Question. A 60 year old man presents with mass in the groin. Exam: mass lies below the midpoint of the inguinal ligament and is pulsatile. What is the most probable diagnosis?
A. Direct inguinal hernia
B. Saphenavarix
C. Femoral hernia
D. Irreducible hernia
E. Femoral aneurysm
Answer. (e)
Question. A 79 year old anorexic male complains of thirst and fatigue. He has symptoms of frequency, urgency and terminal dribbling. His urea and creatinine levels are high. His serum calcium is 1.9 and he is anaemic. His blood pressure is 165/95mmHg.
What is the most probable diagnosis?
A. Benign prostatic hypertrophy
B. Prostate carcinoma
C. Chronic pyelonephritis
D. Benign nephro sclerosis
Answer. (b)
Question. A woman presented with repeated candidiasis. She also has polyuria and polydipsia. What is the most appropriate investigation that would confirm diabetes in this patient?
A. Urine dipstick + fasting blood sugar 6
B. Random blood sugar 8+ fasting blood sugar 6.5
C. Random blood sugar >11+ fasting blood sugar>6
D. Random blood sugar>10
E. FBS .7 and RBS >11
Answer. (d)
Question. A 12 year old patient presents with copious diarrhoea. On examination his urine output is low, mucous membranes are dry and skin turgor is low. What is the single most initial management?
A. Antibiotic
B. Antimotility
C. Antiemetic
D. Fluid replacement
E. Reassure
Answer. (d)
Question. A 25 year old lady presents to the outpatient department requesting contraception. She has irregular and painful periods. She smokes 20 cigarettes a day. Otherwise she is fit and well. Which is the single most appropriate type of contraception?
A. Combined oral contraception
B. Progesterone only contraception
C. Tranexamic acid
D. Levonorgestrel
E. Levonorgestrel IUD
Answer. (a)
Question. A woman complains of bloody diarrhoea, vomiting and abdominal cramps 1 week after a holiday in France. What is the single best investigation?
A. Stool test for reducing sugars
B. Endoscopy
C. Barium enema
D. Stool microscopy and culture
E. Sigmoidoscopy
Answer. (d)
Question. A 3 week old girl has been brought to the emergency department. She is lethargic, unwell and not feeding well. Her temperature is 38.5°C, HR 90 bpm and RR 20 breaths/min. Her skin, chest, abdomen, ear and throat examinations are normal. What is the single most appropriate management?
A. Admit for full infection screening
B. Admit for full infection screening and start broad spectrum antibiotics
C. Admit for serial examination and observation
D. Discharge with broad spectrum antibiotic
E. Discharge with oral antipyretic
Answer. (b)
Question. A mother brings her 1 week old baby to the clinic because she is concerned about a large mark on his back. On examination there seems to be a large blue bruise like mark on the baby’s back. What is the most likely diagnosis?
A. Non accidental injury
B. Mongolian spot
C. Accidental bruising
D. HSP
E. ITP
Answer. (b)
Question. An 80 year old man with prostatic cancer has confusion, thirst, abdominal pain and an abnormal electrocardiogram (ECG). What is the most appropriate investigation?
A. CT scan
B. Radionuclide bone scan
C. Skeletal Survey
D. Serum alkaline phosphatase iso-enzyme concentration
E. Serum calcium concentration
Answer. (e)
Question. A 55 year old had left nephrectomy done 2 years back, he now complains of passing very little urine. His USG shows a big stone in the pelvicalyceal system. Lining of his pelvicalyceal system is smooth. What will your action be?
A. Supra pubic catheter
B. Ureteric catheter
C. Nephrolithostomy
D. Antegrade pyelography
E. Retrograde pyelography
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.