Question. A 54 year old man after a CVA (cerebral vascular accident) presents with ataxia, intention tremors and slurred speech. Which part of the brain has been affected by the stroke?
A. Inner Ear
B. Brain Stem
C. Diencephalon
D. Cerebrum
E. Cerebellum
Answer. (e)
Question. A 54 years old woman has presented with episodes of abdominal ache, vomiting and postural hypotension. She also has a dark pigmentation of her skin. A diagnosis of Addison’s disease was made. What is the most likely electrolyte abnormality expected in this patient?
A. High Na, low K
B. Low Na, high K
C. Low Na, low K
D. High Na, high K
E. Low Na, normal K
Answer. (b)
Question. A 48 year old man, two days after MI presents with palpitations and breathlessness. ECG shows broad complex tachycardia, blood pressure is 90/60mmHg and heart rate is 154 beats/min. What is the next best step in management?
A. IV amiodarone
B. DC Shock
C. Adenosine
D. Verapamil
E. Cardiac Pacing
Answer. (b)
Question. A 20 year old man has a head on collision in a car. On presentation he is breathless and has chest pain as he has fractured his 5 to 7 ribs. Chest x-ray shows fracture of 5th to 7th ribs. What is the most appropriate initial action in this patient?
A. Antibiotics
B. Analgesia
C. Oxygen by mask
D. Physiotherapy
E. Refer to surgeon
Answer. (c)
Question. A girl has been brought to hospital by her mother. She has had no periods for 8 months but a pregnancy test is negative. She exercises for 5 hours a day and eats only a little food. Her BMI is 16 kg/m2. What is management?
A. Refer to psychologist
B. Refer to eating disorder unit
C. Refer to dietician
D. Reassure
E. Refer to endocrinologist
Answer. (b)
Question. Which of the following histological findings is associated with Barrett's Esophagus.
A. Columnar dysplasia
B. Squamous dysplasia
C. Squamous metaplasia
D. Columnar metaplasia
Answer. (d)
Question. A 27 year old man presents with chest pain and respiratory distress. On examination there is tachycardia, hypotension and neck vein distension. Trachea is deviated to the left side, breathing sound on the right side is absent and on the left side is diminished. What is the next appropriate management?
A. Chest x-ray
B. Right side aspiration (16 G cannula)
C. Left side aspiration (16 G cannula)
D. Right side drainage with a small tube (12F)
E. Left side drainage with a small tube (12F)
Answer. (b)
Question. A 22 year old man presents with red hot swollen metatarsal phalangeal joint pain, sacro-ilitis and onycholysis. What is the single most likely cause of this condition?
A. Gout
B. Psoriatic arthritis
C. Rheumatoid arthritis
D. Septic arthritis
Answer. (b)
Question. A patient is admitted with fever, photophobia, and a non blanching rash. His ABG values are as follows:
pH-7.5
PaCO2 – 2.2 KPa
PaO2 – 9.0 KPa
What is the most likely diagnosis?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Respiratory acidosis
Answer. (b)
Question. A 24 year old woman has severe depression three months after the birth of her first child. She is breastfeeding but is otherwise unable to look after the baby and is convinced that her family is likely to kill her. She has no interest in anything and keeps crying. What is the most appropriate treatment?
A. Fluoxetine
B. Citalopram
C. Cognitive behavioural therapy
D. ECT
E. Haloperidol
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.