Medi Herald

Common queries regarding PLAB 1 exam

1. Will I need to pass my MBBS exam for sitting PLAB 1?
-- Yes

2. Will I have to complete my internship before for sitting PLAB 1 ?
-- No. Only MBBS

3. Is OET need to be given before PLAB 1 ?
-- Yes. Mandatory

4. After passing OET what should we do ??
-- Open a GMC account and try to book a seat for PLAB 1 when they publish the seats.

5. Is any coaching required for taking preparation for PLAB 1?
-- varies from Person to person. If you are confident no requirement for any coaching

6. What is the booking cost of PLAB 1 ?
-- around 255 £

7. What are the sources for studying PLAB 1?
-- PLABABLE
-- PLAB 1 keys
-- Nowadays Medrevision is becoming popular

8. Is PLAB will be changed to UKMLA in 2024?
-- Yes

9. What will be the syllabus for UKMLA?
-- GMC has still officially not announced any information about the syllabus for UKMLA 1. But it is being assumed that moreover it will be same but the question standard will be little bit changed.

10. Is PLAB an easy exam?
-- it's a question that varies from person to person. No exam is easy. And day by day the syllabus of PLAB 1 is increasing. So nowadays you have to ensure minimum 5 months of continuous study.

Understanding Liver Funtion test

1. If isolated increase in serum bilirubin
Check unconjugated bilirubin only - if only unconjugated bilirubin is elevated then it is Gilbert’s syndrome.
Now repeat FBC and Reticulocyte count - to see any Sign of haemolysis
If present then refer to haematology
If not present manage it as Gilbert syndrome

2. If ALP > ALT - cholestatic cause

3. If ALT is raised predominantly then - Hepatic cause
If ALT> AST - Viral cause
If AST > ALT - Alcohlic hepatitis

4. Serum Albumin low - may be due to CLD

5. If GGT elevated - may be due to drug or alcoholic hepatitis

What are the markers of severity of a Pneumonia patient???
1. WBC count > 20,000 or < 4,000
2. Urea > 7 mmol/L
3. Hyponatraemia
4. Hypoalbuminaemia
5. Bacteraemia
6. SaO2 < 93% or when clinical features are severe to assess ventilatory failure or acidosis

Ptosis + miosis =horner syndrome.
ptosis+mydriasis=3rd nerve palsy.
ptosis+normal pupil=Myasthenia gravis.

So can you answer which picture of this 3 ptosis is due to what??

SIADH -
Low serum Na+, Low serum Osmolality, High Urine Osmolality

Diabetes Insipidus
High serum Na+, High serum Osmolality, Low urine Osmolality

Drugs that Aggravate Asthma
BAN
B - Beta blocker
A - Aspirin
N - NSAID

Important "Bubble" Radiological signs
1. No gastric Bubbles - Oesophageal atresia
2. Single Bubble - Gastric Atresia
3. Double Bubble - Duodenal Atresia & Malrotation and volvulus
4. Triple Bubble - Jejunal Atresia

The Aorta is dilated.Ascending and arch of the aorta is dilated. This is also called unfolding of aorta. Cause, AR, HTN, OLD AGE, AORTIC DISSECTION.

Fetal hydantoin syndrome, also called fetal dilantin syndrome, is a group of defects caused to the developing fetus by exposure to teratogenic effects of phenytoin

Signs and symptoms -
➡️ IUGR with a small head
➡️ Microcephaly
➡️ Mental Retardation
➡️ Limb defects including hypoplastic nails and distal phalanges
➡️ Heart defects including VSD, ASD, PDA and coarctation of the aorta may occur in these children.
➡️A smaller population will have growth problems and developmental delay, or intellectual disability

Diagnosis -
Done clinically and on history of mother of phenytoin exposure during gestation