Question: A 46 year old woman comes for a routine gynecological visit. On pelvic examination, a 1-cm red, granular lesion is noted on the posterior cervical lip, which is firm and bleeds on contact. Which is the next best step for establishing a dx?
a. Cervical cytological smear
b. Punch biopsy
c. Transvaginal ultrasound
d. Colposcopy
Answer: (b)
Question: A 31 year old woman, G5P4, who has amenorrhoea for 12 weeks and a positive pregnancy test presents to the ED with vaginal bleeding. Symphyseal-fundal height measurement corresponds to 22 weeks gestation. Ultrasound examination reveals bilateral cystic masses. No fetal parts are seen during the examination. The cervix is closed. Which is the most likely diagnosis?
a. Tubal pregnancy
b. Endometriosis
c. Hydatidiform mole
d. Threatened abortion
Answer: (c)
Question: A married 25 year old woman presents with 6h hx of abdominal pain located in the LIF. The pain is persistent, of increasing intensity and not radiating first experienced while she was lying down. She feels giddy when she tries to stand erect. The last menstrual period was 6 weeks ago. The radial pulse=130/min and BP=80/40mmHg. Pelvic US shows free intraperitoneal fluid. What is the most appropriate next step in management?
a. Immediate laparoscopy.
b. Immediate laparotomy.
c. Pregnancy test (urine or serum).
d. Observation for 24 hours in the ICU
Answer: (c)
Question: A 40 year old man has fallen off a roof. He is shocked and has chest pain. There is a delay between the radial and femoral pulse. His CXR=widening of the mediastinum. What is the single most likely diagnosis?
a. Cardiac tamponade
b. Diaphragmatic rupture
c. Fx ribs
d. Tension pneumothorax
e. Traumatic rupture of aorta
Answer: (e)
Question: A 36 year old woman presents with swelling in the groin. Exam: swelling is diffuse and soft and lies below the inguinal ligament. It empties with minimal pressure and refills with release. There is a cough impulse and it disappears on lying down. On the calf of the same leg there are varicosities on the medial aspect. What is the most likely dx?
a. Varicose vein
b. Varicocele
c. Saphena varix
d. Femoral hernia
e. Inguinal hernia
Answer: (c)
Question: A man presents with a swelling above the groin crease in the abdomen. He has not had any med prbs of note. What is the most probable dx?
a. Inguinal hernia
b. Spigelian hernia
c. Testicular tumor
d. Epididymal cyst
e. Irreducible hernia
Answer: (b)
Question: A 70 year old man presents with an acutely painful, pale paralysed and pulseless left leg. He is noted to have a-fib. What is the most probable dx?
a. Intermittent claudication
b. Cardiovascular syphilis
c. Buerger’s disease
d. Chronic limb ischemia
e. Acute limb ischemia
Answer: (e)
Question: A 50 year old woman complains of several months hx of weakness and difficulty climbing stairs. Examination: fissuring of the skin of her hands. CXR: pulmonary fibrosis. What is the single most likely positive antibody?
a. Anti Jo1
b. Anti Scl 70
c. Anti Ro
d. Anti ds DNA
e. Anti centromere
Answer: (a)
Question: A 65 year old woman complaining of symptoms suggestive of Raynaud’s phenomenon and difficulty in swallowing. Examination: painful lesions on her finger tips and facial telangiectasia. What is the single most likely positive antibody?
a. Anti Jo1
b. Anti Scl 70
c. Anti Ro
d. Anti ds DNA
e. Anti centromere
Answer: (e)
Question: A 6 year old boy presented about 4h ago with acute severe pain on the testis with the left half slightly higher than the right. Pain was not relieved by any strong analgesic. What is the initial management?
a. Give strong analgesic
b. IV NS and monitor vital signs
c. Reassure
d. Immediate surgical referral
e. Cover with antibiotics
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.