Question. A 55 year old man presented to the A and E with complaints of calf muscle tenderness. On examination the bulk of the muscle had decreased on the right side and also the foot was cold. Further examination revealed no distal pulses palpable and also absent popliteal and femoral pulse. What is the level of the occlusion?
A. Ext Iliac artery
B. Internal Iliac artery
C. Inguinal artery
D. Abdominal Aorta
E. Common iliac artery
Answer: (a)
Question. A 70 years old patient has a large gallstone which was an incidental finding. What will be the management?
A. Medical management
B. Endoscopic Retrograde Cholangio-. Pancreatography( ERCP)
C. Magnetic resonance cholangiopancreatography (MRCP)
D. Symptomatic management
E. Laparoscopic removal of gall stone
F. Laparotomy and removal of gall stone
Answer: (d)
Question. A man with a family history of panic disorder is brought to the hospital with palpitations, tremors and sweating and muscle tightness on three occasions in the last six weeks. He does not complain of headache and his blood pressure on each presentation is within normal limits. What is the single most appropriate long term treatment for this patient?
A. Diazepam
B. Olanzapine
C. Haloperidol
D. Fluoxetine
E. Alprazolam
Answer: (d)
Question. Which is the correct statement regarding febrile seizures.
A. Most cases will resolve by the age of 6 years
B. All cases will progress to epilepsy
C. There is some learning difficulty later in life
D. A child can have a febrile fit only once
Answer: (a)
Question. A 34 year old patient presented with redness and pain in the eye. He is also suffering with back pain that is worse in the morning. He is taking NSAIDs for back pain. What is the cause of red eyes?
A. Ibuprofen
B. Steroids
C. Anterior Uveitis
D. Posterior Uveitis
E. Trauma
Answer: (c)
Question. A 55 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 3 days. Her only medication is haloperidol for hiccoughs. Today she is disorientated and has left sided weakness. What is the most likely diagnosis?
A. Brain metastasis
B. Hypercalcemia
C. Liver failure
Answer: (a)
Question. A 56 year old man presents with progressive dysphagia to solids, weight loss, and anaemia. Which is the most diagnostic investigation?
A. Oesophageal manometry
B. Barium meal
C. Gastroscopy
D. CT scan
Answer: (c)
Question. A 14 year old boy with asthma suddenly developed chest pain and increased breathlessness during a game of football. When seen in the Emergency Department he was not cyanosed. He has reduced breath sounds on the right side. His oxygen saturation is 94% on air. What is the SINGLE most appropriate investigation?
A. Capillary blood gases
B. Chest x-ray
C. CT scan of the chest
D. Exercise challenge
E. MRI of the chest
Answer: (b)
Question. A 4 year old boy is brought by his parents with complaints of wetting his bed at night and whenever he gets excited. What would be the most appropriate management for this child?
A. Desmopressin
B. Oxybutynin
C. Behavioural Therapy
D. Tamsulosin
E. Restrict fluid intake
Answer: (c)
Question. A 45 year old patient was brought to the A and E with complaints of breathlessness. He was diagnosed with Asthma and was on medications. He was given a salbutamol inhaler and steroids along with 100% oxygen. What is the next step of management?
A. Continue asthma
B. Salmeterol
C. Beclometasone
D. IV Aminophylline
E. IV MgSO4
Answer: (e)
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.