Demo Vaka/Soru Havuzu
Global hazırlık için ilk özgün demo çekirdeği.
Bu ekran USMLE, PLAB, BOARD ve Medical English içeriklerinin nasıl görüneceğini gösterir. Faz 2 ile bu içerikler gerçek soru çözme motoruna bağlandı; her karttan doğrudan çözmeye geçebilirsin.
PLAB / UKMLA
PLAB 1 SBA
Orta
Fever in returning traveller
A 34-year-old man returns from West Africa with fever, headache and myalgia. He is hypotensive and confused. What is the safest initial approach?
Send home with antipyretics
Urgent senior review, isolation precautions and sepsis management
Routine GP follow-up
Only malaria smear, no treatment until result
Yanıt: Urgent senior review, isolation precautions and sepsis management
PLAB mantığında hasta güvenliği, izolasyon, erken senior escalation ve sepsis yaklaşımı birlikte düşünülür.
Soru motorunda çöz
PLAB / UKMLA
PLAB 2 OSCE
Orta
Discharge advice after head injury
You are an FY2 in ED. A patient with mild head injury is being discharged. Explain red flags and safety-netting in 8 minutes.
Only say CT is normal
Give clear red flags, responsible adult advice and return instructions
Avoid written advice
No need to discuss alcohol
Yanıt: Give clear red flags, responsible adult advice and return instructions
OSCE istasyonunda iletişim, anlama kontrolü, yazılı öneri, red flag ve güvenli geri dönüş talimatı puan getirir.
Soru motorunda çöz
PLAB / UKMLA
OSCE
OSCE
Chest pain explanation
Explain assessment plan, immediate risks, ECG/troponin monitoring and safety-netting.
Open with introduction and consent
Explore ICE
Explain red flags without alarming
Summarise plan
Check understanding
Yanıt: Emergency Department
8 dakikalık istasyonda yapılandırılmış iletişim, güvenlik ve klinik yönetim değerlendirilir.
Soru motorunda çöz
PLAB / UKMLA
OSCE
OSCE
Breaking bad news: CT finding
Explain an unexpected suspicious CT result and arrange senior follow-up.
Warning shot
Empathy
Avoid jargon
Offer support
Clear next steps
Yanıt: Acute medical unit
8 dakikalık istasyonda yapılandırılmış iletişim, güvenlik ve klinik yönetim değerlendirilir.
Soru motorunda çöz
PLAB / UKMLA
OSCE
OSCE
Safeguarding concern
Speak with a parent where injury pattern raises safeguarding concern.
Stay neutral
Prioritise child safety
Escalate to senior
Document objectively
Explain process
Yanıt: Paediatric ED
8 dakikalık istasyonda yapılandırılmış iletişim, güvenlik ve klinik yönetim değerlendirilir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, UKMLA, sepsis, G100V1
Kolay
G100-PLAB-001 | Sepsis in UK ED
A 74-year-old in the ED has suspected UTI, new confusion, RR 28, systolic BP 88 and lactate 4.2. Which action best reflects safe initial management?
Start sepsis bundle urgently including oxygen if needed, cultures, IV antibiotics, IV fluids, lactate monitoring and senior review
Ask GP to review tomorrow
Give oral trimethoprim and discharge
Wait for urine culture before treatment
Yanıt: Start sepsis bundle urgently including oxygen if needed, cultures, IV antibiotics, IV fluids, lactate monitoring and senior review
PLAB tarzı yaklaşımda hasta güvenliği ve erken eskalasyon önemlidir. Şok/sepsis bulguları olan hasta acil sepsis bundle ve senior review gerektirir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, ethics, capacity, G100V1
Orta
G100-PLAB-002 | Capacity assessment
A patient refuses admission for pneumonia. He can explain his diagnosis, risks of leaving, options and communicates a stable choice. What is the best conclusion?
He has capacity for this decision, even if the decision seems unwise
He lacks capacity because he disagrees with doctors
Call police to force admission in all cases
Ask family to decide automatically
Yanıt: He has capacity for this decision, even if the decision seems unwise
Kapasite karar spesifiktir. Anlama, tutma, tartma ve iletişim kurma varsa hasta kötü/akılsız görünen kararı verebilir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, safeguarding, pediatrics, G100V1
Kolay
G100-PLAB-003 | Child safeguarding
A 2-year-old has bruises in different stages of healing and the caregiver gives inconsistent explanations. What is the best action?
Discuss concerns with safeguarding lead/senior and follow child protection procedures
Ignore because bruises are common
Discharge without documentation
Confront the caregiver aggressively and accuse them
Yanıt: Discuss concerns with safeguarding lead/senior and follow child protection procedures
Safeguarding şüphesinde iyi dokümantasyon, senior/safeguarding lead ile görüşme ve yerel çocuk koruma prosedürlerini izleme gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, professionalism, patient safety, G100V1
Orta
G100-PLAB-004 | Duty of candour
A medication error caused temporary harm to a patient. What should the doctor do?
Be open with the patient, apologise, explain what is known and follow incident reporting procedures
Hide the error if symptoms improved
Blame nursing staff in front of the patient
Change the record to avoid investigation
Yanıt: Be open with the patient, apologise, explain what is known and follow incident reporting procedures
Duty of candour yaklaşımı açık iletişim, özür, açıklama, kayıt ve olay bildirimini içerir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, discharge, safety-netting, G100V1
Kolay
G100-PLAB-005 | Chest pain discharge safety
A low-risk chest pain patient is discharged after appropriate ED assessment. Which advice is safest?
Return immediately if chest pain recurs, becomes severe, or is associated with breathlessness, sweating, fainting or new symptoms
You will never have a heart problem
Only return if pain lasts more than 7 days
Do not call emergency services under any circumstance
Yanıt: Return immediately if chest pain recurs, becomes severe, or is associated with breathlessness, sweating, fainting or new symptoms
UK sınavları güvenli taburculuk ve safety-netting’i sever: spesifik kırmızı bayraklar ve geri dönüş talimatı verilmelidir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, respiratory, COPD, G100V1
Orta
G100-PLAB-006 | COPD exacerbation
A COPD patient has increased breathlessness, wheeze and increased sputum purulence. Oxygen saturation is 86% on air. What oxygen strategy is appropriate initially?
Controlled oxygen targeting 88-92% unless otherwise indicated
High-flow oxygen targeting 100% for all COPD patients
No oxygen because COPD patients should never receive oxygen
Discharge with no treatment
Yanıt: Controlled oxygen targeting 88-92% unless otherwise indicated
COPD/hiperkapni riski olan hastada kontrollü oksijen ve hedef saturasyon genellikle 88–92% aralığıdır; klinik duruma göre ABG ve tedavi planlanır.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, respiratory, asthma, G100V1
Kolay
G100-PLAB-007 | Acute asthma
A young adult has severe asthma attack with inability to complete sentences, RR 32 and PEF 40% predicted. What is the best immediate treatment?
High-flow oxygen, nebulised salbutamol, ipratropium, systemic steroids and senior review
Oral antihistamine only
Inhaled steroid only and discharge
Antibiotics only
Yanıt: High-flow oxygen, nebulised salbutamol, ipratropium, systemic steroids and senior review
Şiddetli astımda oksijen, SABA, ipratropium, sistemik steroid ve erken eskalasyon gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, PE, diagnosis, G100V1
Orta
G100-PLAB-008 | PE investigation stable
A stable patient has pleuritic chest pain and moderate clinical probability of PE. What is the best next investigation?
CT pulmonary angiography unless contraindicated
Immediate discharge without testing
Exercise ECG
Sputum culture
Yanıt: CT pulmonary angiography unless contraindicated
Orta/yüksek klinik olasılıkta PE için CTPA tipik tanısal testtir; düşük olasılıkta D-dimer algoritmaları kullanılır.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, psychiatry, risk, G100V1
Kolay
G100-PLAB-009 | Mental health immediate risk
A patient says he intends to kill himself tonight and has a specific plan. What is the best ED action?
Do not let him leave unsafely; arrange urgent mental health assessment and senior support
Give a leaflet and discharge
Tell him to call GP next month
Ignore because he is calm
Yanıt: Do not let him leave unsafely; arrange urgent mental health assessment and senior support
Acil intihar riski varsa güvenlik, gözetim, mental health değerlendirmesi ve senior eskalasyon gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, ethics, adolescent, G100V1
Orta
G100-PLAB-010 | Confidentiality in teenager
A 15-year-old asks for contraception and appears competent, with no safeguarding concern disclosed. What is the best approach?
Assess competence, encourage involving parents but respect confidentiality if competent and safe
Always inform parents without discussion
Refuse to see her without parents
Call police automatically
Yanıt: Assess competence, encourage involving parents but respect confidentiality if competent and safe
Genç hastada Gillick competence, güvenlik/safeguarding ve gizlilik ilkeleri birlikte değerlendirilir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, occupational health, infection, G100V1
Kolay
G100-PLAB-011 | Needlestick injury
A junior doctor sustains a needlestick injury from a high-risk source patient. What is the best immediate action?
Wash the wound, report immediately, assess source/patient risk and consider urgent PEP pathway
Ignore if there is no bleeding
Wait one month before reporting
Suture the puncture wound closed
Yanıt: Wash the wound, report immediately, assess source/patient risk and consider urgent PEP pathway
Kesici-delici yaralanmada ilk yardım, hızlı raporlama, risk değerlendirmesi ve gerekirse PEP zaman kritiktir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, consent, procedure, G100V1
Kolay
G100-PLAB-012 | Consent for procedure
Before lumbar puncture, what is the most important consent principle?
Explain indication, material risks, benefits, alternatives and check understanding voluntarily
Ask for a signature without explanation
Only explain common risks if the patient asks
Let relatives consent for a capacitated adult
Yanıt: Explain indication, material risks, benefits, alternatives and check understanding voluntarily
Geçerli onam bilgilendirilmiş, gönüllü ve kapasitesi olan hasta tarafından verilmiş olmalıdır. Alternatifler ve önemli riskler konuşulmalıdır.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, safeguarding, domestic abuse, G100V1
Orta
G100-PLAB-013 | Domestic abuse concern
A woman with repeated injuries appears frightened when her partner answers all questions. What is the best next step?
Find a safe opportunity to speak to her alone and assess immediate risk/support needs
Ask the partner to explain everything
Discharge without documentation
Accuse the partner publicly in the waiting room
Yanıt: Find a safe opportunity to speak to her alone and assess immediate risk/support needs
Domestic abuse şüphesinde güvenli yalnız görüşme, risk değerlendirmesi, destek ve dokümantasyon gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, ethics, communication, G100V1
Orta
G100-PLAB-014 | End-of-life DNACPR discussion
A frail patient with advanced disease asks what DNACPR means. What is the best response?
Explain sensitively that it concerns CPR if the heart/breathing stops, and it does not mean stopping all active treatment
Say it means doctors will not treat infections
Avoid the conversation completely
Tell the family only, not the patient
Yanıt: Explain sensitively that it concerns CPR if the heart/breathing stops, and it does not mean stopping all active treatment
DNACPR sadece kardiyopulmoner resüsitasyon kararını ifade eder; diğer uygun tedavilerin verilmemesi anlamına gelmez.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, infection, travel, G100V1
Kolay
G100-PLAB-015 | Fever in returning traveller
A patient has fever after returning from sub-Saharan Africa. What diagnosis must be considered urgently?
Malaria
Seasonal allergy only
Tension headache only
Vitamin deficiency
Yanıt: Malaria
Seyahat sonrası ateşte malaria acil dışlanması gereken tanılardan biridir; gecikme ölümcül olabilir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, orthopedics, red flags, G100V1
Kolay
G100-PLAB-016 | Red flag back pain
A patient with back pain has urinary retention, saddle anaesthesia and bilateral leg weakness. What is the most appropriate action?
Emergency MRI spine and urgent spinal/neurosurgical referral
Simple analgesia and routine GP follow-up
Physiotherapy next month
Reassure without examination
Yanıt: Emergency MRI spine and urgent spinal/neurosurgical referral
Kauda equina bulguları acil MRG ve cerrahi değerlendirme gerektirir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, trauma, anticoagulation, G100V1
Orta
G100-PLAB-017 | Falls in elderly
An older patient falls and is on warfarin. He hit his head but feels well. What is the safest approach?
Assess for head injury risk and arrange appropriate urgent imaging/observation according to local pathway
Discharge because he feels well
Stop warfarin forever without review
No neurological assessment needed
Yanıt: Assess for head injury risk and arrange appropriate urgent imaging/observation according to local pathway
Antikoagülan kullanan yaşlı kafa travması hastasında semptomsuz olmak riski dışlamaz; lokal kafa travması protokolüne göre görüntüleme/izlem gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, urology, retention, G100V1
Kolay
G100-PLAB-018 | Acute urinary retention
A 70-year-old man has painful inability to pass urine and suprapubic fullness. What is the best immediate management?
Urethral catheterisation unless contraindicated
Oral antibiotics only and discharge
Wait for urology clinic next month
Fluid restriction only
Yanıt: Urethral catheterisation unless contraindicated
Ağrılı akut idrar retansiyonunda mesane dekompresyonu gerekir; kateterizasyon ilk adımdır.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, endocrine, hypoglycaemia, G100V1
Kolay
G100-PLAB-019 | Hypoglycaemia conscious patient
A conscious diabetic patient is sweaty and confused; capillary glucose is 2.4 mmol/L and he can swallow safely. What is best initial treatment?
Oral fast-acting carbohydrate
IV insulin
No treatment until lab confirmation
Long-acting insulin
Yanıt: Oral fast-acting carbohydrate
Yutabilen bilinçli hipoglisemi hastasında hızlı etkili oral karbonhidrat verilir. Bilinç kapalı/yutma güvensizse IV glukoz/IM glukagon seçenekleri düşünülür.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, obstetrics, vomiting, G100V1
Orta
G100-PLAB-020 | Hyperemesis and ketones
A pregnant woman has persistent vomiting, dehydration and ketonuria. What is appropriate management?
IV fluids, antiemetics and thiamine if prolonged vomiting before dextrose-containing fluids
Discharge without treatment
ACE inhibitor
No assessment of electrolytes needed
Yanıt: IV fluids, antiemetics and thiamine if prolonged vomiting before dextrose-containing fluids
Hiperemezis gravidarumda sıvı-elektrolit düzeltimi, antiemetik ve uzun kusmada dekstroz öncesi tiamin önemli güvenlik noktalarıdır.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, pediatrics, meningitis, G100V1
Kolay
G100-PLAB-021 | Suspected meningitis in child
A child has fever, non-blanching rash and lethargy. What is the best immediate management?
Urgent senior review and empiric IV antibiotics/resuscitation pathway
Wait at home for rash to fade
Topical cream
Routine GP appointment next week
Yanıt: Urgent senior review and empiric IV antibiotics/resuscitation pathway
Non-blanching rash ve sistemik kötü görünüm meningokok/sepsis açısından acil yaklaşım gerektirir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, cardiology, ACS, G100V1
Kolay
G100-PLAB-022 | Acute coronary syndrome initial meds
A patient has suspected ACS without contraindication. Which medication is commonly given early?
Aspirin
Long-term antibiotics
High-dose steroid only
Methotrexate
Yanıt: Aspirin
ACS şüphesinde kontrendikasyon yoksa aspirin erken verilmesi gereken temel tedavidir; reperfüzyon/antikoagülasyon stratejisi duruma göre belirlenir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, orthopedics, imaging, G100V1
Kolay
G100-PLAB-023 | Ankle injury Ottawa principle
A patient has ankle trauma and cannot bear weight with bony tenderness at the posterior edge of the lateral malleolus. What is appropriate?
Ankle X-ray
No imaging needed by any rule
Immediate CT chest
Discharge without advice
Yanıt: Ankle X-ray
Ottawa ankle kurallarında malleol hassasiyeti ve yük verememe gibi bulgular grafi endikasyonudur.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, haematology, pain, G100V1
Orta
G100-PLAB-024 | Sickle cell painful crisis
A patient with sickle cell disease presents with severe limb pain typical of vaso-occlusive crisis. What is a key early management principle?
Prompt adequate analgesia, hydration assessment and evaluation for complications
Withhold analgesia until imaging proves crisis
Discharge with no pain relief
Give iron tablets as emergency treatment
Yanıt: Prompt adequate analgesia, hydration assessment and evaluation for complications
Vazo-oklüzif krizde hızlı ve yeterli analjezi, sıvı durumu ve akut göğüs sendromu/enfeksiyon gibi komplikasyonların değerlendirilmesi önemlidir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, obstetrics, haemorrhage, G100V1
Orta
G100-PLAB-025 | Postpartum haemorrhage
Immediately after delivery, a woman has heavy bleeding and a boggy uterus. What is the likely cause and first management focus?
Uterine atony; uterine massage, uterotonics and resuscitation/escalation
Ectopic pregnancy; methotrexate
Migraine; triptan
Appendicitis; antibiotics only
Yanıt: Uterine atony; uterine massage, uterotonics and resuscitation/escalation
Postpartum kanamanın sık nedeni uterin atonidir. Resüsitasyon, uterin masaj, uterotonik ve ekip eskalasyonu gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, pediatrics, safety-netting, G100V1
Kolay
G100-PLAB-026 | Acute otitis media safety
A child with ear pain is well, but parents ask what symptoms require urgent reassessment. Which advice is best?
Return urgently if drowsy, neck stiffness, swelling behind ear, persistent vomiting, breathing difficulty or worsening symptoms
Never come back for ear pain
Only return if symptoms last 6 months
Stop all fluids
Yanıt: Return urgently if drowsy, neck stiffness, swelling behind ear, persistent vomiting, breathing difficulty or worsening symptoms
Safety-netting spesifik, anlaşılır ve kırmızı bayrak odaklı olmalıdır.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, allergy, anaphylaxis, G100V1
Kolay
G100-PLAB-027 | Allergic reaction with airway risk
A patient has facial swelling, hoarse voice and wheeze after peanuts. What is the best treatment?
IM adrenaline and airway-focused emergency management
Oral antihistamine only
Reassurance only
Antibiotic throat spray
Yanıt: IM adrenaline and airway-focused emergency management
Havayolu/solunum etkilenimi olan alerjik reaksiyon anafilaksi kabul edilir; IM adrenalin ve acil yaklaşım gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, communication, ethics, G100V1
Kolay
G100-PLAB-028 | Shared decision making
A patient asks about two reasonable treatment options. What is the best communication approach?
Discuss benefits, risks and patient preferences to reach a shared decision
Tell the patient only the option you prefer without explanation
Ask them not to ask questions
Use jargon to save time
Yanıt: Discuss benefits, risks and patient preferences to reach a shared decision
NHS/PLAB iletişiminde shared decision making, anlaşılır bilgi ve hastanın değerlerini dikkate alma önemlidir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, neurology, stroke, G100V1
Kolay
G100-PLAB-029 | Suspected stroke FAST positive
A patient has new facial droop and arm weakness starting 40 minutes ago. What is the most appropriate action?
Activate urgent stroke pathway and arrange immediate brain imaging
Give antibiotics and wait
Book routine outpatient neurology
Tell patient to sleep and see if it improves
Yanıt: Activate urgent stroke pathway and arrange immediate brain imaging
Akut inme zaman kritiktir; stroke pathway ve hızlı görüntüleme/reperfüzyon değerlendirmesi gerekir.
Soru motorunda çöz
PLAB / UKMLA
PLAB 1, communication, handover, G100V1
Kolay
G100-PLAB-030 | Handover SBAR
You need to call a medical registrar about an unstable patient. Which structure is best?
SBAR: Situation, Background, Assessment, Recommendation
Random story without vital signs
Only send a text message saying urgent
Wait until the end of the shift
Yanıt: SBAR: Situation, Background, Assessment, Recommendation
SBAR acil hasta devrinde net ve güvenli iletişim sağlar: durum, arka plan, değerlendirme ve öneri.
Soru motorunda çöz