Acute & Emergency
37 MCQsAnaphylaxis · Electrolytes · Poisoning · Resuscitation · Shock & Sepsis · Trauma
PLAB 1 is the GMC's written test for international medical graduates who want to work in the UK. Mashq has single-best-answer questions based on current UK practice and a complete 180-question, 3-hour paper at the real pace of one minute per question.
| Conducted by | General Medical Council (GMC), UK |
|---|---|
| Questions | 180 single-best-answer questions, 5 options each |
| Time | 3 hours |
| Content | Aligned to the UK MLA content map and UK practice (NICE, BNF, GMC guidance) |
| Centres in Pakistan | Islamabad and Karachi |
| Fee | £283 (bookings from 1 April 2026) |
Based on the latest official notices we could check (2026). Rules can change each session, so always confirm with the official notice before your exam.
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Anaphylaxis · Electrolytes · Poisoning · Resuscitation · Shock & Sepsis · Trauma
Cardiology · Dermatology · Endocrinology · Gastroenterology · Haematology · Infectious Disease · Neurology · Renal · Respiratory · Rheumatology
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Capacity · Consent & Confidentiality · Death & Certification · Professionalism · Safeguarding
A 70-year-old woman is in cardiac arrest. The rhythm is asystole. CPR is in progress and IV access has just been obtained. Which drug should be given now?
C. IV adrenaline 1 mg: In non-shockable rhythms (asystole or PEA), IV adrenaline 1 mg is given as soon as access is obtained and then every 3–5 minutes. Atropine is no longer used routinely in cardiac arrest.
A 26-year-old woman has sudden palpitations. Pulse is 190/min and regular, BP 118/76 mmHg, and she has no chest pain or breathlessness. ECG shows a regular narrow-complex tachycardia. What is the most appropriate first step?
A. Modified Valsalva manoeuvre: For a stable regular narrow-complex tachycardia, vagal manoeuvres are tried first. IV adenosine is given if they fail. Cardioversion is for patients with adverse features.
A 9-month-old boy has episodes of severe crying, drawing his knees up, and going pale. He has passed a stool that looks like redcurrant jelly. A sausage-shaped mass is felt in the right upper abdomen. What is the most likely diagnosis?
B. Intussusception: Intermittent colicky pain with pallor, redcurrant jelly stool and a sausage-shaped mass in an infant suggest intussusception. Pyloric stenosis presents earlier with projectile vomiting.
180 single-best-answer questions in 3 hours. Each question is a short clinical scenario with five options and one best answer.
Yes, PLAB 1 has test centres in Islamabad and Karachi. The GMC has said the February 2027 sitting will run only in UK and EU locations, so check dates in your GMC Online account.
Yes. Questions follow current UK practice, including the February 2026 NICE update for type 2 diabetes. They are for exam practice only, not clinical advice.
Yes, during the launch beta, with no sign-up.
Free during the launch beta. No sign-up.