PLAB 1 (GMC, international medical graduates) · Psychiatry

More psychiatry

12 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 12 questions

  1. A 26-year-old man has been up all night for four nights with grandiose plans to buy a company, pressured speech and spending sprees. He denies needing sleep. He has a past history of depression treate…
  2. A woman with bipolar disorder who is taking sodium valproate tells her GP she wishes to become pregnant. What is the most appropriate advice?
  3. A 70-year-old man has a 3-week history of low mood, early morning waking, weight loss and believes his bowels have rotted away. He refuses food. What is the most appropriate management?
  4. A 33-year-old woman has had repeated unexplained physical symptoms across several systems for years, with normal investigations, and asks for further scans. What is the best approach in primary care?
  5. A 45-year-old man recently bereaved of his wife three weeks ago is tearful, sleeps badly and says he sometimes hears her voice. He functions at work and denies thoughts of self-harm. How should this b…
  6. A 29-year-old woman has a fear of leaving her home for months and avoids buses and shops because she might panic. What is the most suitable treatment?
  7. A 55-year-old man repeatedly washes his hands until they bleed and spends three hours daily checking the locks. He recognises that this is excessive but cannot stop. What is the first-line treatment f…
  8. An 85-year-old woman with moderate dementia refuses to take her tablets and is distressed. Her daughter says she wants all medicines to be given in her food. What is the most appropriate approach?
  9. A 38-year-old man with schizophrenia taking risperidone reports galactorrhoea and loss of libido. Which adverse effect explains these symptoms?
  10. A 19-year-old man in a custody suite is intoxicated with alcohol and has a head injury. He is drowsy and the custody sergeant asks for 'fitness to detain'. What is the safest medical advice?
  11. A 27-year-old woman has episodes of sudden intense fear with palpitations, sweating and fear of dying, which peak within minutes and occur without warning twice a week. What is the first-line manageme…
  12. A 60-year-old woman who has been taking diazepam 10 mg daily for 5 years asks to stop it. What is the right approach?

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