Question. A 55yr old man who is 1 day post total knee replacement. Presenting with fever 38.5, tachycardia 130, BP normal. Chest is clear. What investigation would you do initially?
A. Chest X-ray.
B. CT of Chest (not CTPA).
C. Echocardiogram.
D. ECG
Answer. (a)
Question. An old lady who is a nursing-home resident presents with itchy rash, white linear lesions on wrists and elbows. What is the best treatment?
A. Permethrin
B. Antibiotics
C. Antifungals
D. Emollients
E. Steroids
Answer. (a)
Question. A 27 year old lady, after a caesarean section, developed epigastric pain after 8 hours. What is the appropriate investigation?
A. ABG
B. Coagulation profile
C. Liver enzyme
D. Liver biopsy
Answer. (c)
Question. A 15 year old girl was admitted with anemia, chest infection and thrombo-cytopenia. She was treated and her symptoms regressed. She was brought again with fever and the same symptoms a few days later. She also seems to have features of meningitis. What is the most likely diagnosis?
A. Acute Myeloid Leukaemia(AML)
B. Acute lymphoblastic leukemia (ALL)
C. Aplastic Anemia
D. Chronic myeloid leukaemia (CML)
E. Chronic lymphocytic leukaemia (CLL)
Answer. (a)
Question. A 31 year old female had inflammatory changes on cervical smear, she did not complain of any pain or discharge and she was otherwise feeling well. What would be the most appropriate step?
A. Repeat smear
B. Repeat smear in 6 months
C. Colposcopy.
D. Repeat smear in 3 months
E. Cervical biopsy
Answer. (b)
Question. A 30 year old lady suffering from arthritis of her wrist and ankle presents with pigmentation of the skin and galactorrhea. She is a known diabetic. What is the most likely diagnosis?
A. Haemochromatosis
B. Haemosiderosis
C. Prolactinoma
D. Wilson’s disease
Answer. (a)
Question. A 57 year old female, who is suffering from hypertension, presented to the hospital with complaints of recurrent falls when trying to get out of bed or get up from sitting. She is on some anti- hypertensive therapy, with no other medical problems. What is the most likely cause of her fall?
A. Calcium channel blocker
B. Vertebrobasilar insufficiency
C. Bendrofluazide
D. Hypoglycemia
E. Infection
Answer. (c)
Question. Young man with increasing swelling in the left scrotum. Worse at the end of day and after exercise the dragging sensation felt.
A. Hydrocele
B. Epididymal cyst
C. Testicular tumor
D. Varicocele
Answer. (a)
Question. A 30 years old female attends outpatient dept with c/o fever & dry cough. She says that she had a headache, myalgia & joint pain like one week ago. On examination Pulse: 100 b/min, Temp: 37.5ºC.
Investigations: CXR: bilateral patchy consolidation.
What is the single most likely causative organism?
A. Pneumococcal Pneumonia
A. Legionella
B. Mycoplasma
C. Klebsiella
D. Chlamydia pneumonia
Answer. (b)
Question. A 24 years old man was brought by his mother to the hospital with concerns about his unkempt clothes and hygiene. He no longer enjoys going to any parties or events and also held a rigid pose for 3 hours last week. He pauses a lot while speaking lately and mentions hearing his own thoughts aloud. He laughed very loud when informed about a friend's untimely death.
What is the underlying condition?
A. Psychomotor retardation
B. Cotard's syndrome
C. Parkinson's disease
D. Schizophrenia
E. Erotomania
Answer. (d)
These questions cover various aspects of medical knowledge, clinical reasoning, and professional skills. Remember to refer to the PLAB exam syllabus and guidelines for a comprehensive understanding of the exam content and format.
The PLAB test is a prerequisite for international medical graduates who want to practise medicine in the UK. Passing both parts of the exam is also a requirement. To receive a licence to practise medicine in the UK after passing the exam, you might need to complete additional exams, such as the GMC registration process and securing a job offer or training placement.