Question. An old man with gastric cancer is fit to undergo a surgery, he totally understands the doctor’s explanation but refuses any further treatment. What to do?
A. Go ahead with the surgery without further action as it is in the best interest of the patient
B. Ask two doctors to sign him for the surgery
C. Ask the family member who look after him to sign him for the surgery
D. Respect the patient's view and tell him to contact you if he changed his mind.
Answer. (d)
Question. A 61 year male presented with worsening shortness of breath, pulseless, raised JVP bilaterally, both upper limbs were swollen but lower limbs were normal. What is the investigation of choice?
A. CT contrast thorax
B. CXR- initial shows widened mediastinum
C. MRI Chest
Answer. (a)
Question. A 34 year old male presents with a history of headaches presents with ataxia, nystagmus and vertigo. Where is the site of the lesion?
A. Auditory canal
B. Eight nerve
C. Cerebellum
D. Cerebral hemisphere
E. Brain stem
Answer. (c)
Question. A 45 year old man had recently started taking antihypertensive therapy. Six months later his Random Blood Sugar was found to be 14.0 mmol/l. Which single drug is most likely to have caused this?
A. Amlodipine
B. Bendroflumethiazide
C. Doxazosin
D. Losartan
E. Ramipril
Answer. (b)
Question. A 45 year old gardener was injured by a nail on the garden fence. The wound was washed and bandaged. He has previously received 3 doses of Tetanus Toxoid with 2 booster doses. What is the appropriate treatment in this case?
A. Antibiotics
B. TT vaccination
C. Ig
D. Ig plus vaccination
E. No treatment needed
Answer. (e)
Question. The risk of this fetal disease can be reduced by giving folic acid supplements for a few weeks before conception and 6-8 weeks after conception. Choose the single most likely condition.
A. Down’s syndrome
B. Duchene muscular dystrophy
C. Spinal muscular atrophy
D. Neurofibromatosis
E. Spina bifida
Answer. (e)
Question. A 58 year old man has been prescribed ibuprofen for the management of rheumatoid arthritis for the past 15 years. His symptoms have been under control ever since. He has been suffering from recurrent episodes of breathlessness and palpitations which have started making his life miserable. On examination he seemed to have pallor and koilonychia was noticed. Cardiovascular examination was normal. What would be the expected finding on peripheral blood smear?
A. Fragmented RBCs
B. Microcytes
C. Blast cells
D. Mature lymphocytes
Answer. (b)
Question. A 60 year old Woman with 15 year history with rheumatic arthritis. She presented with a hot painful right knee joint. Patellar tap test was positive. Choose the single most appropriate investigation to confirm the diagnosis?
A. Joint aspirate for microscopy culture and sensitivity
B. X-ray
C. Serum uric acid
D. Joint aspirate for negative birefringent
E. Joint aspirate for positive birefringent.
Answer. (a)
Question. A 35 year old woman had an uneventful laparoscopic cholecystectomy 18 hours ago. She has a pulse rate of 108 beats/minute and a temperature of 37.8° C. There are signs of reduced air entry at the right base but the chest X ray does not show any obvious abnormality. What is the most appropriate management strategy?
A. Cefuroxime oral
B. Ceftriaxone I.V
C. Chlorpheniramine oral
D. Chest Physiotherapy
E. Reassure
Answer. (d)
Question. A 35 year old male is bitterly annoyed with people around him. He thinks that people are putting ideas into his head. What is the single most likely option to describe this symptom?
A. Thought block
B. Thought insertion
C. Thought broadcasting
D. Thought withdrawal
E. Reference
Answer. (b)
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.