PLAB 1 (GMC, international medical graduates) · Surgery and perioperative care

Further surgical and perioperative scenarios

9 practice questions, each with the answer and an explanation.

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Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 9 questions

  1. A 40-year-old man has a swollen, tense and extremely painful lower leg 6 hours after a tibial fracture was placed in a plaster cast. Pain is worse on passive toe movement and analgesia is ineffective.…
  2. A man scalded by hot water has burns covering the whole front of his trunk and the whole of his left arm. Using the rule of nines, what is the approximate total body surface area burned?
  3. A 66-year-old woman has painless jaundice, weight loss and a palpable non-tender gallbladder. What is the most likely diagnosis and action?
  4. A 62-year-old man has had altered bowel habit and unintentional weight loss for 2 months. Rectal examination is normal. Which investigation does NICE recommend in primary care to help decide on referr…
  5. A patient on the first morning after major abdominal surgery has a temperature of 38.1 degrees Celsius and reduced air entry at both bases. Which is the most likely cause at this stage?
  6. A 73-year-old man has had painless visible haematuria on three occasions. His GP arranges an urgent referral. Which two investigations will he typically have?
  7. An 80-year-old man is 3 days after emergency bowel surgery. He has not passed urine for 12 hours, has a palpable bladder and lower abdominal discomfort. What is the next step?
  8. A 38-year-old woman has a firm 2 cm thyroid nodule noted incidentally, with hoarseness of voice for 6 weeks. What does NICE NG12 advise?
  9. A man has a Glasgow-Blatchford score of 0 after a minor upper gastrointestinal bleed with normal haemoglobin, urea and observations. What is the appropriate disposition?

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