Question. A 40 years old lady complains of 10 months amenorrhoea. She presents with hot flush, mood swings, irritability and insomnia. What will be the single most effective diagnostic test for this lady?
A. Serum FSH and LH
B. Serum FSH
C. Serum Progesterone
D. Serum estradiol
E. Serum cortisol
Answer: (b)
Question. An 8 year old boy with a BMI=28 was admitted to a surgical ward following a Motor Vehicle Accident. He was found to have glycosuria. When he recovered from his injury the glycosuria resolved. What is the single most appropriate follow-up investigation?
A. Fasting blood glucose conc
B. Glycosylated hemoglobin - HbA1c
C. OGTT
D. Random blood glucose conc
E. Serum cortisol conc
Answer: (a)
Question. A child comes to the A&E with severe asthma, has vomited several times and is not responding to salbutamol nebulizer. What is the most appropriate management?
A. Salmeterol
B. Montelukast
C. Prednisolone
D. Budesonide inhaler
E. Oxygen
F. IV Salbutamol
Answer: (f)
Question. Patient with jaundice who had a test showing IgG Hep A is positive. Which other test will be appropriate to do?
A. Hep A IgM
B. Hep B surface antigen
C. Hep B core antibody
D. Hep C testing
Answer: (a)
Question. A 2 year old child was found to have meningitis. The child recovered well. He was not resuscitated. What would be the expected outcome of the child?
A. Goes back to normal status like before the illness.
B. Hearingloss
C. Visual Loss
D. Mental state retardation
E. Hemiparesis
Answer: (a)
Question. A 65 year old man has haematemesis. Endoscopy shows duodenal ulcer which was infected. He has a further haematemesis and his BP drops to 100/60mmHg. His Hb 6g/dl, MCH is 25pg, MCH concentration is 33g/dl, MCV is 85 ft. What is the most appropriate initial management?
A. Defer operation and investigate
B. Vit K injection
C. Proceed with planned surgery
D. Immediate blood transfusion stabilization and proceed to surgery
Answer: (d)
Question. A 12 year old boy leaks urine all the time. He has a history of spina bifida. What is the appropriate management?
A. Intermittent catheterisation
B. Desmopressin
C. Condom catheter
D. Urinary incontinence pad
Answer: (a)
Question. A 20 year old lady is suffering from fever and loss of appetite. She has been diagnosed with Toxoplasmosis. What is the treatment for Toxoplasmosis?
A. Pyrimethamine
B. Pyrimethamine plus Sulfadiazine.
C. Clindamycin
D. Spiramycin
E. Trimethoprim and Sulfamethoxazole
D. Chest x-ray
Answer: (b)
Question. A 75 year old man presents with Acute Renal Failure. He has been troubled by recurrent epistaxis but over the last three weeks he reports to have coughed up blood too. What is the single most likely positive antibody?
A. P ANCA
B. C ANCA
C. Anti Ro
D. Anti Ds DNA
E. Anti Centromere
Answer: (b)
Question. A 21 year old girl who is sexually active presents with small painful multiple genital ulcers. Which of the following may be useful topically as an initial treatment for her condition?
A. Acyclovir
B. Amantadine
C. Ritonavir
D. Trifluridine
E. Foscarnet
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.