Question. A 15 year old boy fell off his bicycle and hurt his abdomen. He presents with pain in abdomen, a CT scan shows a small sub capsular spleen haematoma, his BP is 110/70mmHg and pulse is 80 bpm. What is the next step in his management?
A. Refer to surgeons for observation
B. Immediate Laparotomy
C. Immediate Laparoscopy
D. Discharge with advice
E. Blood transfusion
Answer. (a)
Question. A 24 year old man presents to Accident & Emergency after his friends noticed his sclera turning yellow. This happened after he had been taking paracetamol for a few days for an upper respiratory tract infection. What is the single best cause for jaundice in him?
A. Gilbert’s syndrome
B. Criggler-Najjar syndrome
C. Glucose 6 phosphate dehydrogenase deficiency
D. Hereditary Spherocytosis
E. Hereditary Elliptocytosis
Answer. (a)
Question. Young boy with one sided facial swelling associated with pain tenderness and swelling around the eye. There is no proptosis and ophthalmoplegia. What is the most probable diagnosis?
A. Periorbital cellulitis
B. Orbital cellulitis
C. Sinusitis
D. Conjunctivitis
E. Erysipelas
Answer. (a)
Question. A 14 year old girl is clinically obese. She has not started her periods yet and has severe acne. Among her investigations, a high insulin level is found. What is the most probable diagnosis?
A. Cushing’s Syndrome
B. Grave’s disease
C. Acquired Hypothyroidism
D. Polycystic ovarian syndrome
E. Addison’s disease
Answer. (d)
Question. A patient with proteinuria ++. What medication in this patient will prevent the progression of this disease?
A. ACE inhibitors
B. Calcium channel blockers
C. Thiazide
D. Beta blockers
E. Alpha blockers
Answer. (a)
Question. A 25 year old had an LSCS 24 hours ago for foetal distress. She now complains of intermittent vaginal bleeding. Observations include saturations 98% in air, blood pressure 124/82 mmHg, pulse 84 beats/min and temperature 37.8oC. The midwife tells you that she had a retained placenta, which required manual removal in the operating theatre. Choose the most appropriate post C-Section complication in this case?
A. Retained products of conception
B. Aspiration pneumonitis
C. Endometritis
D. Uterine rupture
E. Disseminated intravascular coagulation
Answer. (c)
Question. A 74 years old man, who has been a smoker since he was 20, has recently been diagnosed with small cell carcinoma of the lung. What serum electrolyte picture will confirm the presence of Syndrome of inappropriate anti-diuretic hormone secretion (SIADH)?
A. High serum Na, low serum osmolarity, high urine osmolarity
B. Low serum Na, low serum osmolarity, high urine osmolarity
C. Low serum Na, high serum osmolarity, high urine osmolarity
D. High serum Na, low serum osmolarity, low urine osmolarity
E. High serum Na, high serum osmolarity, low urine osmolarity
Answer. (b)
Question. Woman presented with a blood pressure 220/110mmHg. Not on any medication. Potassium 2.2mmol/l. What is the most likely diagnosis?
A. Hypopituitarism
B. Cushing's Syndrome
C. Primary Hyperaldosteronism
D. Secondary Hyperaldosteronism
Answer. (c)
Question. A 7 month old child presents with seizures and jerking of limbs. What is the most likely diagnosis?
A. Infantile spasms
B. Space occupying lesion
C. Absence seizure
D. Breath holding spell
Answer. (a)
Question. A 60 year old man with anuria had left nephrectomy for left renal Ca. Ultrasound shows dilatation of the right upper renal tract with a stone impacted at the pelvic-ureteric junction. Bp 80/40mmHg. What is the appropriate management?
A. Urethral catheterization
B. Lithotripsy
C. Percutaneous right nephrostomy
D. Dormier basket
E. Mid stream urine for culture and sensitivity.
Answer. (c)
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.