PLAB 1 (GMC, international medical graduates) · Medicine and specialties

Cardiorespiratory medicine

7 practice questions, each with the answer and an explanation.

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Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 7 questions

  1. A 68-year-old man has new breathlessness and orthopnoea. His ejection fraction is 30 percent. Which combination forms the core of long-term drug treatment for heart failure with reduced ejection fract…
  2. A 72-year-old woman has a heart rate of 140, irregularly irregular, with blood pressure of 120/70 mmHg and no chest pain. She has had palpitations for two weeks. Which approach is most appropriate?
  3. A 25-year-old woman has a pleuritic pain and breathlessness after a long flight. She takes the combined oral contraceptive pill. Her Wells score is 4.5. D-dimer is not yet available. What is the best…
  4. A patient has an acute severe exacerbation of COPD with a respiratory rate of 30, pH 7.28 and PaCO2 8.5 kPa despite optimal medical treatment. What is the most appropriate additional treatment?
  5. A 30-year-old man develops fever, cough and pleuritic chest pain. He has a lobar consolidation and a CURB-65 of 0. Which approach is recommended by NICE?
  6. A 60-year-old smoker has a persistent cough and a BMI of 22. Spirometry shows FEV1/FVC 0.62 and FEV1 55 percent predicted after bronchodilator. What is the first-line long-term inhaled therapy if he h…
  7. A 40-year-old woman has a pulse of 110, tremor, weight loss and a smooth goitre with eye signs. TSH is undetectable. Which is the most likely diagnosis?

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