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PLAB

Practice for the PLAB exam with realistic multiple-choice questions and answers across every subject area tested, timed and tutor-mode exams, and detailed explanations.

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About the PLAB exam

The Professional and Linguistic Assessments Board (PLAB) test is the main route for internationally trained doctors to gain full GMC registration to practice in the UK. It's a two-part assessment — PLAB 1, a written multiple-choice exam, and PLAB 2, a practical clinical (OSCE-style) exam. PLAB 1 covers the clinical knowledge expected of a doctor entering the second year of the UK's Foundation Programme, across medicine, surgery, obstetrics and gynaecology, paediatrics, and psychiatry, and can be sat in a number of countries outside the UK. TopQbank's PLAB 1 question bank with answers is written-format multiple-choice, matching that exam's real format. Confirm current eligibility (including English-language requirements), fees, and test centre locations directly with the GMC before booking.

Free PLAB Sample Questions

Real PLAB practice questions and answers with explanations — no sign-up required.

Sample Question 1

In newly diagnosed rheumatoid arthritis, what is the most appropriate initial disease-modifying treatment?

Which treatment should be started early?

  • NSAIDs only
  • Methotrexate(Correct answer)
  • Oral opioids
  • Long-term steroids alone
  • Paracetamol only

Explanation

Early initiation of methotrexate improves long-term outcomes and prevents joint damage.

Sample Question 2

A 72-year-old woman falls at home and presents with severe hip pain. Her leg is shortened and externally rotated. She is unable to weight bear.

What is the most likely diagnosis?

  • Pubic ramus fracture
  • Intertrochanteric femoral fracture
  • Neck of femur fracture(Correct answer)
  • Hip dislocation
  • Acetabular fracture

Explanation

Shortened externally rotated leg after a fall in an elderly patient is classic for a fractured neck of femur.

Sample Question 3

A patient with AF has a ventricular rate of 160 bpm but is haemodynamically stable.

What is the most appropriate initial rate-control agent?

  • Digoxin
  • IV amiodarone
  • Beta-blocker(Correct answer)
  • Adenosine
  • Flecainide

Explanation

Beta-blockers are first-line for rate control in stable AF unless contraindicated.

Sample Question 4

A patient with Bell palsy presents within 48 hours of onset.

What is the most appropriate treatment?

  • No treatment
  • Oral corticosteroids(Correct answer)
  • Antibiotics
  • Surgery
  • Antivirals only

Explanation

Early corticosteroids improve recovery in Bell palsy.

Sample Question 5

A patient with CAP has a CURB-65 score of 3.

What is the most appropriate management?

  • Oral antibiotics at home
  • IV antibiotics in hospital(Correct answer)
  • No antibiotics
  • Outpatient review
  • Reassure only

Explanation

CURB-65 score ≥3 indicates severe pneumonia requiring hospital admission.

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