GMC PLAB blueprint We allow reproduction of the blueprint and of the additional information about the blueprint as long

as the material is reproduced unchanged and with a clear acknowledgement of the GMC's copyright on any material reproduced.

Additional information about the blueprint Vertical axis The descriptors of disorders have been updated to include the terms used in contemporary coding. For example gastro-intestinal category is now digestive system disorder. In exceptional circumstances, presentations have been duplicated. For example the presentation of chest pain appears under both cardiovascular and respiratory disorder. Horizontal axis To keep the titles on this axis relatively succinct, there is some additional information below about some of them: Applying and integrating scientific knowledge to make a diagnosis should include recognising acutely ill patients and ensuring that no serious condition is missed. Disease factors should include inherited diseases and natural history of disease. Management plan should include pre-operative, post operative and terminal care and where appropriate complementary therapy. Decision making supported by evidence should include applying the principles of risk management and involving patients and where appropriate their relatives or carers in decisions about their care. Good practice in prescribing should include the appropriate use of drugs, route of administration calculation of dose and fluid requirements and production of a safe prescription. Effective communication skills including listening, questioning, explaining, involving patients in management should include listening and sharing information, recognising that patients are knowledgeable, discussing options with patients and explaining the effects of treatment and procedures.

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Awareness and sensitivity of the needs and expectations of patients regardless of their lifestyle, culture, beliefs, ethnicity, gender, sexuality, disability, age or social or economic status and understanding the patients’ environment and its effect on their health. Practising ethically and medico-legally should include understanding and applying the principles of professional practice set out in Good Medical Practice and supporting guidance including obtaining informed consent and apply the duties of doctors under law including: • • • • • Certification of sickness Death certification Dealing with the Coroner/Procurator Fiscal Procedures for cremation Statutory notifications.

Promoting, monitoring and maintaining health of individuals and groups should include being able to audit and appraise epidemiological data. Keep accurate medical records should include information literacy. Performing clinical and procedural skills safely should include: • • • • • • • • • • • • • • • • • • • • • Demonstrating competence in basic and advanced life support skills and basic trauma support Using local anaesthetics Giving intramuscular and subcutaneous injections Preparing and administering intravenous medicines Measuring and interpreting blood pressure Performing and interpreting ECG Performing and interpreting peak flow rate Performing venous and arterial puncture Gaining intravenous access including setting up an ivi Complying with infection control Disposing of potentially dangerous instruments Assessing suicide risk Assessment of altered mental state Performing a cervical smear Dealing with aggression Using an ophthalmoscope Giving pain relief Using a speculum and performing a vaginal examination Suturing a wound Urine testing Using an auriscope.

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

2

Patient safety and risk management should include promoting monitoring and maintaining health and safety in the clinical setting and systems of quality assurance including governance, audit, CPD, appraisal, revalidation. Dealing with complaints remains a separate heading under relationships with patients. Testing method Many of these will be assessed as part of the PLAB test. Some skills are, however, best assessed in the workplace and will form part of the appraisal process, which will be used as a source of evidence for revalidation. Examples of these follow: • • • Taking appropriate action if one’s own health, performance or conduct or that of a colleague puts patients, colleagues or the public at risk Recognising personal and professional limits and asking for help from senior colleagues and other health and social care professionals when necessary Developing a portfolio of evidence that records participation in educational and clinical teaching sessions and allows one to identify learning needs and develop a plan to meet these Contributing to audits and understanding how the results of audit can improve one’s own practice and that of others Responding constructively to the outcome of appraisal and performance review Contributing to the appraisal and review of students with whom one works Working with colleagues Teaching and training Probity Health Completing legal documents.

• • • • • • • •

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

3

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Blood and lymph Blood and lymph Blood and lymph Blood and lymph Blood and lymph

Including haematological Abnormal blood Adult/ Acute/ malignancies and film Child Chronic myeloproliferative disorders Adult/ Acute/ Blood loss Any cause Child Chronic Bruising/ Adult/ Acute/ bleeding/ Any cause Child Chronic purpura Any cause Enlarged lymph Adult/ Acute/ including nodes Child Chronic splenomegaly Adult/ Anaemia of any Pallor Chronic Child cause Adult Acute Acute myocardial infarction, acute coronary syndrome

Cardiovascular Chest pain

Cardiovascular Chest pain

Cardiovascular

Cardiovascular

Cardiovascular

Cardiovascular

Coronary heart disease: angina Arrhythmias and Acute/ heart conduction Palpitations Adult Chronic defects including AF Including Peripheral Acute/ aneurysms, Adult arterial disease Chronic ischaemic limb and occlusions Peripheral Heart failure Adult/ Acute/ oedema, including valvular Child Chronic breathlessness heart disorder Peripheral VTE/ DVT including venous Adult Acute risk factors problems Adult Chronic

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

1 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Peripheral Cardiovascular venous problems Cardiovascular Primary prevention

Adult

Including varicose Chronic veins and leg ulcers of any cause Chronic Hypertension and risk factors

Adult Adult

Cardiovascular Stroke Child health

Acute/ Including TIA Chronic Chronic Including NAI/CSA Including heart, Chronic neural tube and musculoskeletal Acute/ Including ascites Chronic

Developmental delay/ failure to Child thrive Congenital abnormalities Abdominal mass generalised Abdominal mass localised Child

Child health

Digestive

Adult

Digestive

Digestive

Digestive Digestive

Digestive

Including Adult/ Acute/ organomegaly and Child Chronic hernias Including acute Adult/ Acute/ abdomen, Abdominal pain Child Chronic appendicitis and pancreatitis Any cause Altered bowel Adult Chronic including habit constipation Anorexia and Adult/ Acute/ Any cause weight loss Child Chronic Any cause Adult/ Acute/ including Diarrhoea Child Chronic inflammatory bowel disease

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

2 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Digestive Digestive Digestive

Dyspepsia

Digestive Digestive Digestive Digestive Digestive Digestive ENT ENT ENT ENT ENT ENT

Including GORD, Adult/ Acute/ peptic ulcer and Child Chronic hiatus hernia Dysphagia Adult Chronic Any cause Including oral Facial pain and Adult/ Acute disease and swelling Child toothache Including rectal GI bleeding Acute/ Adult pain, masses and (lower) Chronic bleeding GI bleeding Acute/ Adult Any cause (upper) Chronic Adult/ Including biliary Jaundice Chronic Child tract problems Any cause Nausea and Adult/ Acute including pyloric vomiting Child stenosis Adult/ Including obestiy Nutrition Chronic Child and malnutrition Adult/ Intra-abdominal Trauma Acute Child injury Adult/ Earache Acute Any cause Child Hearing Adult/ Acute/ Including foreign problems Child Chronic body Adult/ Acute/ Hoarseness Any cause Child Chronic Including Nasal Adult/ Acute/ rhinorrhoea and symptoms Child Chronic epistaxis Adult/ Acute/ Speech disorder Any cause Child Chronic Acute/ Including Menières Vertigo Adult Chronic disease

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

3 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Eye Eye Eye

Eye pain

Adult

Orbital swelling Adult Red eye Visual impairment Abnormal blood sugar Acid-base imbalance Adult

Acute/ Including glaucoma Chronic Acute/ Including eyelid Chronic disorders Including corneal Acute/ lesions and Chronic conjunctivitis

Eye Homeostatic Homeostatic

Adult/ Acute/ Gradual or sudden, Child Chronic including cataracts

Homeostatic

Homeostatic Homeostatic Infectious disease Infectious disease Infectious disease

Adult/ Acute/ Diabetes mellitus Child Chronic Adult/ Acute Acidosis/alkalosis Child Any cause Electrolyte Adult/ Acute/ including excessive abnormalities Child Chronic thirst and dehydration Adult/ Shocked patient Acute Any cause Child Thyroid Adult/ Acute/ Hyper/hypothyroidis abnormalities Child Chronic m and goitres Adult/ Acute/ Including pyrexia of Fever Child Chronic unknown origin Including HIV, Serious Adult/ Acute/ AIDS, Hepatitis B infection Child Chronic and TB Travel medicine Adult/ and tropical Acute Child infections Alcohol and drug mis-use and dependence Including malaria

Mental health

Adult

Including other Acute/ habit disorders and Chronic co-morbity

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

4 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Mental health Anxiety

Adult

Including Acute/ generalised anxiety Chronic disorder, phobias and OCD

Mental health

Confusion, poor concentration Adult and memory loss Deliberate self harm Adult

Chronic Including dementia

Mental health

Mental health

Mental health

Mental health

Mental health

Mental health

Musculoskeleta l

Overdoses, poisioning and other self harm Including obesity, Adult/ Eating problems Chronic anorexia and Child bulimia nervosa Learning and Adult/ Including mental communication Chronic Child impairment problems Including Mood (affective) Acute/ depression, suicidal Adult problems Chronic risk and bi-polar disorder Including psychosocial and Psychological Adult/ Acute/ associated with problems Child Chronic certain ages e.g. adolescence Including Severe confusional states, Acute/ behavioural Adult psychoses and Chronic disturbance personality disorders Back and neck Acute/ Adult Any cause problems Chronic Acute

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

5 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Musculoskeleta l Musculoskeleta l Musculoskeleta l Musculoskeleta l Musculoskeleta l

Foot and ankle problems Fractures and dislocations Hand and wrist problems

Adult/ Acute/ Child Chronic Adult/ Acute Child Acute/ Adult Chronic Adult/ Acute/ Hip problems Child Chronic Acute/ Knee problems Adult Chronic

Any cause Any site Any cause Any cause Any cause

All causes including Musculoskeleta Rheumatologica Adult/ Acute/ joint pain of any l l problems Child Chronic cause Musculoskeleta Shoulder/upper Adult/ Acute/ Any cause l limb problems Child Chronic Including disorders Musculoskeleta Skeletal Adult/ Acute/ of calcium l problems Child Chronic homeostasis Musculoskeleta Strains and Adult/ Acute Any site l sprains Child Any cause Adult/ Neurological Coma Acute including head Child injury Blackouts, Adult/ Syncope of any Neurological faints and falls Acute Child cause (funny turns) Cranial nerve Adult/ Acute/ Neurological Any cause problems Child Chronic Any cause Adult/ Acute/ including raised Neurological Headache Child Chronic intracranial pressure

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

6 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Neurological

Neurological Neurological Renal

Renal Renal Renal Renal Renal Renal

Respiratory

Movement Abnormalities of the disorders Adult/ including tremor Chronic motor nervous Child system and gait problems Including Peripheral Adult/ Acute/ neuropathies of any nerve problems Child Chronic cause Adult/ Acute/ Including epilepsy Seizures Child Chronic and convulsions Including Abnormalities of Adult/ Acute/ haematuria and the urine Child Chronic proteinuria Groin/scrotal Adult/ Acute/ Including torsion of pain and/or Child Chronic testis and hernias swelling Acute/ Including renal Renal problems Adult Chronic failure Urethral Adult Acute Including STI discharge Including UTIs, Urinary Adult/ Acute/ incontinence and symptoms Child Chronic enuresis Urinary tract Adult/ Acute/ Including prostate obstruction Child Chronic and calculus Fertility Both male and Adult Chronic problems female Any acute respiratory illness Adult/ Breathlessness Acute including Child pneumonia and bronchiolitis

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

7 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Respiratory

Breathlessness

Adult/ Chronic Child Acute/ Chronic

Respiratory

Chest pain

Adult

Respiratory

Cough

Adult/ Acute/ Child Chronic

Respiratory Respiratory

Haemoptysis Wheeze/Stridor

Adult

Acute/ Chronic

Including COPD, asthma, occupational lung disease and sleep apnoea Including any pleuritic cause Any cause including tumours and upper respiratory tract problems Including pulmonary embolism

Seriously ill patient

Skin Skin

Skin

Skin

Adult/ Acute/ Any cause Child Chronic Any cause including serious Adult/ infection, Collapse Acute Child anaphylaxis, multiple trauma, septicaemia Adult/ Including Bites and stings Acute Child infestations Adult/ Any severity or Burns Acute Child cause Including Adult/ exanthemata, Infections Acute Child herpes zoster and bacterial infections Including eczema Itchy and/or Adult/ Chronic and dermatoses scaly rashes Child (psoriasis etc.)

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

8 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Skin

Lumps Moles and pigmented lesions Other rashes/nail and/or hair problems Pruritus

Nodular lesions Adult/ Chronic including skin Child tumour Adult/ Including malignant Chronic Child melanoma Adult/ Acute/ Any cause Child Chronic Localised or Acute/ generalised Chronic including pruritis ani/vulvae Chronic Any cause including malignant Including antepartum haemorrhage, postpartum haemorrhage and miscarriage Including prenatal diagnosis Including ectopic pregnancy, preeclampsia, eclampsia and hyperemesis Including cancer, abscess and benign lump

Skin

Skin

Skin

Adult

Skin

Ulcers

Adult

Women's health

Bleeding in pregnancy

Adult

Acute

Women's health

Normal pregnancy and care Problems in pregnancy

Adult

Acute

Women's health

Adult

Acute

Women's health

Breast lump and/or pain

Adult

Acute

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

9 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Good clinical care: diagnosis Identifying, requesting and interpreting appropriate investigation Applying and integrating scientific knowledge to make a diagnosis History taking including identifying key findings Clinical examination

Good clinical care: management Management plan including management of common emergencies and using appropriate treatment in specified conditions

Good clinical care: clinical and procedural skills Promoting, monitoring and maintaining health of individuals and groups Patient safety and risk management Performing clinical and procedural skills safely Keeping accurate records

Decision making supported by evidence

Women's health Women's health

Contraception

Adult

Chronic Any method Any cause Chronic including the menopause Including cervical cancer and Acute/ menstrual disorders Chronic and/or bleeding from any other cause Including ovarian Chronic cancer Including pelvic Acute/ inflammatory Chronic disease Acute/ Any cause Chronic

Irregular periods Adult

Women's health

Pain and abnormal Adult vaginal bleeding

Women's health Women's health Women's health

Pelvic mass Pelvic pain Vaginal discharge

Adult Adult Adult

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

Good practice in prescribing

Disease factors

10 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Blood and lymph Blood and lymph Blood and lymph Blood and lymph Blood and lymph

Including haematological Abnormal blood Adult/ Acute/ malignancies and film Child Chronic myeloproliferative disorders Adult/ Acute/ Blood loss Any cause Child Chronic Bruising/ Adult/ Acute/ bleeding/ Any cause Child Chronic purpura Any cause Enlarged lymph Adult/ Acute/ including nodes Child Chronic splenomegaly Adult/ Anaemia of any Pallor Chronic Child cause Adult Acute Acute myocardial infarction, acute coronary syndrome

Cardiovascular Chest pain

Cardiovascular Chest pain

Cardiovascular

Cardiovascular

Cardiovascular

Cardiovascular

Coronary heart disease: angina Arrhythmias and Acute/ heart conduction Palpitations Adult Chronic defects including AF Including Peripheral Acute/ aneurysms, Adult arterial disease Chronic ischaemic limb and occlusions Peripheral Heart failure Adult/ Acute/ oedema, including valvular Child Chronic breathlessness heart disorder Peripheral VTE/ DVT including venous Adult Acute risk factors problems Adult Chronic

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

11 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Peripheral Cardiovascular venous problems Cardiovascular Primary prevention

Adult

Including varicose Chronic veins and leg ulcers of any cause Chronic Hypertension and risk factors

Adult Adult

Cardiovascular Stroke Child health

Acute/ Including TIA Chronic Chronic Including NAI/CSA Including heart, Chronic neural tube and musculoskeletal Acute/ Including ascites Chronic

Developmental delay/ failure to Child thrive Congenital abnormalities Abdominal mass generalised Abdominal mass localised Child

Child health

Digestive

Adult

Digestive

Digestive

Digestive Digestive

Digestive

Including Adult/ Acute/ organomegaly and Child Chronic hernias Including acute Adult/ Acute/ abdomen, Abdominal pain Child Chronic appendicitis and pancreatitis Any cause Altered bowel Adult Chronic including habit constipation Anorexia and Adult/ Acute/ Any cause weight loss Child Chronic Any cause Adult/ Acute/ including Diarrhoea Child Chronic inflammatory bowel disease

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

12 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Digestive Digestive Digestive

Dyspepsia

Digestive Digestive Digestive Digestive Digestive Digestive ENT ENT ENT ENT ENT ENT

Including GORD, Adult/ Acute/ peptic ulcer and Child Chronic hiatus hernia Dysphagia Adult Chronic Any cause Including oral Facial pain and Adult/ Acute disease and swelling Child toothache Including rectal GI bleeding Acute/ Adult pain, masses and (lower) Chronic bleeding GI bleeding Acute/ Adult Any cause (upper) Chronic Adult/ Including biliary Jaundice Chronic Child tract problems Any cause Nausea and Adult/ Acute including pyloric vomiting Child stenosis Adult/ Including obestiy Nutrition Chronic Child and malnutrition Adult/ Intra-abdominal Trauma Acute Child injury Adult/ Earache Acute Any cause Child Hearing Adult/ Acute/ Including foreign problems Child Chronic body Adult/ Acute/ Hoarseness Any cause Child Chronic Including Nasal Adult/ Acute/ rhinorrhoea and symptoms Child Chronic epistaxis Adult/ Acute/ Speech disorder Any cause Child Chronic Acute/ Including Menières Vertigo Adult Chronic disease

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

13 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Eye Eye Eye

Eye pain

Adult

Orbital swelling Adult Red eye Visual impairment Abnormal blood sugar Acid-base imbalance Adult

Acute/ Including glaucoma Chronic Acute/ Including eyelid Chronic disorders Including corneal Acute/ lesions and Chronic conjunctivitis

Eye Homeostatic Homeostatic

Adult/ Acute/ Gradual or sudden, Child Chronic including cataracts

Homeostatic

Homeostatic Homeostatic Infectious disease Infectious disease Infectious disease

Adult/ Acute/ Diabetes mellitus Child Chronic Adult/ Acute Acidosis/alkalosis Child Any cause Electrolyte Adult/ Acute/ including excessive abnormalities Child Chronic thirst and dehydration Adult/ Shocked patient Acute Any cause Child Thyroid Adult/ Acute/ Hyper/hypothyroidis abnormalities Child Chronic m and goitres Adult/ Acute/ Including pyrexia of Fever Child Chronic unknown origin Including HIV, Serious Adult/ Acute/ AIDS, Hepatitis B infection Child Chronic and TB Travel medicine Adult/ and tropical Acute Child infections Alcohol and drug mis-use and dependence Including malaria

Mental health

Adult

Including other Acute/ habit disorders and Chronic co-morbity

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

14 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Mental health Anxiety

Adult

Including Acute/ generalised anxiety Chronic disorder, phobias and OCD

Mental health

Confusion, poor concentration Adult and memory loss Deliberate self harm Adult

Chronic Including dementia

Mental health

Mental health

Mental health

Mental health

Mental health

Mental health

Musculoskeleta l

Overdoses, poisioning and other self harm Including obesity, Adult/ Eating problems Chronic anorexia and Child bulimia nervosa Learning and Adult/ Including mental communication Chronic Child impairment problems Including Mood (affective) Acute/ depression, suicidal Adult problems Chronic risk and bi-polar disorder Including psychosocial and Psychological Adult/ Acute/ associated with problems Child Chronic certain ages e.g. adolescence Including Severe confusional states, Acute/ behavioural Adult psychoses and Chronic disturbance personality disorders Back and neck Acute/ Adult Any cause problems Chronic Acute

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

15 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Musculoskeleta l Musculoskeleta l Musculoskeleta l Musculoskeleta l Musculoskeleta l

Foot and ankle problems Fractures and dislocations Hand and wrist problems

Adult/ Acute/ Child Chronic Adult/ Acute Child Acute/ Adult Chronic Adult/ Acute/ Hip problems Child Chronic Acute/ Knee problems Adult Chronic

Any cause Any site Any cause Any cause Any cause

All causes including Musculoskeleta Rheumatologica Adult/ Acute/ joint pain of any l l problems Child Chronic cause Musculoskeleta Shoulder/upper Adult/ Acute/ Any cause l limb problems Child Chronic Including disorders Musculoskeleta Skeletal Adult/ Acute/ of calcium l problems Child Chronic homeostasis Musculoskeleta Strains and Adult/ Acute Any site l sprains Child Any cause Adult/ Neurological Coma Acute including head Child injury Blackouts, Adult/ Syncope of any Neurological faints and falls Acute Child cause (funny turns) Cranial nerve Adult/ Acute/ Neurological Any cause problems Child Chronic Any cause Adult/ Acute/ including raised Neurological Headache Child Chronic intracranial pressure

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

16 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Neurological

Neurological Neurological Renal

Renal Renal Renal Renal Renal Renal

Respiratory

Movement Abnormalities of the disorders Adult/ including tremor Chronic motor nervous Child system and gait problems Including Peripheral Adult/ Acute/ neuropathies of any nerve problems Child Chronic cause Adult/ Acute/ Including epilepsy Seizures Child Chronic and convulsions Including Abnormalities of Adult/ Acute/ haematuria and the urine Child Chronic proteinuria Groin/scrotal Adult/ Acute/ Including torsion of pain and/or Child Chronic testis and hernias swelling Acute/ Including renal Renal problems Adult Chronic failure Urethral Adult Acute Including STI discharge Including UTIs, Urinary Adult/ Acute/ incontinence and symptoms Child Chronic enuresis Urinary tract Adult/ Acute/ Including prostate obstruction Child Chronic and calculus Fertility Both male and Adult Chronic problems female Any acute respiratory illness Adult/ Breathlessness Acute including Child pneumonia and bronchiolitis

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

17 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Respiratory

Breathlessness

Adult/ Chronic Child Acute/ Chronic

Respiratory

Chest pain

Adult

Respiratory

Cough

Adult/ Acute/ Child Chronic

Respiratory Respiratory

Haemoptysis Wheeze/Stridor

Adult

Acute/ Chronic

Including COPD, asthma, occupational lung disease and sleep apnoea Including any pleuritic cause Any cause including tumours and upper respiratory tract problems Including pulmonary embolism

Seriously ill patient

Skin Skin

Skin

Skin

Adult/ Acute/ Any cause Child Chronic Any cause including serious Adult/ infection, Collapse Acute Child anaphylaxis, multiple trauma, septicaemia Adult/ Including Bites and stings Acute Child infestations Adult/ Any severity or Burns Acute Child cause Including Adult/ exanthemata, Infections Acute Child herpes zoster and bacterial infections Including eczema Itchy and/or Adult/ Chronic and dermatoses scaly rashes Child (psoriasis etc.)

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

18 of 20

Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Skin

Lumps Moles and pigmented lesions Other rashes/nail and/or hair problems Pruritus

Nodular lesions Adult/ Chronic including skin Child tumour Adult/ Including malignant Chronic Child melanoma Adult/ Acute/ Any cause Child Chronic Localised or Acute/ generalised Chronic including pruritis ani/vulvae Chronic Any cause including malignant Including antepartum haemorrhage, postpartum haemorrhage and miscarriage Including prenatal diagnosis Including ectopic pregnancy, preeclampsia, eclampsia and hyperemesis Including cancer, abscess and benign lump

Skin

Skin

Skin

Adult

Skin

Ulcers

Adult

Women's health

Bleeding in pregnancy

Adult

Acute

Women's health

Normal pregnancy and care Problems in pregnancy

Adult

Acute

Women's health

Adult

Acute

Women's health

Breast lump and/or pain

Adult

Acute

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

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Blueprint for PLAB Test

Disorder

Presentation

Adult/ Acute/ Child Chronic

Condition

Relationships with patients and working with colleagues Effective communication skills including listening, questioning, explaining, involving patients in management Practising ethically and medico-legally Systems of quality assurance Working in teams Awareness and sensitivity of the needs and expectations of patients

Maintaining good medical practice

Teaching and Probity training

Women's health Women's health

Contraception

Adult

Chronic Any method Any cause Chronic including the menopause Including cervical cancer and Acute/ menstrual disorders Chronic and/or bleeding from any other cause Including ovarian Chronic cancer Including pelvic Acute/ inflammatory Chronic disease Acute/ Any cause Chronic

Irregular periods Adult

Women's health

Pain and abnormal Adult vaginal bleeding

Women's health Women's health Women's health

Pelvic mass Pelvic pain Vaginal discharge

Adult Adult Adult

PLAB Test Section © Copyright General Medical Council 2008. All rights reserved. The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750)

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