Certification 2024–2025
This resource focuses on cardiology-specific multiple-choice questions for the PLAB 1
exam, part of the GMC licensing process for international medical graduates. It includes
realistic clinical vignettes and verified answers covering high-yield cardiology topics such
as chest pain, ECG interpretation, heart failure, hypertension, arrhythmias, and emergency
cardiac care. Ideal for focused PLAB 1 preparation in the cardiovascular domain.
1. Commonest valvular heart disease seen in elderly (>65 y.o.) is: aortic
stenosis
2. immunological phenomena of Duke's criteria: oler's painful nodules,
roth's spots, acute glomerulonephritis
3. vascular phenomena of Duke's criteria: janeway lesions, major emboli,
splinter hemorrhages
4. aortic stenosis murmur best heard at: 2nd right ICS, radiates to carotid,
better heard on sitting upright and expiration
5. type of murmur of A.S.: ejection systolic
6. ECG of acute pericarditis: ST elevation with upward concavity
7. antibiotic for history of prosthetic valve endocarditis: vancomycin +
gentamicin + rifampicin
8. gold std Ix for patent foramen ovale: TOE (trans Oesophageal Echo) with
bubble contrast
9. prominent 'a' wave on JVP: atrial myxoma
10. pulse in A-Fib: irregularly irregular
11. ECG of A-fib: absent P wave
12. Atrial flutter rate: 250-350 bpm
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