Question. An 85 year old woman with Alzheimer’s dementia wants to change her will. What do you do?
A. Refer for assessment of capacity
B. Allow her to change her will
C. Refuse the change
D. Consult her family
Answer. (a)
Question. A 26 years old woman being treated for a carcinoma of the bronchus with steroids presents with vomiting, abdominal pain and sudden falls in the morning. What is the most specific cause for her symptoms?
A. Steroid side effect
B. Postural Hypotension
C. Adrenal insufficiency
D. Conn's disease
E. Cushing's disease
Answer. (c)
Question. A child presents with a clean wound, he has never been immunized as his parents were worried about it. There is no contraindication to immunization, what is the best management?
A. Full course of diphtheria, tetanus, polio
B. 1 single injection DT
C. 1 single injection DTP
D. Only immunoglobin
E. Antibiotic
Answer. (a)
Question. A 6 year old boy presents with weight gain, bilateral pitting ankle oedema, peri orbital oedema and hyperlipidemia. What is the next most appropriate step?
A. Renal biopsy
B. USG abdomen
C. 24 Hours urinary protein
D. X ray KUB
E. Urine microscopy
Answer. (c)
Question. A 67 year old man with dribbling of urine undergoes prostatic procedure. What serum osmolality would you find in a patient after prostatic surgery?
A. Low Na
B. High K+
C. High Ca
D. High Na
Answer. (a)
Question. A 45 year old premenopausal woman is admitted for elective hernia repair. Hb is 8.4g/dl, MDH is 22pg, MCH 28g/dl, MCV is 70. Her WBC is within normal limits. What is the appropriate initial management?
A. Immediate blood transfusion, proceed to surgery
B. Defer operation and investigate
C. Proceed with planned surgery
D. Preoperative fluid load
Answer. (b)
Question. Which of the following statements is not true for febrile convulsions?
A. It’s a single tonic-clonic, symmetrical generalized seizure
B. It lasts less than 20 min
C. Occurs as temperature rises rapidly in a febrile illness
D. It progresses to epilepsy
E. Rectal diazepam may be used to control seizure
Answer. (d)
Question. A 14 years old girl comes to your clinic requesting contraceptives, she has a 15 year old boyfriend. What will you do?
A. Give her COCP and advise her to get her parents involved.
B. Don't give her COCP.
C. Report to social services.
D. Don’t give her COCP, Inform her parents
E. Don’t give her COCP, advise she end relationship
Answer. (a)
Question. A 35 year old man presents with a headache that worsens on bending his head forward. What is the most likely diagnosis?
A. Chronic Sinusitis
B. Subarachnoid Haemorrhage
C. Migraine
D. Cluster Headache
E. Tension Headache
Answer. (a)
Question. A 12 year old boy complains of acute development of purpura on the dependent areas of his body 2 weeks after an upper respiratory tract infection. The purpura does not blanch on pressure.
tests reveal: Hb 12 g/dL,
platelets 50 x 10*9/L,
WCC 5 x 10*9/L.
Bleeding time is 10 mins,
APTT : 40 s, PT: 1.02.
What is the most likely diagnosis?
A. Idiopathic thrombocytopenic purpura (ITP)
B. Thrombotic thrombocytopenic purpura (TTP)
C. Von Willebrand's disease
D. Haemophilia A
E. Haemophilia B
Answer. (a)
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.