Question: A 65 year old woman says she died 3m ago and is very distressed that nobody has buried her. When she is outdoors, she hears people say that she is evil and needs to be punished. What is the most likely explanation for her symptoms?
a. Schizophrenia
b. Mania
c. Psychotic depression
d. Hysteria
e. Toxic confusional state
Answer: (c)
Question: A 50 year old woman presents following a fall. She reports pain and weakness in her hands for several months, stiff legs, swallowing difficulties and bilateral wasting of the small muscles of her hands. Reflexes in the upper limbs are absent. Tongue fasciculations are present and both legs show increased tone, pyramidal weakness and hyper-reflexia with extensor plantars. Pain and temp sensation are impaired in the upper limbs. What is the most likely dx?
a. MS
b. MND
c. Syringobulbia
d. Syringomyelia
e. Myasthenia gravis
Answer: (c)
Question: Which of the following formulas is used for calculating fluids for burn pts?
a. 4 x weight(lbs) x area of burn = ml of fluids
b. 4 x weight(kgs) x area of burn = L of fluids
c. 4 x weight(kgs) x area of burn = ml of fluids
d. 4 x weight(lbs) x area of burn = L of fluids
e. 4.5 x weight(kgs) x area of burn = dL of fluids
Answer: (c)
Question: A 65 year old male presents with dyspnea and palpitations. Exam: pulse=170 bpm, BP=120/80mmHg. Carotid massage has been done as a first instance. What is the next step of the management?
a. Adenosine
b. Amlodipine
c. DC cardioversion
d. Lidocaine
e. Beta blocker
Answer: (a)
Question: A 48 year old farmer presented with fever, malaise, cough and SOB. Exam: tachypnea, coarse end inspiratory crackles and wheeze throughout, cyanosis. Also complained about severe weight loss. His CXR shows fluffy nodular shadowing and there is PMN leukocytosis. What is the single most appropriate dx?
a. Ankylosing spondylitis
b. Churg-strauss syndrome
c. Cryptogenic organizing
d. Extrinsic allergic alveolitis
e. Progressive massive fibrosis
Answer: (d)
Question: A 35 year old lady is admitted with pyrexia, weight loss, diarrhea and her skin is lemon yellow in color. CBC = high MCV. What is the most probable dx?
a. Aplastic anemia
b. Pernicious anemia
c. Leukemia
d. ITP
e. Lymphoma
Answer: (b)
Question: A 72 year old woman who had a repair of strangulated femoral hernia 2 days ago became noisy, aggressive and confused. She is febrile, CBC normal apart from raised MCV. What is the most likely diagnosis?
a. Electrolyte imbalance
b. Delirium tremens
c. Wernicke’s encephalopathy
d. Infection toxicity
e. Hypoglycemia
Answer: (b)
Question: An old lady had UTI and was treated with antibiotics. She then developed diarrhea. What is the single most likely tx?
a. Co-amoxiclav
b. Piperacillin + tazobactam
c. Ceftriaxone
d. Vancomycin
Answer: (d)
Question: A 56 year old man has symptoms of sleep apnea and daytime headaches and somnolence. Spirometry shows a decreased tidal volume and vital capacity. What is the single most appropriate dx?
a. Ankylosing spondylitis
b. Churg-strauss syndrome
c. Good pasture syndrome
d. Motor neuron disease
e. Progressive massive fibrosis
f. Spinal cord compression
Answer: (d)
Question: A 55 year old man presents with a mild headache. He has changed his spectacles thrice in 1 year. There is mild cupping present in the disc and sickle shaped scotoma present in both eyes. What is the single most appropriate tx?
a. Pan retinal photocoagulation
b. Pilocarpine eye drops
c. Corticosteroids
d. Scleral buckling
e. Analgesics alone
Answer: (b)
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.