Question. A pregnant lady with shortness of breath and chest pain. Had a CTPA done that showed a filling defect in the vessels supplying the right middle and lower lobe. What is the most appropriate management?
A. LMWH only.
B. Warfarin only
C. I V thrombolysis
D. I V thrombolysis followed by LMWH
E. Surgical embolectomy followed by anticoagulant with DOAC
Answer: (a)
Question. A 65yr old presents with cough and haemoptysis following pneumonectomy 7 days ago. Temperature is 36.8. What is the likely diagnosis?
A. Bronchopleural fistula
B. Empyema
C. Haemothorax
D. Post infectious effusion
E. COPD
Answer: (a)
Question. A woman who is 20 weeks pregnant had been camping with her children. She presented to the A&E with arthralgia, erythematous papular rashes which spared the central area on the leg. She was bitten by an insect. What is the most appropriate treatment?
A. Intravenous ceftriaxone
B. Intravenous ganciclovir
C. oral acyclovir
D. oral amoxicillin
E. oral doxycycline
Answer: (d)
Question. A woman who had a new neighbour playing loud music. She has been having difficulty sleeping for the past three weeks. She has tried ear plugs but it hasn’t helped. She has informed the local council. She is a secretary and she has difficulty concentrating at work.
A. Advice about Sleep hygiene
B. Advice to report to the police
C. Refer to the sleep clinic.
D. Prescribe short acting hypnotic
E. Reassure
Answer: (b)
Question. A 64 year old woman had bright red post coital bleeding and dyspareunia. She had not had sex in a while. What is the cause?
A. Cervical cancer
B. Atrophic vaginitis
C. Endometrial cancer
D. Endometrial polyp
E. Cervical ectropion
Answer: (c)
Question. Patient with expressive aphasia, right hemiparesis, right sided blindness. What is the site of artery occlusion?
A. Anterior cerebral artery
B. middle cerebral artery
C. Internal carotid artery
D. External carotid artery
E. coronary artery
Answer: (b)
Question. A 55 year old woman with Frontal headache worse in the morning with progressive left upper and lower limb weakness power 4/5.
A. Cavernous sinus thrombosis
B. Multiple sclerosis
C. Hemiplegic migraine
D. Benign intracranial hypertension
E. Meningioma
Answer: (c)
Question. A 73 year old man who has dizziness and occasional syncope. Happens mostly when he stands up from sitting quickly. Has a systolic murmur at the right parasternal edge.
ECG
A. Orthostatic hypotension
B. Aortic stenosis
C. Mitral regurgitation
D. Coarctation of the aorta
E. Ventricular septal defect
Answer: (e)
Question. A 65yr old man who developed sudden breathlessness. Had total hip replacement surgery 1 day ago. PR- 130, BP- 110/70, RR- 28, etc. What's the most appropriate initial investigation?
A. Arterial blood gas
B. Chest x- ray
C. Electrocardiogram
D. Echocardiogram
E. CT scan
Answer: (b)
Question. A 6 weeks pregnant woman presents with vaginal bleeding that has stopped. Currently not having any symptoms. TVUS showed CRL of 5mm and no fetal activity recorded.
A. Counsel f or medical management of miscarriage
B. Counsel f or surgical management of miscarriage
C. Repeat ultrasound in 1 week
D. Measure HCG level
E. Measure serum progesterone
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.
In order to practise medicine in the United Kingdom, international medical graduates must pass the PLAB (Professional and Linguistic Assessments Board) exam. The General Medical Council (GMC), which oversees medical practitioners in the UK, is in charge of administering it.
The PLAB exam is divided into two parts:
PLAB Part 1: This written, multiple-choice exam gauges your knowledge and comprehension of clinical practise and medical principles. It has 180 single-best-answer questions and covers a variety of subjects, such as surgery, psychiatry, paediatrics, obstetrics and gynaecology, and more. The PLAB Part 1 exam is available in many different nations.
PLAB Part 2: This practical test evaluates your clinical abilities, communication abilities, and ethical standards. There are 18 situations in all, all of them take place in the UK and include interacting with fictitious patients. Your capacity to gather data, generate accurate diagnoses, and create treatment plans is evaluated by the examiners.
You must fulfil specific requirements, such as holding a primary medical certification recognised by the GMC and possessing the appropriate English language proficiency, in order to be qualified to take the PLAB exam. The GMC's website should be checked for the most recent and comprehensive qualifying requirements.
A strong foundation in clinical expertise and medical knowledge is necessary for PLAB exam preparation. Many applicants prepare by combining self-study, books, online sources, and practise tests. Additionally, a number of for-profit businesses provide training programmes and resources created expressly for the PLAB exam.