GMC UK · 205 practice MCQs

PLAB 1 practice questions and mock papers

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.

PLAB 1 paper pattern

Conducted byGeneral Medical Council (GMC), UK
Questions180 single-best-answer questions, 5 options each
Time3 hours
ContentAligned to the UK MLA content map and UK practice (NICE, BNF, GMC guidance)
Centres in PakistanIslamabad 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.

Subjects and chapters on Mashq

Practise any subject, or tap a single chapter in the app.

Acute & Emergency

37 MCQs

Anaphylaxis · Electrolytes · Poisoning · Resuscitation · Shock & Sepsis · Trauma

Medicine

60 MCQs

Cardiology · Dermatology · Endocrinology · Gastroenterology · Haematology · Infectious Disease · Neurology · Renal · Respiratory · Rheumatology

Paediatrics & O&G

31 MCQs

Gynaecology · Obstetrics · Paediatrics

Surgery

26 MCQs

ENT & Ophthalmology · General Surgery · Hepatobiliary · Orthopaedics · Urology

Psychiatry

25 MCQs

Anxiety · Medication Monitoring · Mood Disorders · Psychosis · Substance Misuse

Ethics & Law

26 MCQs

Capacity · Consent & Confidentiality · Death & Certification · Professionalism · Safeguarding

Try three sample questions

Acute & Emergency · Resuscitation

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?

AIV sodium bicarbonate 50 mL
BIV atropine 3 mg
CIV adrenaline 1 mg
DIV calcium chloride 10 mL
EIV amiodarone 300 mg
Show answer

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.

Medicine · Cardiology

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?

AModified Valsalva manoeuvre
BOral bisoprolol
CIV amiodarone 300 mg
DSynchronised DC cardioversion
EIV adenosine 6 mg
Show answer

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.

Paediatrics & O&G · Paediatrics

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?

AMeckel's diverticulum
BIntussusception
CMalrotation with volvulus
DPyloric stenosis
EHirschsprung disease
Show answer

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.

PLAB 1 questions answered

What is the PLAB 1 format?

180 single-best-answer questions in 3 hours. Each question is a short clinical scenario with five options and one best answer.

Can I take PLAB 1 in Pakistan?

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.

Are Mashq's PLAB answers based on UK guidelines?

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.

Is Mashq's PLAB practice free?

Yes, during the launch beta, with no sign-up.

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