PLAB (Professional and Linguistic Assessments Board) Sample Questions Set-293

Categories: U.K. PLAB (Professional and Linguistic Assessments Board)

Question: A 78 year old man has collapsed. He has had a severe headache for 12 hours and had an URTI 3d ago. He has a temperature=39.2C, pulse=122 bpm, BP=84/60mmHg and RR=34 bpm but his chest is clear. He has a GCS=10 and some neck stiffness. He has been started on high-flow oxygen. What is the SINGLE most appropriate immediate management?

 

a. IV antibiotic; CT brain scan

b. IV antibiotic; LP

c. IV fluids; CT brain scan

d. IV fluids; IV antibiotic

e. IV fluids; LP

 

Answer: (d)

 

Question: A 16 year old boy was brought to hospital in a comatose state having taken methadone belonging to his sister. He was given naloxone and rapidly became alert. Some hours later, he gradually becomes semi-conscious again. What is the SINGLE most likely reason for this patient becoming semi-conscious again in hospital?

 

a. Methadone hepatotoxicity has caused acute liver failure

b. Methadone is eliminated from the body more slowly than naloxone

c. Naloxone is a partial agonist at the central nervous system opioid receptor

d. The patient has misused another substance that has caused an intracranial bleed

e. The patient has misused another substance that is absorbed more slowly than methadone

 

Answer: (b)

 

Question: A 27 year old woman who takes the COCP has had painless vaginal spotting and discharge for 3 days. Her last menstrual period, which lasted four days, finished 10 days ago. Her last cervical smear two years ago was normal. Abdominal and vaginal examinations are normal apart from a mild ectropion with contact bleeding. What is the SINGLE most appropriate initial investigation?

 

a. Cervical smear

b. Colposcopy

c. Endocervical swab

d. Endometrial biopsy

e. Pelvic US

 

Answer: (c)

 

Question: A 72 year old man being investigated for anaemia is booked for a colonoscopy in 24 hours. What is the SINGLE most appropriate management the night before the procedure?

 

a. Bisacodyl tablets

b. Glycerine suppository

c. Lactulose syrup

d. Magnesium citrate (orally)

e. Senna tablets

 

Answer: (d)

 

Question: A 19 year old woman has had progressive bilateral iliac fossa pain and dyspareunia for 3 days. She has an offensive vaginal discharge and feels unwell and feverish. Her temperature=39C. An initial antimicrobial regimen is commenced. What SINGLE set of organisms are the most appropriate for the antimicrobial regimen to cover?

 

a. Neisseria gonorrhoeae and Candida albicans

b. Neisseria gonorrhoeae and Candida albicans and Gardnerella vaginalia

c. Neisseria gonorrhoeae and Chlamydia trachomatis

d. Neisseria gonorrhoeae and Chlamydia trachomatis and Candida albicans

e. Neisseria gonorrhoeae and Chlamydia trachomatis and Gardnerella vaginalis

 

Answer: (c)

 

Question: A 48 year old man with renal cancer had radiotherapy for metastatic spinal cord compression at the 11th thoracic vertebra 4wks ago. He has retained sensation but is unable to stand. He has pain in a band around his lower trunk controlled by regular oral morphine. He is distressed by increasingly frequent episodes of painful muscle spasms in his right leg. What is the SINGLE most appropriate management of his symptoms?

 

a. Amitriptyline

b. Baclofen

c. Fentanyl patch

d. Gabapentin

e. Increase morphine dose

 

Answer: (b)

 

Question: A 4 year old girl has had a temperature=38.5C for 2 days and has not wanted to eat her food. Yesterday she developed a sore throat and small, painful ulcers inside her mouth. Today she has small blisters on the palms of her hands and soles of her feet which are painful but not itchy. What is the SINGLE most likely underlying cause?

 

a. Coxsackie virus

b. Herpes simplex virus

c. Staphylococcus aureus

d. Streptococcus pneumonia

e. Varicella zoster virus

 

Answer: (a)

 

Question: A 32 year old woman has had 3 episodes of slurred speech and 2 episodes of transient weakness of both legs in the past 5 years. Each episode was resolved in 3 months. What is the SINGLE most likely diagnosis?

 

a. Meningioma

b. Migraine

c. Multiple sclerosis

d. Stroke

e. Transient ischaemic attack

 

Answer: (c)

 

Question: An 8 year old girl is complying with her asthma treatment of low-dose inhaled corticosteroid prophylaxis and short-acting bronchodilators as required. Her inhaler technique is good. She now has a frequent night cough and mild exercise-induced wheeze. What would be the SINGLE most appropriate change in her treatment?

 

a. Add leukotriene antagonist

b. Add oral theophylline

c. Add regular long-acting bronchodilator

d. Increase dose of inhaled corticosteroid

e. Short course of oral corticosteroid

 

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.


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