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Professional and Linguistic Assessments Board (PLAB) Part 1

This exam is for international medical graduates who have qualified overseas and wish to gain registration with the General Medical Council (GMC). Passing PLAB Part 1 is a prerequisite for taking the PLAB Part 2 practical assessment.

Pass mark 28/40 45 minutes Real test fee approx £268 General Medical Council (GMC) How many can I get wrong?
Sit a full mock under the clock at least once. Nerves are half the battle.
Free practice questions
Try 3 real Professional and Linguistic Assessments Board (PLAB) Part 1 questions
Have a go, then reveal the worked explanation. A taster from a bank of 206 original questions — unlock for unlimited drills and full timed mocks.
Q1. A 52-year-old Caucasian man is newly diagnosed with hypertension. His clinic blood pressure is 154/96 mmHg. He has no other co-morbidities. According to NICE guidelines, what is the most appropriate initial antihypertensive medication?
  • A.  Ramipril
  • B.  Amlodipine
  • C.  Indapamide
  • D.  Bisoprolol
Show answer & explanation
✓ Answer: A. Ramipril
NICE guidelines recommend an ACE inhibitor (like ramipril) as first-line for hypertension in patients under 55 who are not of black African or Caribbean family origin.
Q2. A 24-year-old woman is brought to the emergency department with a severe asthma attack. She is unable to complete sentences, her respiratory rate is 32/min, and her PEFR is 35% of her best. She has been given high-flow oxygen and back-to-back nebulised salbutamol and ipratropium. Her oxygen saturation remains 92%. What is the most important next pharmacological intervention?
  • A.  Oral prednisolone
  • B.  IV magnesium sulphate
  • C.  IV aminophylline
  • D.  Repeat nebulised salbutamol
Show answer & explanation
✓ Answer: B. IV magnesium sulphate
In severe or life-threatening asthma not responding to initial bronchodilators and steroids, intravenous magnesium sulphate is the next crucial step. It acts as a bronchodilator and is recommended by BTS/SIGN guidelines.
Q3. A 72-year-old man presents with haematemesis and melaena. His blood pressure is 100/60 mmHg and heart rate is 110 bpm. His urea is 12 mmol/L. Which pre-endoscopy scoring system is used to assess his risk and determine the need for inpatient management?
  • A.  Rockall score
  • B.  Glasgow-Blatchford score
  • C.  Child-Pugh score
  • D.  APACHE II score
Show answer & explanation
✓ Answer: B. Glasgow-Blatchford score
The Glasgow-Blatchford score (GBS) is used before endoscopy to stratify the risk of patients with an upper GI bleed. It helps decide who needs admission and urgent endoscopy versus who can be managed as an outpatient. A score >0 typically warrants admission.
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Cardiovascular System · 30
Respiratory System · 28
Gastrointestinal System · 29
Neurology · 30
Endocrinology · 30
Obstetrics & Gynaecology · 20
Paediatrics · 20
Psychiatry · 19
Professional and Linguistic Assessments Board (PLAB) Part 1 — common questions
Frequently asked
How many questions are in the Professional and Linguistic Assessments Board (PLAB) Part 1?
The exam has 40 questions. Every Revision Robin mock uses the same 40-question format so your practice matches the real thing.
What is the pass mark for the Professional and Linguistic Assessments Board (PLAB) Part 1?
You need 28 out of 40 correct to pass, which is about 70%. Our mocks mark you against this exact threshold.
How long do you get?
The test is timed at 45 minutes. Our full mock runs on the same clock so you can practise your pacing.
Are these the real exam questions?
No. Our questions are original and written to match the current syllabus, so they give realistic practice without copying the official paper. Every answer comes with a plain-English explanation. Always confirm current rules and content with General Medical Council (GMC).
How much does the official test cost?
The official General Medical Council (GMC) fee is approx £268. Revision Robin practice is separate and helps you pass first time so you only pay that fee once.