Question: A 39 year old woman has not had her period for 10 months. She feels well but is anxious as her mother had an early menopause. Choose the single most appropriate initial investigation?
a. Serum estradiol conc.
b. Serum FSH/LH
c. Serum progesterone conc.
d. None
e. Transvaginal US
Answer: (b)
Question A 50 year old man with DM suddenly develops persistent crushing central chest pain radiating to the neck. What is the single most appropriate diagnosis?
a. Angina
b. Costochondritis (tietze's disease)
c. Dissecting aneurysm
d. MI
e. Pulmonary embolism
Answer: (c)
Question: A 22 year old man has rushed into the ED asking for help. He describes recurrent episodes of fearfulness, palpitations, faintness, hyperventilation, dryness of the mouth with perioral tingling and cramping of the hands. His symptoms last 5-10 mins and have worsened since their onset 3 months ago. He is worried he may be having a heart attack. An ECG shows sinus tachycardia. What is the single most appropriate immediate intervention?
a. High flow oxygen
b. IV sedation
c. Rebreathe into a paper bag
d. Refer for anxiety management course
e. Refer for urgent cardiology opinion
Answer: (c)
Question: An 8 year old boy has long standing asthma. He has admitted to having a severe episode and is tired and drowsy. He has not improved on oxygen, inhaled B2 agonist and IV hydrocortisone. CXR shows bilateral hyperinflation. He is too breathless to use a peak flow meter and is O2 sat <90%. What is the single most appropriate inv?
a. CBG
b. CXR
c. CT chest
d. Pulse oximetry
e. Spirometry
Answer: (a)
Question: A man was operated for colorectal ca. His pain is relieved with morphine 60mg bd PO but now he can’t swallow medications. What will be the next regimen of analgesic administration?
a. Oxycodone
b. Fentanyl patch
c. Morphine 60mg IV/d
d. Morphine 240 mg IV/d
Answer: (b)
Question: Just above the mid-inguinal point. What is the single most appropriate landmark?
a. Femoral artery pulse felt
b. Mcburney’s point
c. Stellate ganglion
d. Deep inguinal ring
e. Transpyloric plane
Answer: (d)
Question: 5th ICS in the ant axillary line. What is the single most appropriate landmark?
a. Apex beat
b. Chest drain insertion
c. Stellate ganglion
d. Transpyloric plane
e. Vena cava opening into the diaphragm
Answer: (b)
Question: A 34 year old man with MS has taken an OD of 100 tablets of paracetamol with intent to end his life. He has been brought to the ED for tx but is refusing all intervention.
a. Assessment
b. Evaluate pt’s capacity to refuse tx
c. Establish if patient has a previous mental illness
Answer: (b)
Question: A 23 year old woman with painless vaginal bleeding at 36wks pregnancy otherwise seems to be normal. What should be done next?
a. Vaginal US
b. Abdominal US
c. Vaginal exam
d. Reassurance
Answer: (b)
Question: A 29 year old lady admitted with hx of repeated UTI now developed hematuria with loin pain. What is the most probable diagnosis?
a. Acute pyelonephritis
b. Chronic pyelonephritis
c. UTI
d. Bladder stone
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.
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.