Each case is a vignette with multiple-choice questions: you answer first, and only then read why the right option is right — and why each of the others is wrong. Every case is fictional and exists for study. The style follows PLAB 1; the material is original and unaffiliated.
Cardiovascular11
- Crushing Chest Pain and Sweating in a Smoker with DiabetesModerate · 3 questions
- New-Onset Palpitations in a 68-Year-Old FemaleModerate · 3 questions
- Progressive Dyspnoea and Lower Limb Swelling in a 68-Year-Old MaleModerate · 3 questions
- Management of Resistant HypertensionHard · 3 questions
- Intermittent Calf Claudication in a Heavy SmokerModerate · 3 questions
- Exertional Syncope in an Older AdultModerate · 3 questions
- Acute Chest Pain in a High-Risk PatientModerate · 3 questions
- Acute Decompensated Heart Failure with Cardiogenic ShockHard · 3 questions
- Exertional Right Lower Extremity Pain in a Chronic SmokerModerate · 3 questions
- Calf Pain on Walking, Now Burning Forefoot Pain at NightModerate · 3 questions
- Sudden Severe Leg Pain in a Man with Claudication and Atrial FibrillationHard · 3 questions
Endocrine and metabolic12
- Collapse after Gastroenteritis on a Background of Months of FatigueModerate · 3 questions
- Severe Diabetic Ketoacidosis with HypokalaemiaHard · 3 questions
- Severe Hyperkalaemia Secondary to Medication in Chronic Kidney DiseaseEasy · 3 questions
- Painful Neck Swelling and Palpitations Post-Viral InfectionModerate · 3 questions
- Type 2 Diabetes Management in a Patient with Cardiovascular Disease and Impaired Renal FunctionHard · 3 questions
- Three Months of Fatigue and Weight Loss with Postural DizzinessModerate · 3 questions
- Acute Abdominal Pain and Lethargy in Type 1 DiabetesModerate · 3 questions
- Profound Collapse with Hyponatraemia and HyperkalaemiaHard · 3 questions
- Weight Loss Despite a Good Appetite, with Heat Intolerance and TremorEasy · 3 questions
- Post-viral anterior neck pain and thyrotoxicosisModerate · 3 questions
- Painful Neck Radiating to the Jaw with Palpitations after a Viral IllnessModerate · 3 questions
- Painful Anterior Neck Swelling and PalpitationsModerate · 3 questions
Ethics, law and professionalism3
Gastrointestinal and hepatology8
- Acute abdominal pain in a patient with atrial fibrillationHard · 3 questions
- Investigation and Management of Chronic DiarrhoeaEasy · 3 questions
- Assessment of Colorectal Cancer Referral CriteriaEasy · 3 questions
- Severe Bloody Diarrhoea and Systemic Symptoms in a Young AdultHard · 3 questions
- Acute Upper Gastrointestinal Bleed in a Primary Care ReferralModerate · 3 questions
- Investigating Chronic Diarrhoea and Anaemia in a Young AdultModerate · 3 questions
- Acute Lower Gastrointestinal Presentation in a Young FemaleModerate · 3 questions
- Acute Upper Gastrointestinal Haemorrhage Secondary to NSAID UseModerate · 3 questions
Infection9
- Management of Community-Acquired Pneumonia and IV-to-Oral Antibiotic SwitchModerate · 3 questions
- Acute Periorbital Pain and Visual DisturbanceHard · 3 questions
- Acute Meningococcal MeningitisModerate · 3 questions
- Subacute Pulmonary Symptoms in an ImmigrantModerate · 3 questions
- Management of Acute Pyelonephritis in Primary Care and Emergency SettingsModerate · 3 questions
- Management of Incidental Bacteriuria in an Older AdultEasy · 3 questions
- Acute Bacterial Meningitis in a Young AdultModerate · 3 questions
- Severe Flank Pain and Sepsis in a Diabetic PatientHard · 3 questions
- Acute Pyelonephritis in a Young FemaleModerate · 3 questions
Musculoskeletal and rheumatology2
Neurology8
- Acute Cognitive Change in an Elderly PatientModerate · 3 questions
- Sudden Right-Sided Weakness and Speech Difficulty, Onset 90 Minutes AgoEasy · 3 questions
- Severe Temporal Headache in an Older AdultEasy · 3 questions
- Subacute Visual Loss and Neurological Deficits in a Young FemaleHard · 3 questions
- Progressive Lower Limb Numbness and Gait UnsteadinessModerate · 3 questions
- Sudden Left-Sided Weakness and Slurred Speech, Onset 1 Hour AgoEasy · 3 questions
- Subacute Lower Limb Sensory Loss in a Diabetic PatientModerate · 3 questions
- Acute Ischaemic Stroke PresentationModerate · 3 questions
Obstetrics and gynaecology9
- Postmenopausal Vaginal Bleeding EvaluationEasy · 3 questions
- Acute Abdominal Pain and Haemodynamic Instability in Early PregnancyHard · 3 questions
- Contraceptive Selection in a Patient with Migraine with AuraModerate · 3 questions
- Early Pregnancy Abdominal Pain and BleedingModerate · 3 questions
- Management of Primary Postpartum HaemorrhageModerate · 3 questions
- Severe Pre-Eclampsia in a Primigravida at 34 Weeks GestationEasy · 3 questions
- Postmenopausal Bleeding in a Patient on Adjuvant TamoxifenHard · 3 questions
- Emergency and Maintenance Contraception Counselling in Complex Medical ConditionsHard · 3 questions
- Haemodynamically Unstable Ectopic PregnancyHard · 3 questions
Paediatrics10
- Paediatric Vasculitis and Febrile ExanthemHard · 3 questions
- Severe Hypernatraemic Dehydration in an InfantHard · 3 questions
- Toddler with Speech and Language DelayEasy · 3 questions
- Safeguarding Evaluation in a Non-Mobile InfantEasy · 3 questions
- Febrile Illness in an 18-Month-Old InfantHard · 3 questions
- A 6-year-old boy with a lower limb rash and joint painModerate · 3 questions
- Motor Delay in an 18-Month-Old BoyEasy · 3 questions
- Infant Presenting with Lethargy and Suspected Non-Accidental InjuryHard · 3 questions
- Child with lower limb purpura and joint painModerate · 3 questions
- Childhood Motor Delay and Muscle WeaknessModerate · 3 questions
Psychiatry6
- Acute Confusion and Agitation Following Alcohol CessationModerate · 3 questions
- Recurrent Episodes of Sudden Palpitations and Shortness of BreathEasy · 3 questions
- Assessment of Discharge Decision-Making CapacityEasy · 3 questions
- Depression and Acute Suicide Risk AssessmentModerate · 3 questions
- Recurrent Unexpected Palpitations and Anxiety in a Young FemaleEasy · 3 questions
- Assessment of Decision-Making Capacity in Severe DepressionModerate · 3 questions
Renal and urology8
- Severe Hyperkalaemia Secondary to NSAID-Induced Acute Kidney InjuryModerate · 3 questions
- Lower Urinary Tract Symptoms in an Older MaleModerate · 3 questions
- Routine Evaluation of Chronic Kidney Disease in Type 2 DiabetesEasy · 3 questions
- Synpharyngitic Haematuria in a Young AdultModerate · 3 questions
- Acute Flank Pain in a 42-Year-Old MaleModerate · 3 questions
- Painless Visible Haematuria in an Older AdultModerate · 3 questions
- Severe Right Loin-to-Groin Pain in a 38-Year-Old MaleEasy · 3 questions
- Painless Haematuria in an Older MaleModerate · 3 questions