2001 April - April-2001 PLAB-1 Diagnosis of anaemia Options...

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Unformatted text preview: April-2001 PLAB-1 Diagnosis of anaemia Options A Anaemia of chronic disorders B Aplastic anaemia C Auto-immune Haemolytic anaemia D B-thalassaemia major E B-thalassaemia minor G Iron deficiency H Pernicious anaemia I Red Cell aplasia J Sickle Cell Disease K Sickle cell trait Instruction For each patient described below, who presents with anaemia, chose the single most likely diagnosis from the above list of options. Each option may be used once, more than once or not at all. 1 A 24-year-old woman presents with a two-year history of menorrhagia and complains of lethargy, and tiredness. 2 A 14-year-old Jamaican boy complains of abdominal and joint pains of sudden onset. He is found to be pyrexial and has recently had a chest infection. 3 A 62-year-old woman with joint deformities and subcutaneous nodules is found to be anemic. She is taking a non-steroidal anti-inflammatory drug. Fecal occult bloods are negative. 4 A 50-year-old woman with a history of thyroid disease presents with a six-month history of a sore tongue. She is found to have angular stomatitis. 5 A 32-year-old man presents with spontaneous bruising and recurring infection with marked lethargy. There is no recent treatment history. April-2001 PLAB-1 Antibiotic prophylaxis of surgical patient. Options A Angiography B Bronchoscopy C Colles fracture D Dental treatment of a cardiac patient E Dislocated shoulder F Emergency appendectomy G Heart valve replacement H Sigmoid colectomy I Spleenectomy J Thyroidectomy Instruction For each prophylactic regimen described below, choose the SINGLE most likely indication from the above list of options. Each option may be used once, more than once or not at all. 6 3-gram sachet of Amoxycillin one hour before procedure. 7 Three days of intravenous (iv) broad-spectrum antibiotics beginning with induction of anesthesia. 8 Clear fluids by mouth and two sachets of sodium picosulphate on the day before the operation plus broad-spectrum intravenous antibiotics at induction. 9 Long term oral penicillin and immunization against pneumococcal infection. 10 One dose of Metronidazole at induction of anesthesia. April-2001 PLAB-1 Joint pain and swelling Options A Ankylosing spondylits B Gout C Osteoarthritis of the hip D Prolapsed intervertebral disc E Psoriatic arthritis F Rheumatoid arthritis G Sjogrens syndrome H Systemic lupus erythematous I Tennis elbow Instruction For each description below, choose the SINGLE most likely condition from the above list of options. Each option may be used once more than once, or not at all. 11 11 A condition, which affects men, more than women, which starts with inflammatory joint symptoms in the late teens or early twenties. There is a gradual improvement in inflammatory symptoms in later life....
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This note was uploaded on 10/10/2011 for the course MEDICINE finals taught by Professor All during the Spring '11 term at Windsor SOM.

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2001 April - April-2001 PLAB-1 Diagnosis of anaemia Options...

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