Question: A child came to the ED with severe asthma and not responding to salbutamol nebulizer and vomiting many times. What is the most appropriate management?
a. Salmeterol
b. Montelukast
c. Prednisolone
d. Budesonide inhaler
e. Oxygen
f. IV salbutamol
Answer: (a)
Question: A 73 year old woman with skeletal and brain mets from breast cancer has worsening low back pain and blurring of vision. She has weakness of her legs, minimal knee and absent ankle tendon reflexes, a palpable bladder, a power of 2/5 at the hip, 3/5 at the knee and ankle, and tenderness over the 2nd lumbar vertebra. There is reduced sensation in the perineum. She has been started on dexamethasone 16 mg daily. What is the single most likely cause of her weakness?
a. Paraneoplastic neuropathy
b. Progression of brain tumor
c. PID at L2/L3
d. Spinal cord compression
e. Steroid induced myopathy
Question: A 78 year old woman presents with a unilateral headache and pain on chewing. ESR=70mm/hr. She is on oral steroids. What is the appropriate additional therapy?
a. Bisphosphonates
b. HRT
c. ACEi
d. IFN
e. IV steroids
Answer: (a)
Question: A 48 year old woman is admitted to the ED with a productive cough and mod fever. She often has central chest pain and she regurgitates undigested food most of the time but doesn’t suffer from acid reflux. These symptoms have been present for the last 3.5m which affects her daily food intake. CXR: air-fluid level behind a normal sized heart. What is the single most likely diagnosis?
a. Pharyngeal pouch
b. Hiatus hernia
c. Bulbar palsy
d. Achalasia
e. TB
Answer: (b)
Question: A retired ship worker has pleural effusion and pleural thickening on the right side with bilateral lung shadowing. What would you do to improve his symptoms?
a. Aspiration
b. Chest drain
c. Chemotherapy
d. Diuretic
Answer: (c)
Question: An 88 year old woman is a known smoker. She had an attack of MI 2 years back and is known to have peripheral vascular disease. She presents with an irreducible herniation over the incision region of a surgery which she underwent in her childhood. What is the most appropriate tx?
a. Truss
b. Elective herniorrhaphy
c. Urgent herniorrhaphy
d. Elective herniotomy
e. Reassure
Answer: (b)
Question: A 72 year old woman who is taking loop diuretics for left ventricular failure. She now is suffering from palpitations and muscle weakness. What is the electrolyte imbalance found?
a. Na+=130 mmol/L, K+=2.5mmol/L
b. Na+=130 mmol/L, K+=5.5mmol/L
c. Na+=140 mmol/L, K+=4.5mmol/L
d. Na+=150 mmol/L, K+=3.5mmol/L
e. None
Answer: (a)
Question: A young woman who is a marathon runner comes with secondary amenorrhea. Investigation: normal LH, FSH and estradiol, prolactin=600. What is the most likely diagnosis?
a. Hypothalamic amenorrhea
b. Pregnancy
c. PCOS
d. Prolactinoma
e. Anorexia
Answer: (d)
Question: A 4 year old child comes with a sprain in his foot. Hx reveals that the child has had recurrent admissions to the hospital due to severe asthma. What is the most appropriate analgesic?
a. Diclofenac sodium
b. Ibuprofen
c. Paracetamol
d. Codeine
Answer: (c)
Question: A 34 year old pregnant woman, 38 week GA is in labor. She had a long 1st stage and troublesome 2nd stage and delivered a baby. After her placenta was delivered she had a convulsion. What is the most probable management?
a. MgSO4 IV
b. Diazepam IV
c. IV fluid
d. Hydralazine IV
e. Anti-epileptic
Answer: (a) & (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.