PLAB 1 (GMC, international medical graduates) · Medicine and specialties

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

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All 8 questions

  1. A 70-year-old man on warfarin has a haemorrhagic stroke and an INR of 8.0. What is the most appropriate immediate reversal?
  2. A 55-year-old man has dyspepsia and a positive Helicobacter pylori breath test. Which regimen does NICE recommend for eradication?
  3. A 70-year-old woman has a baseline creatinine of 80 micromol/L. Twenty-four hours after admission with vomiting her creatinine is 130 micromol/L. How should this be classified under the KDIGO criteria…
  4. A 20-year-old with sickle cell disease presents with severe bone pain, and oxygen saturation of 97 percent. What does NICE advise about analgesia?
  5. A 62-year-old man with diabetes has a hot, swollen red foot with a deep ulcer that probes to bone. What does NICE NG19 advise?
  6. A 32-year-old man is diagnosed with pulmonary tuberculosis that is fully drug-sensitive. Which standard regimen is used?
  7. A 66-year-old man presents with chest pain and a rise in troponin, without ST elevation. His GRACE score indicates intermediate risk. What is the appropriate management?
  8. A 75-year-old man with heart failure is admitted with acute pulmonary oedema. He is breathless, saturations are 92 percent and he has a systolic blood pressure of 150 mmHg. What is the appropriate ini…

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