PLAB 2 Clinical Examination

Question 1

During a cardiovascular examination station in PLAB 2, you auscultate a pansystolic murmur best heard at the apex radiating to the axilla. What is the most likely valve lesion?

Accepted Answer

Mitral regurgitation

Answer

Aortic stenosis

Answer

Aortic regurgitation

Answer

Tricuspid stenosis

Question 2

You are performing an abdominal examination and find hepatomegaly with a pulsatile liver. What is the most likely underlying cardiac condition?

Accepted Answer

Tricuspid regurgitation

Answer

Aortic stenosis

Answer

Mitral stenosis

Answer

Pulmonary stenosis

Question 3

During a respiratory examination station, you find reduced breath sounds, dullness to percussion, and reduced vocal resonance at the right base. What is the most likely finding?

Accepted Answer

Right pleural effusion

Answer

Right pneumothorax

Answer

Right lower lobe consolidation

Answer

Right upper lobe collapse

Question 4

You are asked to examine the cranial nerves in a PLAB 2 station. A patient cannot close their right eye, has drooping of the right side of their mouth, and cannot raise their right eyebrow. The forehead is affected. What is the most likely diagnosis?

Accepted Answer

Right lower motor neuron facial nerve palsy (Bell's palsy)

Answer

Right upper motor neuron facial nerve palsy (stroke)

Answer

Left upper motor neuron facial nerve palsy

Answer

Trigeminal nerve palsy

Question 5

During a thyroid examination station, you find a diffusely enlarged, non-tender thyroid gland with a bruit. The patient has exophthalmos and lid lag. What is the most likely diagnosis?

Accepted Answer

Graves' disease

Answer

Multinodular goitre

Answer

Hashimoto's thyroiditis

Answer

Thyroid carcinoma

Question 6

You are performing a knee examination in a PLAB 2 station. You perform the anterior drawer test and find excessive anterior translation of the tibia on the femur. Which structure is most likely damaged?

Accepted Answer

Anterior cruciate ligament (ACL)

Answer

Posterior cruciate ligament

Answer

Medial meniscus

Answer

Lateral collateral ligament