large amounts of melanotic stools. Om examination he is anaemic.

a. Meckel’s diverticulum
c. Eosinophilic colitis
d. Crohn’s disease
e. Intussusception
184. A 4 year old girl presents with bloody diarrhoea and crampy abdominal pain. Blood tests show
anaemia and thrombocytopenia.
a. Haemorrhoids
b. Haemolytic- uraemic syndrome
c. Hirchsprung’s diease
d. Lymph nodular hyperplasia
e. Anal failure
185. A 5 week old infant presents with scanty streaks of fresh blood mixed with normal coloured
stools.
e. Intussusception
186. A 7 year old boy presents with streaks of fresh blood on the side of normal coloured stools and
drop of fresh blood in the toilet. There is no history of abdominal pain or rectal pain.
a. Haemolytic- uraemic syndrome

b. Hirchsprung’s diease
c. Lymph nodular hyperplasia
d. Anal failure
e. Juvenile polyps
187. A 3 year old boy is admitted to A and after passing several grossly bloody stools. There is no
history of abdominal pain, fever or vomiting. On examination he is markedly pain.
e. Intussusception
188. A 12 year old girl presented with a 4 week history of rectal bleedings and frequent loose
motions. She reported lower abdominal cramping during defaecation but denied fever, rash, weight
loss, arthritis or vomiting. Investigations showed anaemia but normal ESR, albumin and liver
enzymes.
a. Ulcerative colitis
b. Eosinophilic colitis
c. Crohn’s disease
d. Intussusception
e. Haemorrhoids
189. A 20 year old first time mother with severe weight loss, anorexia and believes her husband is
interested in killing her and their baby son and feels completely worthless.
a. Electrococonvulsive therapy
b. Imipramine
c. Flupenthixol
d. NO action
e. Psychodynamic psychotherapy
190. A 40 year old man has been treated for depression for 6 months. He is now being to lose weight
loss and getting ‘suicidal thoughts more frequently than before.
a. Electrococonvulsive therapy
b. Imipramine
c. Flupenthixol
d. NO action
e. Psychodynamic psychotherapy
191. A 29 year old woman with inability to sleep and aggressiveness and increased libido. Her
husband says prior to this, she as markedly withdrawn and blamed herself for their daughter’s death
due to cancer, threatening to join her.
a. Behavioural therapy
b. Abreaction
c. Marital therapy
d. Counselling
e. Lithium
192. A 12 year old boy refuses to go to school because of constant failure to get grade. He is
threatening to starve himself to death.
a. Psychodynamic psychotherapy
b. Psychosurgery
c. Cognitive surgery
d. Hypnotherapy
e. Behavioural therapy
193. A 16 year old girl with a BMI of 16 complains of 3 month history of amenorrhoea. She is not on
the pill and the pregnancy test is negative. She wants to be a model.
a. Hypnotherapy
b. Behavioural therapy
c. Abreaction
d. Marital therapy
e. Counselling
194. A 20 year old man keeps cleaning his hands every time he shakes his partner’s hand. He was a
high achiever in high school.
a. Borderline personality disorder

b. Obsessive compulsive disorder
c. Schizotypal personality disorder
d. Avoidant personality disorder
e. Schizoid personality disorder
195. A 56 year old farmer believes that his neighbour is killing his farm animals despite the local
veterinarys advice that the death due to an outbreak of antharax. He spends hours watching his
neighbour through a pair of binocular lens, hoping to catch him in the act.
a. Histrionic personality disorder

b. Paranoid personality disorder
c. Borderline personality disorder
d. Obsessive compulsive disorder
e. Schizotypal personality disorder
196. A 16 year old girl is described as ‘queer’ by her mates. She is unfriendly and has no close friends
despite numerous attempts by boys in her college. She lacks empathy and is largely introspective.
a. Schizotypal personality disorder

b. Avoidant personality disorder
c. Schizoid personality disorder
d. Antisocial personality disorder
e. Panic attack disorder
197. A 16 year old girl in high school always comes late to lass wearing strong perfume in a vain
attempt to attract attention. She laughs loudly at jokes, many of her mates find particulary find
hilarious.
a. Histrionic personality disorder

b. Paranoid personality disorder
c. Borderline personality disorder
d. Obsessive compulsive disorder
e. Schizotypal personality disorder
198. A 32 year old man always gives in to his wife over any decision even when he knows that this
isn’t right. He insists on having his wife prepare his every meal, wash him and put him to sleep. He
cries whenever his wife is away.
a. Avoidant personality disorder

b. Schizoid personality disorder
c. Antisocial personality disorder
d. Panic attack disorder
e. Dependant personality disorder
199. A 23 year old student presents with insomnia, headaches, sweating, palpitations, chest pain and
poor appetite.
a. Chronic alcoholism
b. Hysteria
c. Phobia
d. Paranoid state
e. Anxiety neurosis
200. A 35 year old single woman presents with weight loss, poor appetite, decreased ability to
concentrate and guilt feelings.
a. Depression
b. Mania
c. Post-traumatic
d. Obsessional neurosis
e. Schizophrenia
201. A 19 year old female student presents with sudden blindness. Neurological examination reveals
no abnormality.
a. Obsessional neurosis
b. Schizophrenia
c. Depersonalization
d. Chronic alcoholism
e. Hysteria
202. A 20 year old man presents with disinhibition, hyperactivity, increased appetitie and grandiose
delusions.
a. Depression
b. Mania
c. Post-traumatic stress disorder
d. Obsessional neurosis
e. Schizophrenia
203. A 30 year old man presents with auditory hallucinations, social withdrawal and delusions of
persecution.
a. Schizophrenia
b. Depersonalization
c. Chronic alcoholism
d. Hysteria
e. Paranoia
204. A 21 year old man presents with compulsions and rituals, which he resists.
a. Post-traumatic stress disorder

b. Obsessional neurosis
c. Schizophrenia
d. Depersonalization
e. Chronic alcoholism
205. A 70 year old retired engineer experience changes in personality and impaired social skills. His
family who describe him as forgetful and not as sharp corroborates this. There are no objective
features of depression.
a. Dementia
b. Grief reaction
c. Panic attacks
d. Schizophrenia
e. Postnatal psychosis
206. A 20 year old man is noted to be withdrawn, isolated and ‘peculiar’. He experiences persecutory
delusions and auditory hallucinations.
a. Dementia
b. Grief reaction
c. Panic attacks
d. Schizophrenia
e. Postnatal psychosis
207. A 60 year old widow is noted by her family to be restless, disorganised, crying and frequently
expresses her wish to join her deceased partner.

a. Suicidal risk
b. Opioid abuse
c. Alcohol abuse
d. Depression
e. Anxiety
208. A 40 year old Irishman complains of frequent episodes of chest pains, sweating, palpitations, a
sense of impending doom and trembling that lasts for minutes at a time.
a. Anxiety
b. Delirium
c. Dementia
d. Grief reaction
e. Panic attacks
209. A 25 year old man presents with miosis, slurred speech, disorientation, and respiratory
depression.
a. Opioid abuse
b. Alcohol abuse
c. Depression
d. Anxiety
e. Delirium
210. A 70 year old presents with a progressive forgetfulness and mood changes. He has a shuffling
gait. The head CT scan shows cortical atrophy and enlarged ventricles.
a. Propranolol
b. Donepezil
c. Dilsurfiram
d. Levodopa + carbidopa
e. Methadone
211. A 60 year old man presents with a disturbance of voluntary motor function. His face is
expressionless. On examination he has cogwest rigidity and bradykinesia
a. Dilsurfiram
b. Levodopa + carbidopa
c. Methadone
d. Diazepam
e. Prozac
212. A 10 year old boy presents with brief repetitive motor ties and is brought in by his parents for
shouting obscenities at school.

a. Levodopa + carbidopa
b. Methadone
c. Diazepam
d. Prozac
e. Haloperidol
213. A 40 year old man presents with ataxia. Hi wife states that it runs in her husband’s family. He is
difficult to live with, very irritable, clumsy and suffers from jerky movement of the legs.
a. Long term psychotherapy

b. Tetrabenzine
c. Lithium
d. Propranolol
e. Donepezil
214. A 20 year old man presents wit sweating, muscle twitching and abdominal cramps. On
examination he had dilated pupils.
a. Propranolol
b. Donepezil
c. Dilsurfiram
d. Levodopa + carbidopa
e. Methadone
215. A 20 year old female complains of irritability and constant depression. She has thought about
suicide. She has trouble sleeping and has lost her appetite.
a. Major depression
b. Porphyria
c. Drug-induced depression
d. Maniac- depressive disorder
e. Bereavement reaction
216. A 20 year old female complains of episodes of irritability and depression. She also complains of
monthly bloating and tension.
a. Premenstrual syndrome
b. Cushing’s syndrome
c. Puerperal affective disorder
d. Hyperparathyroidism
e. Major depression
217. A 30 year old complains of depression, lethargy, constipation, and weight gain. Sje also suffers
from menorrhagia
a. Maniac- depressive disorder

b. Bereavement reaction
c. Drug abuse
d. Hypothyroidism
e. Vitamin and mineral disorders
218. A 40 year old woman presents with depression and weight gain. She complains of back pain and
excessive thirst. Her menstrual period lasts for 3 days and sometimes she skips a cycle. On
examination she is obese with acne and peripheral edema.
a. Cushing’s syndrome
b. Puerperal affective disorder
c. Hyperparathyroidism
d. Major depression
e. Porphyria
219. A 30 year old female on OC pills presents with colicky abdominal pain, vomiting, and
depression. She is noted to be hypertensive. On standing, the urine turns deep red.
a. Porphyria
b. Drug induced depression
c. Maniac-depressive reaction
d. Bereavement reaction
e. Drug abuse
220. A 25 year old man has no close friends. He avoids social situations. He is unable to express
tender emotions. He has no overt signs of hallucination or delusional behaviour
a. Schizoid
b. Multiple personality
c. Borderline
d. Histrionic
e. Narcissistic
221. A 17 year old boy is brought to his GP by his parents for abusive behaviour. He is delinquent
from school and has been arrested for assault and theft.
a. Antisocial
b. Avoidant
c. Schizotypal
d. Passive-aggressive
e. Paranoid
222. A 23 year old man believes that he is perfect. He is unable to empathize and manipulates
people and situations. He sees everyone else as flawed. His relationship are shallow.
a. Borderline
b. Histrionic
c. Narcissistic
d. Antisocial
e. Avoidant
223. A 33 year old female presents to the GP with chronic feelings of boredom and depression. She
shops excessively and is sexually promiscuous. She has cut herself In the past to relive her anxiety.
a. Schizoid
b. Multiple personality
c. Borderline
d. Histrionic
e. Narcissistic
224. A 25 year old anxious female presents to her GP. She suffers from low level esteem doesn’t take
risks in life. She seems extremely sensitive to criticism.
a. Avoidant
b. Schizotypal
c. Passive-aggressive
d. Paranoid
e. Obsessive-compulsive
225. A 40 year old man insist that his wife is unfaithful and sleeping with an entire neighbourhood.
He is hypersensitive, argumentative and litigious. His wife has left him due to his behaviour. He
functions well at work.
a. Delusional disorder
b. Major depression
c. Paranoid schizophrenia
d. Body dysmorphic disorder
e. Postpartum depression
226. A 26 year old woman presents with personality changes. She is noted by her friends initially to
be anxious, irritable and an insomniac and weeks later she becomes profoundly depressed with low
self-esteem and contemplates suicide. In consultation she has pressured speech with boundless
energy.
a. Schizophrenia disorder
b. Bipolar disorder
c. Delusional disorder
d. Major depression
e. Paranoid schizophrenia
227. A 20 year old woman has a mental breakdown. She has recently broke up with her boyfriend.
She has dramatic mood swings, memory loss and incoherent speech. This lasts for a month.
a. Post- traumatic stress disorder

b. Brief reactive psychosis
c. Schizoaffective disorder
d. Bipolar disorder
e. Delusional disorder
228. A 20 year old woman presents to her GP complaining of feeling depressed ever since she can
remember. Her parents died in a car crash 10 years ago. She sees herself as a failure but functions
well at work. She has trouble falling asleep.
a. Paranoid schizophrenia
b. Body dysmorphic disorder
c. Postpartum depression
d. Panic disorder
e. Dysthymia
229. A 50 year old woman complains of sudden episodes of feeling impending doom. During these
episodes she feels choked and sweats profusely.
a. Paranoid schizophrenia
b. Body dysmorphic disorder
c. Postpartum depression
d. Panic disorder
e. Dysthymia
230. A 2 year old present with anaemia and abdominal pain. His mother states that she has seen him
peeling paint chips off the wall and wonders if he has been eating this?
a. Pica
b. Algophobia
c. Formication
d. Delirium
e. Alcohol withdrawal
231. A 23 year old woman becomes afraid to leave her home. She functions normally except will not
step outside the house.

a. Schizophrenia
b. Opioid withdrawal
c. Xenophobia
d. Drug toxicity
e. Agoraphobia
232. An 18 year old man presents with nausea, vomiting and diaphoresis. His pupils are dialted and
his blood pressure is elevated. He has a history of drug addiction.
a. Alcohol intoxication
b. Cocaine intoxication
c. Schizophrenia
d. Opioid withdrawal
e. Xenophobia
233. A 30 year old woman is found in an amnesic state. Her husband reports that she had been
missing for a few days after she has been served with divorce papers.
a. Alcohol withdrawal
b. Fugue
c. Alcohol intoxication
d. Cocaine intoxication
e. Schizophrenia
234. A 30 year old man with bipolar disorder is taking lithium. He was recently started on thiazide
diuretics for mild hypertension. He is now confused with ataxia, blurred vision and a coarse termor.
a. Cocaine intoxication
b. Schizophrenia
c. Opioid withdrawal
d. Xenophobia
e. Drug toxicity
235. A 28 year old female presents with lower abdominal pain. On examination she has multiple
surgical scars over her abdomen. Her abdominal and pelvic examinations are normal. She insists she
needs laparoscopy.
a. Munchausen’s syndrome
b. Dissociative disorder
c. Alcohol withdrawal delirium
d. Malingering disorder
e. Extra-pyramidal side effect
236. A 50 year old schizophrenic is started on haloperidol. A month later he is noted to be drooling
saliva and walking with a suffering gait. He also suffers from involuntary chewing movements.
a. Malingering disorder
b. Extra-pyramidal side effect
c. Parkinson’s disease
d. Hypothyroidism
e. Cushing’s syndrome
237. A 40 year old female complains of dry mouth, blurry vision and constipation. On examination
she had dilated pupils. She was started on amitriptyline for major depression.
a. Cushing’s syndrome
b. Hysterical neurosis
c. Autonomic side effect
d. Acromegaly
e. Anticholinergic side effect
328. A 45 year old man complains of headaches, excessive thirst and frequent urination. On
examination he is noted to have bad acne, coarse skin and has a goitre. He has moved his wedding
band to the 5th grader.
a. Hypothyroidism
b. Cushing’s syndrome
c. Hysterical neurosis
d. Autonomic side effect
e. Acromegaly
339. A 30 year old man presents to casualty with a dislocated shoulder. On examination, the
shoulder is found not to be dislocated. The patient insists it is dislocated.
a. Munchausen’s syndrome
b. Dissociative disorder
c. Alcohol withdrawal delirium
d. Malingering disorder
e. Extra-pyramidal side effect
340. A 28 year old woman lost her job 3 months ago. She attends her GP complaining of difficulty in
sleeping. She feels tired, has a poor appetite and has lost some weight. She feels worthless. She says
before she was fired from her job her boss used to record her phone calls and also heard him taking
ill about her to her colleagues. She thoughts of committing suicide and says that her husband would
not miss her if she were dead.
a. Temazepam
b. Fluoxetine
c. Zopiclone
d. Buspirone
e. Risperidone
341. A 41 year old man has been brought to casualty after being found in the street acting in a
bizzare fashion. He was exposing his genitals to passers-by. In casualty he was angry and abusive. He
refuses to have any tests in the hospital.
a. Risperidone
b. Lithium carbonate
c. Thioridazine
d. Haloperidol
e. Drug treatment not appropriate
342. A 21 year old single woman gave birth to her first child 2 days ago. Since the birth she has been
unable to sleep and is reluctant to hold her baby or to feed her. She is very tearful and cries for no
reason. She denies thoughts of harming the baby.
a. Risperidone
b. Lithium carbonate
c. Thioridazine
d. Haloperidol
e. Drug treatment not appropriate
343. A 64 year old woman has a 3 year history of increasing confusion, loss of mobility and tremor.
She has recently developed frequent visual hallucinations and tends to cry out for no reason,
particularly at night. There is no evidence of an acute medical cause for her confusion. On
examination she is alert but disorientated and quite agitated. She has a coarse resting tremor,
increased tone in her limbs and normal reflexes.
a. Temazepam
b. Fluoxetine
c. Zopiclone
d. Buspirone
e. Risperidone
344. A mother is worried about her 25 year old son. He seems to jump from 1 topic to another, make
up words, laugh at inappropriate things and talk to someone imaginary. He has blacked out his
windows and complains that someone else is controlling his thoughts.
a. Anorexia nervosa
b. Schizophrenia
c. Mania
d. Depression with psychomotor
e. Hypomania retardation
345. A 40 year old presents to his GP with headaches, insomnia and weight gain. He is slow and
sluggish when he speaks. He describes a loss of interest in everything, a feeling of worthlessness and
often cries alone.
a. Anorexia nervosa
b. Schizophrenia
c. Mania
d. Depression with psychomotor
e. Hypomania retardation
346. A 23 year old woman present with an episode of generalised parathesia, “flapping” limbs, loss
of urinary incontinence and abnormal posturing of the hands. These episodes are preceded by chest
tightness and difficulty swallowing. Recently she has been feeling that parts of her made of cotton
wool.
a. Obsessive compulsive disorder

b. Cyclothymic disorder
c. Phobia
d. Hyperventilation syndrome
e. Acute confusional state
347. A wife cannot cope up with her husband’s moods. She says he is very labile. He goes from
being full of energy and happy one day to being so pessimistic about everything the next day.
a. Obsessive compulsive disorder

b. Cyclothymic disorder
c. Phobia
d. Hyperventilation syndrome
e. Acute confusional state
348. A 35 year old lady has a persistent abnormality of mood continually alternating between
euphoria and depression.
a. Obsessional personality
b. Immoral personality
c. Sociopathic personality
d. Asthenic personality
e. Affective disorder
349. A 36 year old gentlemen who is a perfectionist to a rigid degree.
a. Schizoid personality
b. Suicidal personality
c. Obsessional personality
d. Immoral personality
e. Sociopathic personality
350. A 45 year old serial killer who shows no remorse for crimes he has committed.
a. Schizoid personality
b. Suicidal personality
c. Obsessional personality
d. Immoral personality
e. Sociopathic personality
351. A 24 year old lady whom has had a number of failed relationships and has a tendency to
dramatize limb pains.
a. Hysterical personality
b. Manic personality
c. Schizoid personality
d. Suicidal personality
e. Obsessional personality
352. A shy 27 year old man who is shy of advances and tends to be aloof.
a. Obsessional personality
b. Immoral personality
c. Suicidal personality
d. Obsessional personality
e. Immoral personality
353. A 56 year old woman says that she sees her deceased husband un and around the house.
b. Anti- psychotic therapy
c. Bereavement counselling
d. Anti- depressive medication
e. Chlorpromazine treatment
354. A 19 year old female university student undertakes hand washing up to 30 times in one day;
this is getting in the way of her work.
a. Benzodiazepine medication
b. Cognitive therapy
c. Hypnotherapy
d. Group therapy
255. A 50 year old has vagrant thoughts to be alcoholic is admitted to the ward where is being unruly
and thinks the nurses are going to kill him.
a. Lithium
b. Emergency care order
c. Electroconvulsive therapy
d. Benzodiazepine medication
e. Cognitive therapy
256. A 24 year old man says that aliens are talking to him and controlling his thoughts.
b. Anti-psychotic therapy
c. Bereavement counselling
d. Anti- depressive medication
e. Chlorpromazine treatment
257. A 40 year old woman is scared of flying.
a. Benzodiazepine medication
b. Cognitive therapy
c. Hypnotherapy
d. Group therapy
258. A mother brings her child to go you with chronic diarrhoea. You have strong grounds to suspect
a fractious illness because the nursing staff have found a number of packets of laxatives in her bag.
What is the single most appropriate management option?
a. Inform the police

b. Reassure
c. Inform social services
d. Imipramine
e. Refer to a dietician
259. A 25 year old lady arrives at the local accident and emergency department after ingesting an
unknown amount of an unknown drug.
a. Refer to a dietician
b. Counselling
c. Refer to a psychiatrist
d. Contact the GP
e. Refer to general medical team
260. You get a call to visit a pateints house. The patient had been missing for last 4 days. The
patients neighbour tells you that 4 days back the patients GP had come to visit him.
b. Counselling
d. Contact the GP
261. A 30 year old man presents with dizziness and irritability. In the A and E the patient behaves
aggressively and abuses the nursing staff. On examination you find him to be febrile. Mild neck
rigidity is present.
b. Counselling
d. Contact the GP
262. A young lady who use to be an IV drug abuser has now completely stop taking drugs. She comes
to you saying that her boyfriend is forcing her to take those drugs again.

b. Reassure
d. Imipramine
263. A 32 year old lady is afraid to go out in the market, whenever she goes out of the house she
comes home running and gasping for breath. She immediately locks her doors and windows after
reaching home. She is otherwise normal in the house.

b. Reassure
d. Imipramine
264. A 25 year old woman finds it difficult to leave her home. She becomes very agitated in
supermarkets and describes palpitations and difficulty breathing when in crowds.
a. Bipolar affective disorder

b. Panic attacks
c. Anxiety neurosis
d. Post-trumatic stress disorder
e. Agoraphobia
265. A 40 year old man complains of low mood and fatigue. He has a poor appetite and has loss of
libido. He wakes at 2am and is unable to return to sleep. He feels guilty about the death if his
mother 2 years ago.
a. Depression
b. Social phobia
c. Bipolar affective disorder
d. Panic attacks
e. Anxiety neurosis
266. A 20 year old man is seen in dermatology outpatients with very sore hands. He has dry, cracked
skin on all his fingers. He says he has to wash his hands at least times a day and is unable to sleep of
he has not done so.
a. Anxiety neurosis
b. Post- traumatic stress disorder
c. Agoraphobic
d. Specific phobia
e. Obsessive compulsive disorder
267. A 20 year old woman attends A and E complaining of sudden breathlessness and anxiety. She
describes palpitations and paraesthesia of her hands, feet amd lips. ECG shows sinus tachycardia and
O2 saturation is normal.
a. Depression
b. Social phobia
c. Bipolar affective disorder
d. Panic attacks
e. Anxiety neurosis
268. A 35 year old train driver is on sick leave after an incident in which a child ran onto the tracks.
He is unable to go near railways and takes excessively long route to avoid them. He is troubled by
flashbacks of the accident, which frequently disturbs his sleep.
a. Anxiety neurosis
b. Post- traumatic stress disorder
c. Agoraphobic
d. Specific phobia
e. Obsessive compulsive disorder
269. A 35 year old man is agitated and euphoric. He claims to be helping the prime minister with
economic policy, although this is not true when checked.
a. Paraphrenia
b. Mania
c. Drug- induced
d. Toxic confusional state
e. Personality disorder
270. A 20 year old man complains that all his movements are begin watched. Sometimes he feels as
though his actions are being controlled by his radio. At other times he is aware of voices describing
what he is doing.
a. Schizophrenia
b. Korsakoff’s psychosis
c. Psychotic depression
d. Paraphrenia
e. Mania
271. A 50 year old man complains of being pursued by the police for a crime he denies committing.
He has poor concentration and impaired short-term memory. He admits to drinking large amounts
of alcohol.
a. Korsakoff’s psychosis
b. Psychotic depression
c. Paraphrenia
d. Mania
e. Drug- induced
272. A 65 year old woman says that she died 3 months ago and is very distressed that nobody has
buried her. When she is outdoors hears peoples say that she is evil and needs to be punished.
a. Korsakoff’s psychosis
b. Psychotic depression
c. Paraphrenia
d. Mania
e. Drug- induced
273. A 40 year old teetotal woman is recovering from a hysterectomy 2 days go. At night she
becomes agitated and complains of seeing animals and children walking around the wards.
a. Paraphrenia
b. Mania
c. Drug- induced
d. Toxic confusional state
e. Personality disorder
274. A 30 year old male sldes slowly into a severe depression over a number of months for no
particular reason. His hobbies and interests are dropped, his social contact diminishes and his mood
lower. He visits a psychiatrist for the first time because he is becoming increasingly distressed with
disturbed sleep patterns and no appetite. He feels his future is hopeless.
a. Tricyclic depressants
b. MAOI
c. Reserpine
d. Carbamazepine
e. Sodium valproate
275. A 40 year old has repeated episodes of depressed mood in response to feelings rejected and a
craving for sweets and chocolates. These reactive mod changes are accompanied by hypersomnia,
lethargy and increased appetite particularly with a preference for carbohydrates.
b. MAOI
c. Reserpine
d. Carbamazepine
e. Sodium valproate
276. A 55 year old woman has mania associated with cyclic and frequent depressive features.
b. MAOI
c. Reserpine
d. Carbamazepine
e. Sodium valproate
277. An 18 year old previously healthy girl waiting for her college exam result. The result is arriving
that day by post and she is suffering from acute anxiety due to the importance of the results for her
future career. Her mother consults a GP.
a. SSRI
b. Lorazepam
c. St John’s Wort
d. Electroconvulsive therapy
e. Lithium
278. A 30 year old female patient with suspected manic depression suffers from severe mood
swings.
a. Electroconvulsive therapy
b. Lithium
c. Tricyclic depressants
d. MAOI
e. Reserpine
279. A 64 year old man with bronchoscopically confirmed squamous cell carcinoma of the right
upper lobe has a normal FEC1 of 2.5 L and normal serum biochemistry.
What is the single most appropriate investigation to assess operability?
a. Bone scan
b. Chest CT scan
c. Differential perfusion lung scan
d. Measurement of total lung capacity
e. Sputum cytology
280. A 55 year old female is admitted with a chest infection. Investigations reveal consolidation in
the right base on the chest X-ray and urinary legionella antigen is found to be positive.
a. Cefotaxime
b. Clarithromycin
c. Co-amoxiclav
d. Minocycline
e. Vancomycin
281. A 17 year old boy attends the accident and emergency department having been taken ill whilst
playing football. He give a history of sudden onset of left sided chest pain followed by severe and
persistent breathlessness.
What is the single investigation most likely to provide a definitive diagnosis?
a. Blood gases
b. Chest X-ray
c. Echocardiogram
d. Electrocardiogram
e. Pulmonary function tests
282. An 85 year old man who weighs 80kg is admitted as an emergency with fever and delirium. He
gives a history of dysuria and frequency. His blood pressure (BP) is 70/50 mmHg and temperature
38.6°C. His serum creatinine is 620 µmol/l and his serum area is 46 mmol/l. The microbiologist
recommends the prescription if gentamicin.
What is the single most appropriate does of gentamicin?
a. 40mg single dose

b. 40mg once daily
c. 80mg 8 hourly
d. 80mg 12 hourly
e. 160mg single dose
283. A 55 year old man presents having recently noticed a lump in his right groin. He smokes heavily,
has a persistent cough and has previously has an appendicectomy.
a. Epigastric hernia
b. Femoral hernia
c. Incisional hernia
d. Inguinal hernia
e. Spigelian hernia
284. A 58 year old postmenopausal woman presents with one week history of vaginal bleeding.
Digital vaginal examination is normal.
What is the single most appropriate diagnostic test?
a. Cervical smear
b. Endometrial aspiration
c. Plasma oestrogen
d. Serum FSH/LH levels
e. Transvaginal ultrasound scan
285. A 2 year old boy is brought to the A and E department by his mother. He has unable to bear
weight since a fall from a chair last night. He is tender over the mid-tibia but there is no obvious limb
deformity.
What is the single most likely radiographic appearance of the fracture?
a. Angulated fracture
b. Compound fracture
c. Epiphyseal fracture
d. No fracture likely
e. Spiral fracture
286. An 83 year old woman was admitted with a chest infection becomes confused with poor
concentration. She is restless and frightened. She is verbally abusive and has perceptual
abnormalities. There is no significant previous psychiatric history.
a. Acute confusional state

b. Drug- induced psychosis
c. Lewy body dementia
d. Multi-infarct dementia
e. Psychotic depression
287. A 32 year old woman was painting her bathroom when she experienced a sudden, severe head
cache, vomited and collapsed hitting her head. She has been brought to the A and E department.
She now has a Glasgow coma scale (GCS) score of 15, temperature of 37.7°C, and blood pressure of
145/85mmHg and pulse rate of 70 beats/minute. Her physical examination is normal apart from an
abrasion over her right temple.
What is the single most appropriate initial management?
a. Admit for head injury observation

b. Carboxyhaemoglobin level
c. Computed tomography (CT) brain scan
d. Lumbar puncture
e. Skull
288. A patient with dilated cardiomyopathy and permanent atrial fibrillation (AF) has a resting heart
rate of 110bpm. Twenty four hour taped recordings show even higher uncontrolled rates,
particularly associated with exercise. He is already taking 187.5mg of digoxin and has a normal
creatinine.
What is the single most beneficial treatment?
a. Addition of beta blocker

b. Addition of verapamil
c. AV node ablation and permanent pacemaker insertion
d. DC cardioversion
e. Increase digoxin to 250mg
289. A 60 year old lady presents with increasing swelling of ankles, abdominal distension and
dyspnoea. She has a past medical history of pulmonary tuberculosis as a child and a left mastectomy
and subsequent radiotherapy 5 years previously. On examination she is apyrexial, with a sinus
tachycardia of 100bpm and blood pressure of 110/60 (paradox 8mmHg). She has significant
peripheral oedema and ascites. Her JVP is elevated at 8cm above sternal angle and demonstrates a
rapidly descent.
a. Cardiac tamponade
b. Constrictive pericarditis
c. Intra-abdominal neoplasm
d. Severe tricuspid incompetence
e. Superior vena cava obstruction
290. What is the single most likely physiological variables to have the greatest influence toward
increasing cardiac output during the latter stages of strenuous exertion in a healthy adult?
a. Coronary vasodilation
b. Decrease in systemic vascular resistance
c. Increased alveolar ventilation
d. Increased stroke volume
e. Increased ventricular rate
291. A 15 year old girl presents with a short history of fever, malaise and a flitting polyarthritis.
Clinical examinations reveals a soft apical systolic murmur and pericardial rub. Investigations
demonstrate elevated inflammatory markers (CRP and ESR).
a. Acute rheumatic fever

b. Atrial myxoma
c. Kawasaki disease
d. Sabacute bacterial endocarditis
e. Systemic lupus erythematosus
292. A 45 year old man is referred to you because of breathlessness. You diagnose a pleural effusion,
which you aspirate and fine to have an eosinophilia.
a. Asbestos pleural effusion

b. Drug reaction
c. Fungal infection
d. Haemopneumothorax
e. Malignant pleural effusion
293. A 24 year old male has noted for the last two months that his face is swollen in the morning. He
has lost 10kg in weight over six months. He has no other complaints. On examination his external
jugular veins are dilated. His chest X-ray shows a mediastinal mass.
What is the single most likely diagnosis of his superior venacaval obstructions?
a. Adenocarcinoma of the lung

b. Hodgkin’s disease
c. Sarcoidosis
d. Seminoma
e. Tuberculosis
294. A 6 year old boy with a birth head circumference of 29cm and short palpebral fissure is found to
be mentally retarded. The boy’s mother is on acamprostate.
What is single most likely diagnosis?
a. Duchenne’s muscular dystrophy

b. Klinefelter’s syndrome
c. Celiac disease
d. Phenylketonuria
e. Fetal alcohol syndrome
295. A 70 year old man presents with history of weight loss, pain on eating and abdominal
distension. Lain abdominal X-ray films show the ‘coffee bean’ sign. Most likely diagnosis is:
a. Carcinoma of the caecum

b. Colonic polyp
c. Diverticulitis
d. Sigmoid volvulus
e. Ulcerative colitis
296. A young female presents with a 4 day history of frequency and dysuria:
a. Cystoscopy
b. Frequency/ volume chart
c. Midstream urinary sample
d. Pad test
e. Ultrasound scan of the bladder
297. A 60 year old man with presents to you with brief collapse at home. Earlier he complained of
epigastric discomfort. He is now alert with some mild back pain and tachycardia:
a. Acute salpingitis
b. Adhesive small bowel obstruction
c. Leaking aortic aneurysm
d. Mesenteric ischaemia
e. Perforated peptic ulcer
298. A young female presents with right iliac fossa pain for 4 days associated with nausea. A dipstick
urine test is normal and she also complains of an offensive vaginal discharge:
a. Appendicitis
b. Acute salpingitis
c. Urecteric colic
d. Cervical erosion
e. UTI
299. AN old chronic cigarette smoker complains of worsening right sided earache, a sore tongue amd
difficulty talking. Most likely diagnosis is:
a. Bell’s palsy
b. Myringitis bullosa
c. Ramsay hunt syndrome
d. Ramsay hunt syndrome
e. Squamous cell carcinoma of the ear canal
f. Squamous cell carcinoma of the tongue
300. A 21 year old female with a 7 weeks history of amenorrhoea with lower abdominal pain she
fainted twice. Most likely diagnosis is:
a. Threatened abortion
b. Abruption placenta
c. Ecotopic pregnancy
d. Insertio velamentosa
e. Molar pregnancy
301. A 30 year old woman in advanced labour and normal vital signs with the foetal heart rate
dropping steadily:
a. Insertion velamentosa
b. Placenta praevia
c. Molar pregnancy
d. Abruption placenta
e. Threatened abortion
302. An HIV positive man in retrovial treatment presents with a painless lymphadenopathy fevers,
drenching night sweats and weight loss:
a. Acute myeloid leukaemia

b. Acute promyelocytic leukaemia
c. Chronic myeloid leukaemia
d. Hodgkin’s lymphoma
e. Non- Hodgkin’s lymphoma
303. An old man undergoes Hartmann’s procedure on the 8th postoperative day he develops a high
spiking fever. Most likely cause is:
a. Basal lung collapse

b. CVP line infection
c. Subphrenic abscess
d. Urinary tract infection
e. Wound infection
304. A 14 year old girl presents with a long history of up to five painful oral ulcers occurring at
intervals of 1-2 months. She is otherwise well, most likely diagnosis is:
a. Erythema multiforme
b. Oral mucositis
c. Recurrent oral ulceration
d. Shingles
e. Squamous cell carcinoma
305. A 62 year old obese, diabetic and hypertensive woman presents with two episodes of
postmenopausal bleeding. Investigations of first choice will be:
a. CT abdomen and pelvis

b. Cytology
c. Hysteroscopy and D and C
d. Diagnostic laparoscopy
e. Examination under anaesthesia and representing
306. A thin 17 year old girl with thickened calluses on the dorsum of her hand and has bilateral
parotid swelling. Most likely cause is:
a. Bulima nervosa
b. Crohn’s disease
c. Mumps
d. Sarcoidosis
e. Sjogren syndrome
307. A 28 year old obese female presents in eary labour. On vaginal examination there is an ‘empty’
pelvis. Most appropriate step of management is:
a. CTG monitoring
b. Fetal blood sampling
c. Oxygen supply
d. Ultrasound scan
e. Pregnancy test
308. CTG is showing variable decelerations in a multiparous woman in advanced labour. The next
appropriate step will be:
a. Foetal blood sampling

b. Emergency caesarean section
c. Instrumental vaginal delivery
d. Oxygen supply
e. Ultrasound scan
309. An 8 month old girl passing large offensive stools since 3 months of age. She feeds well but her
weight has gradually fallen across the centiles. She has had persistent ‘chest infections’ needing
frequent antibiotics:
a. Cystic fibrosis
b. Gluten enteropathy
c. Hirschsprung disease
d. Milk protein intolerance
e. Ulcerative colitis or chronic inflammatory bowel disease
310. An asymptomatic 18 year old girl with normal secondary characteristics and normal endocrine
results has a negative progesterone challenge test:
a. Absent uterus
b. Constitutional
c. Prolactinoma
d. Sheehan’s syndrome
e. XO-Karyotype
311. A 62 year old female presents with lethargy, thinning hair and loss of the outer third of her
eyebrows:
a. Androgenetic alopecia
b. Hypothyroidism
c. Iron deficiency
d. Malnutrition
e. Telogen effluvium
312. A 33 year old multiparous woman is admitted with a blood pressure of 160/96 mmHg and 1+
protein excretion. First investigation you would do will be. First investigation you would do will be:
a. 24 hours urine protein excretion

b. Doppler ultrasound of the umbilical artery
c. Glucose tolerance test
d. Keilhauer test
e. Ultrasound whole abdomen
313. The triple test of a 23 year old female showed that her baby was in increased risk of developing
Down’s syndrome. Your next step to confirm will be:
a. Amniocentesis
b. Doppler ultrasound of the of the umbilical artery
c. Keilhauer test
d. Ultrasound whole abdomen
e. Bile acids
314. A 52 year old obese woman complains of a burning retrosternal disco fort on lying down and on
eating.
a. Achalasia
b. carcinoma of the oesophagus
c. chronic benign stricture
d. Myasthermia gravis
e. Plummer- Vinson’s syndrome
315. A 38 year old female who is pale complains that food it sticking in the back of her throat. She is
found to have spoon- shaped nails, a smooth tongue and angular cheilitis:
a. Achalasia
b. carcinoma of the oesophagus
c. Myasthermia gravis
d. Plummer- Vinson’s syndrome
e. Reflux oesophagitis
316. A young man presents with groups of small intensely itchy vesicles affecting the skin on his
knees, buttocks, elbows and scalp:
a. Dermatitis herpetiformis
b. Eczema
c. Lichen planus
d. Liver disease
e. Scabies
317. A 20 year old boy presents to clinic with painless cervical lymphadenopathy which he noticed
while taking bath. He has been feeling lethargic for some time with night sweats and itchy skin:
a. Lymphoma
b. Liver disease
c. Tuberculosis
d. Dermatitis herpetiformis
e. Polycythaemia
318. A 48 year old female has developed increase in abdominal girth alongside with constipation and
weight loss:
a. Irritable bowel syndrome

b. Ovarian cancer
c. Pelvic endometriosis
d. Ruptured ovarian cyst
e. Torsion of an ovarian cyst
319. A patient complains of difficulty opening the eyes of waking with a purulent discharge and
discomfort from both eyes. He has inflamed conjunctivae. There is no less of visual acuity:
a. Acute angle closure glaucoma

b. Bacterial conjunctivitis
c. Chlamydial conjunctivitis
d. Scleritis
e. Viral conjunctivitis
320. A 32 year old dentist complains of a painful red eye and photophobia with watery discharge.
Dendritic corneal ulceration are seen with fluorescein drops:
a. Ulcerative keratitis
b. Aute angle closure glaucoma
c. Viral conjunctivitis
d. Bacterial conjunctivitis
e. Anterior uveitis
321. Following the removal of his plaster for a fracture of the distal radius and ulna after 2 weeks a
15 year old boy notes a deformity of his right wrist. Which one of the following is the most likely
cause?
a. Compartment syndrome
b. Growth plate disturbance/damage
c. Malunion
d. Muscle haematoma
e. Tendon rupture
322. Erb’s point is formed by the confluence of BDC 26:
a. C7, C
b. C5, C6
c. C8, C6
d. C2, C3
e. C4, C5
323. Warfarin- induced skin neurosis is due to:
a. Protein C deficiency
b. Protein S deficiency
c. Antithrombin III defect
d. Increased factor VII
e. Increased platelet count
324. True about supraglottic carcionoma:
a. Cigarette smoking is the most important predisposing

b. Rarely presents with neck nodes
c. Hot potato voice is a feature
d. Treatment is surgery with adjuvant chemotherapy
e. More common in females
325. All the following are true about ludwigs angina except:
a. It is an infection of the floor of the mouth

b. It may involve the sublingual and submandibular spaces
c. It is caused by H. influenzae
d. Treatment is with antibiotics
e. Caused by anaerobic organisms
326. Cephalic index is useful for determination of:
a. Age
b. Sex
c. Race
d. Religion
e. Caste
327. Prolongation of rigor mortis is seen in:

a. Lead
b. Arsenic
c. Mercury
d. Copper
328. Which of the following conditions is asscoaited with secreased levels of serum alpha-
fetoprotein in the mother:
a. Pre- eclampsia
b. IUGR
c. Trisomy 21
d. Multiple pregnancy
e. Large baby
329. A 26 year old woman with a dead foetus in transverse lie and with hand prolapse is now in
second stage of labour. The management would include:
a. Craniotomy
b. Decapitation
c. Cleidotomy
d. Caesarean section
e. Amniotomy
330. In bow presentation, the engaging diameter is:
a. Submentrovertical
b. Mentrovertical
c. Submentobregmatic
d. Suboccipitofrontal
e. Suboccipitobregmatic
331. Signs of heart disease in pregnancy:
a. Diastolic murmur
b. Systolic murmur
c. Tachycardia
d. Dyspnoea or exertion
e. Nervousness or syncope on exertion
332. All the following cells are in seen in Hodgkin’s disease except:
a. Hodgkin cells
b. L and H cells
c. Langerhans’ cells
d. Lacunar cells
e. Reed- sternburg cells
333. When hypoglycemic coma is suspected, then glucose is to be infused based on:
a. Clinical assessment only

b. After consulting endocrinologist
c. After blood glucose estimation
d. After seeing for urine glucose
e. After ruling out electrolyte imbalance
334. Causes of palpable purpura include:
a. HUS
b. DIC
c. Henoch-schonlein purpura
d. TTP
335. The schilling test:
a. Requires marrow to be aspirated from the sternum

b. Involves labelling with radioactive chromium
c. Can determine the rate at which red cells are destroyed D may confirm a diagnosis of
pernicious anaemia
d. Sometimes indicates the need for splenectomy
336. In a patient with lower ulnar nerve palsy which of the following would be seen:
a. Loss of extension at carpometacarpal

b. Sensory loss over dorsal surface of medial 4 fingers
c. Loss of abduction at thumb
d. Weakness of hand movements
e. Thenar wasting
337. All the following are autosomal recessive except:
a. Phenylketonuria
b. Alpha 1 antitrypsin deficiency
c. Hereditary spheracytosis
d. Gauchers disease
e. Hereditary hemochromatosis
338. Causative agent for pseudomembranous colitis include:
a. Staphylococci
b. Clostridium difficile
c. Streptococcus
d. Pseudomonas
e. Candida albicans
339. Adventitial bursitis due to tuberculosis is found in which of the following sites commonly:
a. Prepateeler
b. Greater trochanter of femur
c. Subacromial
d. Metatarsal
e. Subolecranon
340. True about etiopathogeneis of Alzheimer’s disease include:
a. APP gene defect

b. Prion disease
c. Autoantibody formation
d. Herpes infection
341. Call exner bodies are seen in:
a. Leydigs cell tumour

b. Granulosa cell tumour
c. Embryonal cell carcinoma
d. Endodermal sinus tumour
e. Brenner’s tumour
342. True regarding psychological jaundice includes:
a. It occurs due to increased RBC destruction

b. Indication to stop breastfeeding
c. Lasts up to 3 weeks
d. Appears before 24 hours
e. Due to biliary obstruction
343. What is the age of the child when he can follow horizontally 180° has got almost head control
and cannot sit without support:
a. 2 months
b. 3 months
c. 6 months
d. 9 months
e. 10 months
344. Infant with Down’s syndrome have all except:
a. VSD
b. Duodenal atresia
c. Leukaemia
d. Normal intelligence
e. Delayed skeletal maturation
345. Antagonists to opium poisoning’s include:
a. Neostigmine
b. Nalophine
c. Buprenorphine
d. Pyridostigimine
e. Meptazinol
346. In a normal person at resting condition GFR in mL/ min is:
a. 125
b. 90
c. 60
d. 150
e. 2000
347. Flight of ideas is seen which of the following diseases:
a. Depression
b. Schizophrenia
c. Mania
d. Obsessive disorders
e. Hysteria
348. A homosexual personal feel that he is imposed by a female body and persistenet discomfot
with his sex. The diagnosis is:
a. Gender identity disorder

b. Transvestism
c. Voyeurism
d. Paraphilia
349. In a patient with intestinal obstruction which of the following investigations would be required:
a. X-ray abdomen
b. Barium meal
c. Upper GI endoscopy
d. Ultrasonography
e. CT abdomen
350. Henoch- schonlein purpura may be distinguished from post- streptococcal nephritis by the
following finding:
a. Swollen joints
b. High temperature
c. Red cells casts in the urine
d. Arthralgia
e. Melaena
1-300
Question Answer Question Answer Question Answer Question. Answer Question Answer
NO. NO. NO. NO NO.
1 B 61 E 121 D 181 D 241 D
2 C 62 C 122 A 182 E 242 E
3 B 63 E 123 A 183 A 243 E
4 A 64 A 124 B 184 B 244 B
5 B 65 A 125 B 185 C 245 D
6 C 66 B 126 D 186 E 246 D
7 E 67 A 127 B 187 A 247 B
8 D 68 C 128 A 187 A 248 E
9 A 69 E 129 D 188 B 249 C
10 C 70 B 130 A 190 A 250 E
11 C 71 E 131 A 191 E 251 B
12 A 72 A 132 A 192 C 252 B
13 A 73 C 133 E 193 B 253 C
14 E 74 B 134 E 194 B 254 E
15 E 75 D 135 B 195 B 255 D
16 E 76 B 136 E 196 C 256 B
17 D 77 A 137 A 197 A 257 E
18 D 78 A 138 E 198 E 258 C
19 A 79 D 139 A 198 E 259 E
20 A 80 A 140 C 199 A 260 D
21 B 81 C 141 A 200 E 261 E
22 D 82 E 142 E 201 B 262 A
23 A 83 A 143 A 203 A 263 B
24 A 84 A 144 B 204 B 264 E
25 D 85 B 145 C 205 A 265 A
26 E 86 E 146 D 206 D 266 E
27 D 87 A 147 E 207 A 267 E
28 E 88 B 148 A 208 E 268 B
29 B 89 D 149 A 209 A 269 B
30 B 90 E 150 C 210 B 270 A
31 A 91 B 151 D 211 B 271 A
32 A 92 A 152 B 212 E 272 B
33 D 93 C 153 A 213 B 273 C
34 A 94 A 154 D 214 E 274 A
35 D 95 B 155 D 215 A 275 B
36 D 96 E 156 C 216 A 276 E
37 A 97 A 157 A 217 D 277 B
38 B 98 D 158 A 218 A 278 B
39 E 99 D 159 D 219 A 279 B
40 A 100 C 160 A 220 A 280 B
41 B 101 E 161 A 221 A 281 B
42 E 102 E 162 C 222 C 282 E
43 E 103 A 163 B 223 C 283 D
44 A 104 D 164 C 224 A 284 E
45 A 105 C 165 A 225 A 285 E
46 E 106 A 166 D 226 B 286 A
47 A 107 A 167 B 227 B 287 C
48 A 108 D 168 D 228 E 288 E
49 A 109 C 169 E 229 D 289 B
50 C 110 D 170 C 230 A 290 E
51 C 111 C 171 B 231 E 291 A
52 B 112 D 172 A 232 B 292 E
53 E 113 A 173 E 233 B 293 B
54 A 114 C 174 E 234 E 294 E
55 A 115 D 175 E 235 A 295 D
56 C 116 A 176 A 236 B 296 C
57 D 117 A 177 C 237 E 297 C
58 E 118 A 178 C 238 E 298 A
59 D 119 A 179 B 239 D 299 E
60 C 120 C 180 A 240 B 300 C
301-350
Question NO. Answer Question NO. Answer
301 A 326 C
302 E 327 BC
303 C 328 C
304 C 329 B
305 C 330 B
306 A 331 A
307 D 332 C
308 A 333 A
309 A 334 C
310 A 335 D
311 B 336 D
312 A 337 C
313 A 338 B
314 E 339 B
315 A 340 A
316 A 341 B
317 A 342 B
318 B 343 C
319 B 344 D
320 A 345 B
321 C 346 A
322 B 347 C
323 A 348 A
324 A 349 A
325 A 350 E

Passable 350 Q&a

Uploaded by

Copyright:

Available Formats

Passable 350 Q&a

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Passable 350 Q&a

Uploaded by

Copyright:

Available Formats

PLAB 1

SINGLE BEST ANSWER

a. Mixed growth of organisms

a. Mixed growth of organisms

a. Foreign body inhalation

a. Foreign body inhalation

a. Acute myocardial infarction

a. Extrinsic allergic alveolitis

a. Acute myocardial infarction

a. Extrinsic allergic alveolitis

a. Tobramycin and carbenicillin

71. A 40 year old afro Caribbean woman: PFT-FEV12.51,FVC2.91,FEV1/FVC86%,serumACElevels-

a. Adult respiratory distress syndrome

a. Blood count and film

a. Adult respiratory distress syndrome

What is the single next most appropriate step in management?

What is the single most likely diagnosis?

What is the single most likely diagnosis?

a. Rheumatic heart disease

What is the single most likely diagnosis?

What is the single most likely diagnosis?

What is the single most likely diagnosis?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single most likely diagnosis?

What is the single most likely diagnosis?

What is the single most likely diagnosis?

What is the single most likely diagnosis?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single next most appropriate step in management?

What is the single next most appropriate investigation?

What is the single next most appropriate investigation?

What is the single next most appropriate investigation?

A. Seek immediate expertise help

What is the single most likely diagnosis?

What is the single next most appropriate step in management?

What is the single next most appropriate investigation?

A. Seek immediate expertise help

What is the single next most appropriate investigation?

A. Flow volume loop

A. FEV1/FVC 62% no reversibility to bronchodilators, gas trapping, hyperinflation and reduced

What is the single most next appropriate step in management?

What is the single most likely causative organism?

What is the single most likely causative organism?

What is the single most likely causative organism?

What is the single most likely causative organism?

What is the single most likely causative organism?

145. What is the best criterion for the diagnosis of asthma?

What is the single most appropriate treatment option?

What is the single most appropriate treatment option?

What is the single most appropriate treatment option?

a. Inhaled sodium cromoglycate