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(2026 Edition)
✅ The Way to PLAB 2 Success = Strategy + Practice + Review
,1. A 60-year-old man has crushing chest pain for 30 minutes. First step?
A. Give morphine
B. Do ECG
C. Give aspirin 300 mg
D. Call cardiology
Answer: C
2. COPD patient with SOB. Target oxygen saturation?
A. 94–98%
B. 88–92%
C. 100%
D. 85–90%
Answer: B
3. Suspected anaphylaxis. First-line treatment?
A. IV hydrocortisone
B. Chlorphenamine
C. IM adrenaline
D. Salbutamol
Answer: C
4. Hypoglycaemic unconscious patient. Best treatment?
A. Oral glucose
B. IV dextrose
C. Insulin
D. Metformin
Answer: B
5. Suspected sepsis. Immediate management includes?
A. CT scan
B. Sepsis 6
C. Wait for cultures
D. Paracetamol only
Answer: B
,6. Stroke symptoms started 1 hour ago. First investigation?
A. MRI
B. CT head
C. LP
D. EEG
Answer: B
7. Child with non-blanching rash + fever. Most concerning diagnosis?
A. Measles
B. Rubella
C. Meningococcal sepsis
D. Chickenpox
Answer: C
8. Acute urinary retention. Immediate action?
A. Antibiotics
B. PSA test
C. Catheterisation
D. Ultrasound
Answer: C
9. Head injury + vomiting twice. Next step?
A. Discharge
B. CT head
C. Analgesia only
D. MRI
Answer: B
10. Status epilepticus first-line drug?
A. Phenytoin
B. Diazepam/lorazepam
C. Carbamazepine
D. Levetiracetam
Answer: B
,11. Blood transfusion reaction suspected. First step?
A. Continue slowly
B. Stop transfusion
C. Give paracetamol
D. Call lab only
Answer: B
12. Testicular torsion suspected. Action?
A. Analgesia and observe
B. Ultrasound later
C. Immediate urology referral
D. Antibiotics
Answer: C
13. Ectopic pregnancy likely symptom?
A. Bilateral pain
B. Heavy bleeding only
C. Unilateral lower abdominal pain
D. Back pain
Answer: C
14. Oxygen in MI should be given when?
A. Always
B. Only if hypoxic
C. Never
D. After thrombolysis
Answer: B
15. Sepsis lactate raised. Indicates?
A. Good perfusion
B. Tissue hypoxia
C. Dehydration only
D. Kidney failure only
Answer: B
, 16. Patient refuses life-saving treatment. First step?
A. Force treatment
B. Assess capacity
C. Call police
D. Ask family
Answer: B
17. Capacity requires ability to:
A. Speak English
B. Sign form
C. Understand, retain, weigh, communicate
D. Agree with doctor
Answer: C
18. Relative asks about adult patient results without consent. You:
A. Tell them
B. Refuse politely
C. Tell partial info
D. Ask nurse
Answer: B
19. Patient threatens to harm someone. You should:
A. Ignore
B. Maintain confidentiality
C. Inform appropriate authorities
D. Discharge
Answer: C
20. Breaking bad news first step?
A. State diagnosis
B. Ask what they know
C. Give leaflet
D. Call family
Answer: B