PLAB 2 (Professional and Linguistic Assessments Board Part 2)

Question 1

A patient in A&E presents with an acute asthma attack. Their peak flow is 40% of predicted, they cannot complete sentences, and their respiratory rate is 28/min. According to BTS/SIGN guidelines, how should this be classified and what is the immediate management?

Mild asthma — prescribe a salbutamol inhaler and discharge Acute severe asthma — give high-flow oxygen, nebulised salbutamol 5 mg, nebulised ipratropium bromide 500 mcg, and oral prednisolone 40-50 mg (or IV hydrocortisone 100 mg) Moderate asthma — advise the patient to use their inhaler more frequently Life-threatening asthma — proceed directly to intubation

Correct Answer:

Acute severe asthma — give high-flow oxygen, nebulised salbutamol 5 mg, nebulised ipratropium bromide 500 mcg, and oral prednisolone 40-50 mg (or IV hydrocortisone 100 mg)

Question 2

A 65-year-old man presents to A&E with central crushing chest pain for 30 minutes, diaphoresis, and nausea. ECG shows 3 mm ST elevation in leads II, III, and aVF. What is the immediate management?

Observe and repeat ECG in 6 hours Give MONA (Morphine, Oxygen if SpO2 <94%, Nitrate, Aspirin 300 mg) and arrange emergency primary percutaneous coronary intervention (PCI) or thrombolysis if PCI not available within 120 minutes Prescribe GTN spray and discharge with GP follow-up Start oral beta-blocker and admit to a general ward

Correct Answer:

Give MONA (Morphine, Oxygen if SpO2 <94%, Nitrate, Aspirin 300 mg) and arrange emergency primary percutaneous coronary intervention (PCI) or thrombolysis if PCI not available within 120 minutes

Question 3

A patient with type 1 diabetes presents with vomiting, abdominal pain, Kussmaul breathing, and a blood glucose of 28 mmol/L. Blood gases show pH 7.1, bicarbonate 10 mmol/L, and ketones 5.5 mmol/L. What is the diagnosis and first priority of management?

Hyperglycaemic hyperosmolar state — give oral fluids Diabetic ketoacidosis — IV 0.9% sodium chloride fluid resuscitation is the first priority, followed by fixed-rate IV insulin infusion (0.1 units/kg/hour) Hypoglycaemia — give IV dextrose Lactic acidosis — give IV sodium bicarbonate

Correct Answer:

Diabetic ketoacidosis — IV 0.9% sodium chloride fluid resuscitation is the first priority, followed by fixed-rate IV insulin infusion (0.1 units/kg/hour)

Question 4

A 75-year-old woman is found on the floor at home. She is confused with a GCS of 12. Her blood glucose is 1.8 mmol/L. What is the immediate management?

Give oral glucose gel Administer IV glucose (10% or 20% dextrose) as the patient has reduced consciousness and cannot safely swallow, followed by longer-acting carbohydrate once conscious Wait and recheck glucose in 30 minutes Administer insulin to stimulate glucose release

Correct Answer:

Administer IV glucose (10% or 20% dextrose) as the patient has reduced consciousness and cannot safely swallow, followed by longer-acting carbohydrate once conscious

Question 5

A patient presents to A&E with sudden onset weakness of the right arm and leg and slurred speech. Symptoms started 90 minutes ago. CT head excludes haemorrhage. According to NICE stroke guidelines, what is the most appropriate acute management?

Admit to a general medical ward and start aspirin Administer IV alteplase (thrombolysis) within the 4.5-hour window, as the patient has an acute ischaemic stroke with no contraindications Prescribe warfarin and discharge Arrange an MRI brain as an outpatient

Correct Answer:

Administer IV alteplase (thrombolysis) within the 4.5-hour window, as the patient has an acute ischaemic stroke with no contraindications

Question 1

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About this Exam

Prepare with the PLAB 2 (Professional and Linguistic Assessments Board Part 2) practice quiz. This question bank includes 30 questions covering patient, station, plab, presents, and diagnosis. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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PLAB 2 (Professional and Linguistic Assessments Board Part 2)

This practice set contains 30 questions from the matching question bank and focuses on patient, station, plab, presents, and diagnosis. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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PLAB 2 (Professional and Linguistic Assessments Board Part 2)

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