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PLAB exam format


The Plab 1 examination format comprises of 200 questions in extending matching questions (EMQ) and single best answer (SBA) questions. Approximately 30% of the examination are SBA questions and the remainder are EMQs. You have three hours to complete the examination.


Example of an Single Best Answer Question (SBA)

A young man has intractable epilepsy with numerous admissions to hospital with status in spite of good compliance with anti-convulsant treatment. He is being considered for a right temporal lobectomy.

Which visual field defect is he likely to develop following this surgical procedure:-

  1. Left homonymous superior quadrantanopia
  2. Right homonymous superior quadrantanopia
  3. Left homonymous inferior quadrantanopia
  4. Right homonymous inferior quadrantanopia
  5. Left homonymous hemianopia

Example of an 'Extended Matching Question' question (EMQ) Options:

  1. Aortic valve endocarditis
  2. Marantic endocarditis
  3. Tricuspid valve endocarditis
  4. Mitral valve endocarditis
  5. VSD endocarditis
  6. Libman-Sachs endocarditis
  7. Prosthetic valve endocarditis

Instructions:

From the list above select the most likely diagnosis for the patients described below:-

  1. A 27-year-old IV drug user with a 2 week history of fevers, cough and lung infiltrates and a systolic murmur
  2. A 60-year-old man with a 2 month history of fevers, weight loss, breathlessness who has 1st degree heart block on the ECG
  3. A 35-year-old woman with a past history of rheumatic fever who develops fever 2 weeks following dental treatment and pansystolic murmur
  4. A 40-year-old woman with SLE who develops unexplained fever and murmur but no obvious vegetations on echocardiography
  5. A 50-year-old man with a history of fever and breathlessness at 1 month from cardiac surgery

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