Question: A patient presents with gradual onset of headache, neck stiffness, photophobia and fluctuating LOC. CSF showed lymphocytes but no organism on the gram stain. CT brain is normal. What is the single most likely diagnosis?
a. Hairy leukoplakia
b. TB
c. CMV infection
d. Candida infection
e. Cryptococcal infection
Answer: (b)
Question: An 18m boy has been brought to the ED because he has been refusing to move his left arm and crying more than usual for the past 24h. He has recently been looked after by his mother’s new bf while she attended college. Assessment shows multiple bruises and a fx of the left humerus which is put in plaster. What is the single most appropriate next step?
a. Admit under care of pediatrician
b. Discharge with painkillers
c. Follow up in fx clinic
d. Follow up in pediatric OPD
e. Follow up with GP
Answer: (a)
Question: A 74 year old female presents with headache and neck stiffness to the ED. Following a LP the patient was started on IV ceftriaxone. CSF culture = listeria monocytogenes. What is the appropriate tx?
a. Add IV amoxicillin
b. Change to IV amoxicillin + gentamicin
c. Add IV ciprofloxacin
d. Add IV co-amoxiclav
e. Continue IV ceftriaxone as mono-therapy
Answer: (b)
Question: A patient presents with fever, dry cough and breathlessness. He is tachypneic but chest is clear. Oxygen saturation is normal at rest but drops on exercise. What is the single most likely diagnosis?
a. CMV infection
b. Candida infection
c. Pneumocystis carinii infection
d. Cryptococcal infection
e. Toxoplasma abscess
Answer: (c)
Question: A 14 year old boy fell and hit his head in the playground school. He didn’t lose consciousness. He has swelling and tenderness of the right cheek with a subconjunctival hemorrhage on his right eye. What is the most appropriate initial investigation?
a. CT brain
b. EEG
c. MRI
d. Skull XR
e. Facial XR
Answer: (e)
Question: A 15m child is due for his MMR vaccine. There is a fam hx of egg allergy. He is febrile with acute OM. What is the single most appropriate action?
a. Defer immunization for 2 weeks
b. Don’t give vaccine
c. Give half dose of vaccine
d. Give paracetamol with future doses of the same vaccine
e. Proceed with standard immunization schedule
Answer: (a)
Question: A 33 year old lady with Hodgkin’s lymphoma presents with temperature=40C, left sided abdominal pain and lymphadenitis. Blood was taken for a test. What will you do next?
a. Wait for blood test
b. Start broad spectrum IV antibiotics
c. Oral antibiotics
d. CBC
e. Monitor pyrexia
Answer: (b)
Question: A 40 year old man with marked weight loss over the preceding 6m has bilateral white, vertically corrugated lesion on the lateral surfaces of the tongue. What is the single most likely diagnosis?
a. C1 esterase deficiency
b. Crohns disease
c. HIV disease
d. Sarcoidosis
e. Sjogren’s syndrome
Answer: (c)
Question: A 3 month baby was miserable and cried for 2h following his 1st routine immunization with DTP, HiB and meningitis. What is the single most appropriate action?
a. Defer immunization for 2 weeks
b. Don’t give vaccine
c. Give half dose of vaccine
d. Give paracetamol with future doses of the same vaccine
e. Proceed with standard immunization schedule
Answer: (e)
Question: A 65 year old man with HTN develops gingival hyperplasia. What is the single most likely diagnosis?
a. ACEi
b. Beta blockers
c. Crohns disease
d. Nifedipine
e. Sarcoidosis
Answer: (d)
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.