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What are the PLAB 1 test dates for Pakistan?
For 2006
13 JUL 2006
15 NOV 2006

For 2007
18 Jan 2007

Deadline to register for the PLAB 1 test: 8 Weeks before the exam date.

How to approach the PLAB examination?
You will have two answer sheets on the day – a purple one for questions 1-100 and a pink one for questions 101-200. Instructions on how to complete the answer sheet are at the top of the first sheet.

Extended matching questions
Extended matching questions are grouped into themes. Each theme has a heading that tells you what the questions are about.

Within each theme there are several numbered items, usually between three and six. These are the questions and the problems you have to solve. There are examples in the next section.

We recommend that you begin by reading carefully the instruction that precedes the numbered items. The instruction is very similar throughout the paper and typically reads ‘For each patient described below, choose the SINGLE most discriminating investigation from the above list of options. Each option may be used once, more than once or not at all.'

We recommend that you consider each of the numbered items and decide what you think the answer is. You should then look for that answer in the list of options above the items (each of which is identified by a letter of the alphabet). If you cannot find the answer you have thought of, you should look for the option which, in your opinion, is the best answer to the problem posed.

For each numbered item, you must choose ONE, and only one, of the options. You may feel that there are several possible answers to an item, but you must choose the best one from the option list. If you enter more than one answer on the answer sheet you will gain no mark for the question even though you may have given the right answer along with one or more wrong ones.

In each theme there are more options than items, so not all the options will be used as answers. This is why the instruction says that some options may not be used at all.

Alternatively a given option may provide the answer to more than one item. For example, for two different patients the most likely diagnosis could be the same. In this case the option would be used more than once.

Sample extended matching questions
Causes of pneumonia
Options
  1. Bacteroides fragilis
  2. Coxiella burnetii
  3. Escherichia coli
  4. Haemophilus influenzae
  5. Legionella pneumophila
  6. Mixed growth of organisms
  7. Mycobacterium tuberculosis
  8. Mycoplasma pneumoniae
  9. Pneumocystis carinii
  10. Staphylococcus aureus
  11. Streptococcus pneumoniae


Instructions
For each patient described below, choose the SINGLE most likely causative organism from the above list of options. Each option may be used once, more than once, or not at all.
  1. A 25 year old man has a three day history of shivering, general malaise and productive cough. His chest x-ray shows right lower lobe consolidation.
  2. A 26 year old man presents with severe shortness of breath and a dry cough which he has had for 24 hours. He is very distressed. He has formerly taken intravenous drugs. His chest x-ray shows bilateral peri-hilar hazy shadowing.
  3. A 35 year old previously healthy man returned from holiday five days ago. He smokes 10 cigarettes a day. He presents with mild confusion, a dry cough and marked pyrexia. His chest examination is normal. His chest x-ray shows widespread upper zone shadowing.
  4. A 20 year old previously healthy woman presents with general malaise, severe cough and breathlessness which has not improved with a seven day course of amoxicillin. Physical examination is normal. Her chest x-ray shows patchy shadowing throughout the lung fields. The blood film shows clumping of red cells and cold agglutinins are present.
  5. A 55 year old farmer presents with a five day history of fever, malaise, muscle pains and headache. He has an irritating but non-productive cough.

Answers
1. K
2. I
3. E
4. H
5. B  

Single best answer questions
We recommend that you consider each of the questions and decide what you think the answer is to the question given at the end of each scenario, which typically reads ‘What is the SINGLE most likely diagnosis ?'. You should then look for that answer in the list of options below (each of which is identified by a letter of the alphabet). If you cannot find the answer you have thought of, you should look for the option which, in your opinion, is the best answer to the problem posed.

For each question, you must choose ONE, and only one, of the options. You may feel that there are several possible answers, but you must choose the best one from the option list . If you enter more than one answer on the answer sheet you will gain no mark for the question even though you may have given the right answer along with one or more wrong ones.

Sample single best answer questions
A 55 year old man presents having recently noticed a lump in his right groin. He smokes heavily, has a persistent cough and has previously had an appendicectomy.

What is the SINGLE most likely diagnosis?

A Epigastric hernia
B Femoral hernia
C Incisional hernia
D Inguinal hernia
E Spigelian hernia

Answer 'D'

How can I register for the PLAB?
To register for PLAB 1, applicants can either send their forms with required documents to their local British Council office or register on-line.

For Pakistan, you should submit the application to the British Council office Following documents have to be sent to the British Council Offices:
  • PLAB-1 application form
  • Bank draft payable to the General Medical Council for £ 145/- (The draft should not be dated more than 6 months before the test.)
  • Photocopy of the IELTS TRF
  • Photocopy of pages 1 & 3 of valid passport
  • Photocopy of primary medical qualification
  • The PLAB application along with the above must be sent by courier or registered mail to the appropriate British Council office

British Council
British Deputy High Commission, P.O Box 10410, Shahrah-e-Iran, Clifton-Karachi.
Tel: 92 (21) 111 424 424
Fax: 92 (21) 111 425 425

British Council
House 32, Street 19 F-6/2, P.O Box 1135, Islamabad
Tel: 92 (51) 111 424 424
Fax: 92 (51) 111 425 425

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Last Updated: 10-May-2006
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