PLAB-0022

Examination results for a middle age female post myocardial infarction are as follows:
Sodium = 136 mmol/L
Potassium = 6.2mmol/L
Urea = 5.0 mmol/L
ECG revealed a prolonged QRS complex and tented T waves. What is the most appropriate management?

PLAB-0023

Which of the following characteristics does the jugular venous waveform have in tricuspid regurgitation?

PLAB-0024

A 44-year-old man complains of unceasing chest pain which is aggravated by inspiration four weeks after his MI. His temperature is 37.5C and ESR is 45mm/h. What is the single most likely explanation for the abnormal investigations

PLAB-0025

In which condition are β-blockers not recommended as the first line of therapy?

PLAB-0026

A 12-year-old boy has a history of fever for one week (39C), with no other symptoms leading up to the fever. He recently had a surgical extraction of one of his incisors two weeks before consultation. On examination of CVS, a mid-systolic click followed by a late systolic murmur is heard. Which of the following is the most probable diagnosis?

PLAB-0012

The ECG of a 29-year-old female shows an irregular rhythm with a HR of 154bpm. She presented complaining of heart palpitations and hot flashes for the past 4 days. What is the most likely treatment?

PLAB-0013

The ECG of a 48-year-old man shows broad complex tachycardia with a HR of 154bpm 2 days after an MI. His BP is 90/60mmHg and he is complaining of palpitations and dyspnoea. What is the most appropriate management?

PLAB-0014

A 1-month-old boy was brought to the ED by his mother because he has been irritable and feeding poorly for the last 24 hours. His CXR shows cardiomegaly but with clear lung fields while his ECG shows a regular narrow complex tachycardia with difficulty identifying the P wave. The boy is conscious but has cold extremities. What is the most appropriate next step?

PLAB-0015

A 30-year-old man presents with hypertension and decreased serum potassium levels. Which hormone should be tested in addition in order to establish the diagnosis?

PLAB-0016

A 44-year-old man presents suffering from retrosternal chest pain that started 2 hours ago and radiates to the throat. Which investigation would you immediately perform?