Question. A 32 years old married woman complains of feeling low and has had two episodes of drug overdose. She has a family history of depressive disorders. She has reduced social contacts now. Which risk factor greatly increases risk of suicide?
A. Lack of Social Support
B. Past history of overdose
C. Family history of depression
D. Married status
E. Female sex
Answer. (b)
Question. A 41 year old woman, who has completed her family, has suffered from extremely heavy periods for many years. No medical treatment has worked. She admits that she would rather avoid open surgery. Scan shows a normal uterus. After discussion, you collectively decide on a procedure that would not require open surgery or general anaesthetic. Select the most appropriate management for menorrhagia in this case?
A. Endometrial ablation
B. Hysterectomy
C. Hysteroscopic laser/ resection of fibroids
D. Myomectomy
E. Uterine artery embolization
Answer. (e)
Question. A 28 year old woman complains of hearing strange voices in her bedroom as she is falling asleep in the night. She says there is no one in the room except her. On evaluation she has no other problems. What is she suffering from?
A. Delusion of persecution
B. Cotard Syndrome
C. Hypnagogic Hallucinations
D. Lilliputian Hallucinations
E. Schizophrenia
Answer. (c)
Question. A 56 year old female has come to the fracture clinic with a fall on her outstretched hand. She complains of pain and swelling in her right forearm and she is unable to bear weight. You suspect a fracture of her right upper forearm. What will be the best investigation to diagnose and to prevent recurrence?
A. Dexascan
B. CT scan
C. MRI
D. Full body X-ray
Answer. (a)
Question. A pregnant woman with a long-term history of osteoarthritis came to the antenatal clinic with the complaints of restricted joint movement and severe pain in her affected joints. What is the choice of drug?
A. Paracetamol
B. Steroid
C. NSAID
D. Paracetamol + Dihydrocodiene
E. Pethidine
Answer. (a)
Question. A 27 year old female who had a Road Traffic accident 7 months ago now complains of attacks of sudden onset rotational vertigo that occurs on sharp movements of her head and neck. Which of the following would be most helpful?
A. Caloric testing
B. Hallpike maneuver
C. Gutenberger’s test
D. Meniere’s test
E. Otoscopy
Answer. (b)
Question. An 80 year old man presented with bone pain and urinary retention. What do you suspect in this patient?
A. Benign prostatic hyperplasia (BPH)
B. Prostatic cancer
C. Urinary Tract Infection (UTI)
D. Prostatitis
Answer. (b)
Question. A 60 year old man with IHD. He is on his heart medications. His daughter noticed some abnormal behaviour including memory loss and cognitive impairment in a stepwise progression. What is the most likely cause?
A. Lewy body dementia
B. Vascular dementia
C. Pick’s dementia
D. Parkinson’s disease
Answer. (b)
Question. A 34 year old man with a white patch on the margin of the middle third of the tongue. Which is the SINGLE most appropriate lymph node involved?
A. External iliac lymph nodes
B. Pre aortic lymph nodes
C. Aortic lymph nodes
D. Inguinal lymph nodes
E. Iliac nodes
F. Submental lymph nodes
G. Submandibular lymph nodes
H. Deep cervical lymph nodes
Answer. (g)
Question. A university student is brought in by his friend after collapsing at a party. His pupils are dilated and he has high grade fever. ECG reveals tachy arrhythmias and BP is 170/90 mmHg. Urine analysis reveals myoglobinuria. Toxicity with which substance is likely in this scenario?
A. Heroin
B. Ecstasy
C. LSD
D. Alcohol
E. Cocaine
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.