PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-78
Categories: U.K. PLAB (Professional and Linguistic Assessments Board)
Question. A 60 year old man presents with dysphagia and pain on swallowing both solids and liquids. A barium meal shows gross dilatation of the oesophagus with a smooth narrowing at the lower end of the oesophagus. What is the SINGLE most likely cause of dysphagia from the given options?
A. Achalasia
B. Myasthenia gravis
C. Oesophageal carcinoma
D. Oesophageal web
E. Systemic sclerosis
Answer: (a)
Question. A 65 year old woman had an excision of a colonic tumor 3 years ago. Now she is losing weight and feels lethargic. On examination she is pale but has no abdominal findings. What is the most appropriate investigation?
A. CA 125
B. CA 153
C. CA 199
D. CEA
E. AFP
Answer: (d)
Question. A 6 months old child presents with cough and fever. What is the most appropriate diagnosis?
A. Bronchiolitis
B. Asthma
C. Bronchitis
Answer: (a)
Question. A patient is to be put on lithium therapy. Her renal function and liver function tests are normal. What is the most appropriate other test you need to do?
A. Urine for glucose
B. Thyroid function tests answer
C. EEG
D. ECG
Answer: (b)
Question. You are FY2 working in the Orthopaedic department. An 80 year old lady with a fractured neck of femur has been admitted overnight and is on the trauma list today. She needs to consented but she is confused. Her daughter lives nearby and is on her way to the hospital. What is the most appropriate action you will take?
A. Investigate the possible cause of confusion.
B. Phone the theater to cancel the operation.
C. Inform the operating surgeon about the situation
D. Point to the signature line on the consent form and ask the patient to sign.
Answer: (c)
Question. A child presented with right sided hearing loss. Tuning fork test was done and showed Air conduction > Bone conduction. Weber test localised to left ear. What is the most appropriate diagnosis?
A. Acute Otitis Media
B. Acute Otitis external
C. Serous Otitis Media with effusion (glue ear)
D. Otosclerosis
E. Acoustic neuroma
Answer: (e)
Question. A 7 year old child is on inhaled salbutamol. His symptoms are not controlled. What should be the next step?
A. Add LABA
B. Increase the dose of salbutamol
C. Add a regular, low-dose inhaled steroids
D. Add leukotriene antagonists
Answer: (c)
Question. A 50 year old man has been admitted for investigations for breathlessness and weight loss. He has been taking thiazide diuretics for hypertension for 2 years. His BP is 150/100mmHg. Investigation shows:
Na: 138,
K: 2.9,
Urea 5.8,
Glucose 5.7.
What is the single most appropriate management?
A. IV normal saline and insulin
B. IV normal saline and K supplements
C. Plasma expanders
D. Dialysis
E. Oral KCL
Answer: (e)
Question. A patient admitted due to repeated attacks of pancreatitis presents with dementia and loss of proprioception in the legs. What is the most appropriate treatment?
A. Thiamine
B. Pyridoxine
C. Cobalamin
D. Lipase
E. Antibiotics
Answer: (c)
Question. A young man has been found in the park, drunk and brought to the A&E by ambulance. He recently lost his job and got divorced. He thinks nurses are plotting against him. What is the most likely diagnosis?
A. Schizoid personality
B. Borderline personality
C. Schizophrenia
D. Psychotic depression
E. Paranoid
Answer: (c)
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.