Professional and Linguistic Assessments Board Exam

PLAB (Part 1)
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Enhance your readiness and boost your confidence with our comprehensive Practice Question Bank, specifically designed for the PLAB (Professional and Linguistic Assessments Board) exam.

Our Question Bank offers an extensive collection of practice questions, crafted to mirror the format and difficulty of the actual PLAB Part 1 exam. Our questions follow the PLAB blueprint as outlined by the General Medical Council (GMC) here. Each question is accompanied by detailed explanations, helping you understand the reasoning behind the correct answers and solidifying your knowledge base. The questions cover all essential topics, ensuring a thorough preparation experience.

Our user-friendly online platform allows you to track your progress, identify areas for improvement, and customize your study sessions according to your needs.

PLAB (Part 1) example questions:

Example topic: Cardiovascular medicine
A 55-year-old male comes to the emergency department experiencing breathlessness and a blue tint to his lips and finger ends. He has a medical history of chronic obstructive pulmonary disease (COPD) and is a long-term smoker. Upon examination, his heart rate is 110 beats per minute indicating tachycardia, and his respiratory rate is 24 breaths per minute. His oxygen saturation on ambient air is measured at 88%. A chest X-ray reveals lung hyperinflation. What is the most likely reason for his cyanosis?
InvestigationResult
Oxygen Saturation88%
Heart Rate110 bpm
Respiratory Rate24 breaths/min
Chest X-rayHyperinflation of the lungs
1.
Anaemia
2.
Peripheral vasoconstriction
3.
Carbon monoxide poisoning
4.
Methaemoglobinaemia
5.
Hypoxaemia due to COPD
Example topic: Acute and emergency medicine
A 45-year-old male presents to the emergency department with sudden onset of breathlessness. He describes the breathlessness as severe and mentions that it started abruptly while he was at rest. He denies any chest pain, cough, or fever. His medical history includes hypertension and smoking, with a 20 pack-year history. On examination, he appears anxious and is tachypnoeic, with a respiratory rate of 28 breaths per minute and an oxygen saturation of 88% on room air. Heart sounds are normal, but there is a slight wheeze on auscultation of the lungs. What is the most appropriate initial management step for this patient?
InvestigationResult
Chest X-rayNormal
ECGSinus tachycardia
Blood gas analysispH 7.45, pCO2 35 mmHg, pO2 55 mmHg
1.
Start antibiotics
2.
Perform immediate chest CT scan
3.
Prescribe diuretics
4.
Administer bronchodilator
5.
Administer high-flow oxygen
Example topic: Clinical imaging
A 28-year-old gentleman is brought to the emergency department following a high-speed traffic collision. As the belted driver, he experienced a brief loss of consciousness at the crash site but has regained full alertness and orientation. On examination, he scores 15 on the Glasgow Coma Scale, shows mild neck tenderness, and has chest bruises typical of a seatbelt impact. Initial evaluations present stable vital signs, and a FAST scan returns negative for free fluid. Based on the injury mechanism and clinical indications, which imaging test is most appropriate to assess his condition further?
InvestigationFinding
FAST scanNegative for free fluid
GCS15
Vital signsNormal
1.
ECG
2.
Ultrasound of the abdomen
3.
X-ray of the chest
4.
MRI of the brain
5.
CT scan of the cervical spine
Example topic: Neurology
A 58-year-old man presents to the clinic with a 6-month history of involuntary movements affecting his face and upper limbs. He describes these movements as jerky and irregular, which seem to worsen with stress and fatigue. On examination, there are irregular, non-rhythmic movements noted in his fingers and facial muscles. He has a family history of a similar condition, with his father being diagnosed with a neurological disorder in his late 50s. His cognitive function appears normal, and there is no significant muscle weakness or sensory loss. What is the most likely diagnosis for this patient?
1.
Parkinson's disease
2.
Huntington's disease
3.
Essential tremor
4.
Multiple sclerosis
5.
Myasthenia gravis
Example topic: Musculoskeletal medicine
A 55-year-old man presents to the clinic with a six-week history of worsening lower back pain. He describes the pain as a dull ache, occasionally sharp, radiating down his left leg. He reports experiencing some numbness in his left foot and difficulty in lifting it while walking. He denies any recent trauma, fever, or weight loss. On examination, there is reduced power in dorsiflexion of the left foot, decreased sensation in the left L5 dermatome, and a positive straight leg raise test on the left side. What is the most likely diagnosis?
InvestigationResult
X-ray of lumbar spineNormal
MRI of lumbar spineHerniated disc at L4-L5
1.
Spondylolisthesis
2.
Ankylosing spondylitis
3.
Facet joint arthritis
4.
Lumbar disc herniation
5.
Lumbar spinal stenosis

Try a free sample of PLAB (Part 1) questions:

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The PLAB (Professional and Linguistic Assessments Board) exam is a crucial evaluation for international medical graduates aiming to practice medicine in the UK. It consists of two parts: PLAB 1 and PLAB 2, each designed to assess different aspects of medical knowledge and practical skills.

PLAB 1 primarily tests theoretical medical knowledge across a wide range of subjects relevant to clinical practice. It is a computer-based exam consisting of 180 multiple-choice questions (MCQs) divided into two 3-hour sessions, each session containing 90 questions. These questions cover areas such as medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and ethics. The exam aims to ensure candidates possess a solid understanding of medical principles and can apply them to clinical scenarios.

Candidates prepare for PLAB 1 by studying comprehensive medical textbooks and resources, often supplemented by practice MCQs to familiarize themselves with the exam format and pacing. Successful performance in PLAB 1 is essential for progressing to PLAB 2, which assesses practical clinical skills through objective structured clinical examinations (OSCEs).

Overall, the PLAB exam series serves as a rigorous evaluation ensuring international medical graduates meet the standards required to practice safely and effectively within the UK healthcare system.