Applied clinical knowledge for PLAB 1, the GMC's single-best-answer test for international medical graduates seeking UK registration. Short clinical vignettes at the level expected of a Foundation Year 2 doctor, covering common, important and acute presentations plus long-term conditions managed in primary care. Reflects UK practice conventions and tests recognition and reasoning rather than memorised guideline numbers or doses.
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The time-critical presentations an F2 doctor must recognise and act on immediately: the ABCDE approach, shock, arrest rhythms, poisoning and head injury.
79 total questions
Card #1
ABCDE assessment — what does each letter stand for?
Card #2
Anaphylaxis — the three features that define it
Card #3
Tension pneumothorax — the classic signs
1. A 24-year-old develops facial swelling, widespread urticaria, wheeze and a systolic blood pressure of 78 mmHg within minutes of eating a peanut sauce. What is the single most appropriate immediate treatment?
2. A 22-year-old man is brought in after a road traffic collision. He is severely breathless with oxygen saturations of 85%, absent breath sounds and hyper-resonance on the right, distended neck veins and a blood pressure of 80/50 mmHg. What is the single most appropriate next step?
3. A patient opens their eyes to painful stimulus only, makes incomprehensible sounds, and withdraws from pain. What is the Glasgow Coma Scale score?
1. In the ABCDE approach, the letter D stands for ___.
Hint: Conscious level, pupils and glucose
2. The antidote to opioid overdose is ___.
Hint: Not to be confused with naltrexone
3. The maximum possible score on the Glasgow Coma Scale is ___.
Hint: 4 + 5 + 6
