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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Chest pain, breathlessness and the bedside findings that separate the common causes: ECG territories, murmurs, spirometry patterns and severity scoring.
37 total questions
Card #1
ECG leads and the coronary territory they represent
Card #2
STEMI versus NSTEMI
Card #3
Atrial fibrillation on the ECG
1. A 62-year-old has central crushing chest pain. His ECG shows ST elevation in leads II, III and aVF. Which artery is most likely to be occluded?
2. An irregularly irregular pulse with absent P waves on the ECG is most consistent with which rhythm?
3. A 78-year-old reports exertional syncope. He has a slow-rising pulse and an ejection systolic murmur radiating to the carotids. What is the most likely diagnosis?
1. Leads II, III and aVF represent the ___ territory of the heart.
Hint: Usually supplied by the right coronary artery
2. An irregularly irregular pulse with absent P waves indicates atrial ___.
Hint: Abbreviated AF
3. The pansystolic murmur of mitral regurgitation radiates to the ___.
Hint: Not the carotids
