PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-73
Categories: U.K. PLAB (Professional and Linguistic Assessments Board)
Question. A 54 year old woman with breast cancer which has spread to lung, liver and bone now presents with increasing constipation, weakness, thirst and anorexia for the past 3d. Her only medication is haloperidol for hiccoughs. Today she is disorientated and has left sided weakness. What is the most likely diagnosis?
A. Hyperglycemia
B. Hyperglycemia Hypoglycemia
C. Brain metastases
D. Liver failure
Answer. (c)
Question. An obese mother is thought to be suffering from obstructive sleep apnoea syndrome. Which of the following investigations is the best for her?
A. Arterial blood gas analysis
B. Overnight pulse-oximetry
C. Polysomnography
D. EEG
E. CT scan
Answer. (c)
Question. A 49 year old patient with obstructive lung disease presented with acute severe shortness of breath. ABGs were done which showed type 2 respiratory failure (hypercapnia and hypoxia). He was started on 24% oxygen via Venturi mask. His symptoms were still not improving. Repeat ABGs showed a rise in pCO2 levels. NIPPV (Non-invasive Positive Pressure Ventilation) also failed. What is the next best appropriate step?
A. Intubate and ventilate
B. 100% oxygen
C. Continue Non-invasive positive pressure ventilation
D. 35-60% oxygen via face mask
Answer. (a)
Question. A 32 year old woman has recurrent breast abscess, the latest one was six weeks ago. There was an area of induration between the junction on areola which is discharging puss. What is the single most likely diagnosis?
A. Mastitis
B. Breast abscess
C. Duct Ectasia
D. Mammary duct fistula
Answer. (d)
Question. A 30 year old pregnant lady presents to the hospital with constipation. High fiber diet is not effective. What is the single most appropriate treatment?
A. Reassure
B. Advice to walk around
C. Increase water intake
D. Laxatives
Answer. (c)
Question. A 50 year old man with epilepsy took an overdose of his medication 45 minutes ago. He has dry mouth and dilated pupils but is not drowsy. What is the most appropriate management?
A. Haemodialysis
B. Activated charcoal
C. Gastric lavage
D. Forced emesis
Answer. (b)
Question. A lady presents with abdominal pain, dysuria, dyspareunia and vaginal discharge. What is the most appropriate next step?
A. Laparoscopy
B. High vaginal swab
C. Hysteroscopy
D. Laparotomy
E. Ultrasound
Answer. (b)
Question. A patient operated for gastric carcinoma is on oral morphine for pain relief. He has adequate pain relief but is experiencing side effects due to the high dose of morphine required. What is the most appropriate next step in his pain management?
A. Patient controlled analgesia
B. Oral oxycodone
C. IV morphine
D. Fentanyl patches
Answer. (b)
Question. This is the likelihood of a test reporting positive when the condition is being tested in reality. Choose the single term from the list of options given
A. Standard deviation( root mean square deviation)
B. Specificity
C. Sensitivity
D. Probability
E. Prevalence
Answer. (c)
Question. A 34 years old alcoholic is found passed out in front of a local pub. The ambulance crew informs you that he was sweating when they found him and there were cans of cider lying empty around him. What is the initial stage of investigation?
A. Capillary blood sugar
B. CT head
C. Magnetic resonance imaging (MRI) head
D. ABG
E. MCV (Mean Corpuscular Volume)
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.