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2002 March - PaperMarch2002PLAB Theme 1 Diagnosis of...

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Paper March-2002 PLAB Theme 1: Diagnosis of Hearing Loss: A. Acoustic neuroma B. Blast injury 3. Petrous temporal bone fracture 4. Wax impaction E. Acute otitis media F. Ototoxicity G. 1. Man treated with gentamicin for peritonitis for 10 days presents with deafness. 2. Manwith poor physical hygiene presents with pain & deafness after taking a shower. 3. Woman presents with deafness & corneal anaesthesia.On MRI, a widened internal auditory meatus is seen. 4. Male,20 years ,with h/o head injury ,bruising on the side of head C/O hearing loss. Theme 2: Diagnosis of Epistaxis: A. Nasopharyngeal angiofibroma B. Carcinoma maxillary antrum C. Nasal polyposis D. ORF E. Septal perforation F. Coagulopathy G. Anticoagulant overdose H. Sarcoidosis I. Trauma J. HTN K. 5. A sheep farmer with a bleeding polyp on anterior part of nasal septum. 6. Man working in a chrome factory presents with whistling sound on talking 7. Man with prosthetic heart valve presents with epistaxis. 8. Man who is involved in furniture making presents with recurrent epistaxis & anesthesia of right cheek. 9. 80 year old man with H/O epistaxis since 2 hours. Theme 3: Mechanism of Action of Drugs: A. Ipratropium B. Amoxycillin C. Salbutamol D. Doxapram E. Theophylline F. Trimethoprim G. B2 agonist H. Antimuscarinic I. Interferes with cellwall synthesis J. Increases the activity of respiratory muscles K. 10. B2 agonist 11. Antimuscarinic 12. Interferes with cell wall synthesis 13. Increases the activity of respiratory muscles Theme 4: Drugs Used in Management of Asthma: A. Nebulized B 2 agonist B. Inhaled short acting B2 C. Inhaled long acting B2 4. Oral short acting B2 E. Oral long acting B2 F. Leukotriene antagonist G. Na cromoglycate H. Oral the ophylline I. Aspirin J. IV B-blockers K. Ca channel antagonists L. 14. 1st line drug used in treating mild asthma. 15. Not given in a chronic asthmatic after a myocardial infarction. 16. Used to control acute severe asthma in a 15 year old with severe breathlessness in A&E. 17. Used to control intermittent night wheeze in a person using inhaled high dose steroids presently. 1
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Paper March-2002 PLAB Theme 5: Diagnosis of Electrolyte Disturbances: A. Metabolic acidosis B. Metabolic alkalosis C. Renal failure D. Fluid overload E. Hypokalemia F.Respiratory acidosis G. 18. Man with pyloric stenosis, profuse vomiting, hypokalaemia & increased bicarbonate. 19. Man who is not able to pass urine, tired, C/O hiccups[other fearutes of uraemia which i don't remember] 20. Man with villous adenoma, profuse diarrhoea. 21. Female, 24-hrs after hysterectomy C/O breathlessness, increased JVP. Theme 6: Diagnosis of Unconscious Patients: 22. A chronic alcoholic with h/o recurrent falls comes to A & E with C/O ataxia. Blood glucose is 7.
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