Question. A 42 year old man presents with a stroke, he is not able to walk straight and his speech is slurred. What is the initial appropriate investigation?
A. CT scan brain
B. PET scan brain
C. MRI (brain)
D. Carotid angiography
E. Monitor for 24 hours
Answer: (a)
Question. A boy who was in boarding school, he has a cough, fever and rash all over his body. His leukocytes have not increased. What is the most probable organism for pneumonia?
A. Legionela
B. Mycoplasma
C. Pneumocystis
D. Chlamydia
Answer: (b)
Question. A lady with depression has a bag full of medicines. She now presents with coarse tremors. Which drug caused her symptoms?
A. Lithium
B. Thyroxine
C. Amitriptyline
D. Sodium valproate
E. Tetrabenazine
Answer: (a)
Question. A 54 year old male builder has fallen off his ladder, hit his head and now presents with bruises over his right mastoid region. He has no other injuries. There was no loss of consciousness and his GCS is now 15. Which bone is affected in relation to the mastoid area bruising?
A. Parietal
B. Temporal
C. Mandible
D. Ethmoid
E. Frontal
Answer: (b)
Question. A 42 year old man 72 hours after an operation for acute cholecystitis develops vomiting and abdominal distension. He has no abdominal tenderness. What is the single most likely diagnosis?
A. Paralytic ileus
B. Mechanical obstruction
C. Anastomotic leak
D. Wound adhesions
Answer: (a)
Question. A 40 year old woman with breast cancer and metastasis to brain, CT scan shows localised metastasis with cerebellar edema. What is the next step in management?
A. Mannitol
B. Dexamethasone
C. Radiotherapy
D. Surgery
Answer: (b)
Question. A man is brought to A&E after he was stabbed in the chest. Chest is clear bilaterally with muffled heart sounds. Blood pressure is 60/40mmHg. Pulse is 120 bpm. JVP is raised. What is the most probable diagnosis?
A. Pulmonary Embolism
B. Cardiac Tamponade
C. Pericardial Effusion
D. Hemothorax
E. Pneumothorax
Answer: (b)
Question. A woman who has experienced 2 early pregnancy losses was concerned if it is preventable. Two tests for APS both 6 weeks apart were positive. What would be the best management of this lady?
A. Aspirin
B. Aspirin and Heparin
C. Aspirin and Warfarin
D. Heparin and Warfarin
E. Heparin
Answer: (b)
Question. A 73 year old man who was a smoker has quit smoking for the past 3 years. He has been presenting with hoarseness of voice and cough for the past 3 weeks. On X-ray a mass is visible in the mediastinum. What is the best investigation to confirm the diagnosis?
A. Bronchoscopy
B. Thoracoscopy
C. USG
D. CT Thorax
E. Lymph node biopsy
Answer: (a)
Question. A 63 year old female with a history of osteoporosis suddenly fell on her outstretched hand while shopping. X ray shows there is fracture at the distal radius with backward shift of the distal fragment. What is the SINGLE most probable deformity?
A. Dinner fork deformity.
B. Coxavara.
C. Mallet finger
D. Cubitus valgus
E. Garden spade deformity
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.