Question: A 40 year old man with a 25y hx of smoking presents with progressive hoarseness of voice, difficulty swallowing and episodes of hemoptysis. He mentioned that he used to be a regular cannabis user. What is the single most likely diagnosis?
a. Nasopharyngeal cancer
b. Pharyngeal carcinoma
c. Sinus squamous cell carcinoma
d. Squamous cell laryngeal cancer
e. Hypopharyngeal tumor
Answer: (d)
Question: A 30 year old lady complains of intermittent diarrhea, chronic abdominal and pelvic pain and tenesmus. Sometimes she notices blood in her stool. Select the most likely cause leading to her symptoms?
a. Inflammatory bowel disease
b. Diverticulosis
c. Irritable bowel disease
d. Adenomyosis
e. UTI
Answer: (a)
Question: A 50 year old lady with weak limbs when examined was found to have burn marks on fingertips, wasted and weak hands with diminished reflexes. She also has weak spastic legs and dissociated sensory loss. What is the diagnosis?
a. MS
b. Syringomyelia
c. MND
d. Guillain-barre
e. Freidriech’s ataxia
Answer: (b)
Question: A 23 year old woman is being followed up 6 weeks after a surgical procedure to evacuate the uterus following a miscarriage. The histology has shown changes consistent with a hydatidiform mole. What is the single most appropriate investigation in this case?
a. Abdominal US
b. Maternal karyotype
c. Paternal blood group
d. Serum B-HCG
e. Transvaginal US
Answer: (d)
Question: A 67 year old man with hx of weight loss complains of hoarseness of voice. CT reveals opacity in the right upper mediastinum. He denied any hx of difficulty breathing. What is the single most appropriate investigation?
a. Laryngoscopy
b. Bronchoscopy
c. LN biopsy
d. Bronchoalveolar lavage
e. Barium swallow
Answer: (c)
Question: A 52 year old man whose voice became hoarse following thyroid surgery 1 week ago shows no improvement. Which anatomical site is most likely affected?
a. Bilateral recurrent laryngeal nerve
b. Unilateral recurrent laryngeal nerve
c. Unilateral external laryngeal nerve
d. Bilateral external laryngeal nerve
e. Vocal cords
Answer: (b)
Question: A 73 year old male presents with a 12m hx of falls. His relatives have also noticed rather strange behavior of late and more recently he has had episodes of enuresis. Examination: disorientation to time and place, broad-based, clumsy gait. What is the most probable diagnosis?
a. Dementia
b. Pituitary adenoma
c. CVD
d. Syringomyelia
e. Normal pressure hydrocephalus
Answer: (e)
Question: A 75 year old nursing home resident complains of headache, confusion and impaired vision for 4 days. She has multiple bruises on her head. What is the most likely cause of confusion in this patient?
a. Alcohol intoxication
b. Infection
c. Subdural hematoma
d. Hypoglycemia
e. Hyponatremia
Answer: (c)
Question: A 50 year old woman returned by air to the UK from Australia. 3 days later she presented with sharp chest pain and breathlessness. Her CXR and ECG are normal. What is the single most appropriate investigation?
a. Bronchoscopy
b. Cardiac enzymes
c. CT
d. MRI
e. Pulse oximetry
f. V/Q scan
g. CTPA
Answer: (g)
Question: A tall thin young man has sudden pain in the chest and becomes breathless while crying. What is the single most appropriate investigation?
a. Cardiac enzymes
b. CXR
c. CT
d. ECG
e. V/Q scan
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.