PLAB 1 Neurology70+ QuestionsNICE Guidelines Included

PLAB 1 Neurology Questions

Master neurology for PLAB 1 with 70+ SBA questions covering stroke, epilepsy, multiple sclerosis, Parkinson's disease, headache, and all 25+ neurological conditions on the GMC Content Map. Full clinical explanations and NICE guideline summaries included.

70+
Neurology SBA Questions
25+
GMC Conditions Covered
4
Key NICE Guidelines
100%
GMC Content Map Aligned

Neurological Conditions Covered

Every neurological condition on the GMC PLAB 1 Content Map, with SBA questions, clinical explanations, and NICE guideline references.

Stroke & TIA
FAST, ROSIER score, thrombolysis criteria, ABCD2 score for TIA, antiplatelet therapy, NICE NG128.
Epilepsy
Seizure classification, first-line AEDs by seizure type, status epilepticus management, driving restrictions, NICE NG217.
Multiple Sclerosis
Relapsing-remitting vs progressive, McDonald criteria, MRI findings, disease-modifying therapies, NICE NG220.
Parkinson's Disease
Bradykinesia, rigidity, tremor, levodopa initiation, dopamine agonists, non-motor features, NICE NG71.
Headache & Migraine
POUND criteria, migraine prophylaxis, cluster headache, tension-type, red flag features, NICE NG150.
Subarachnoid Haemorrhage
Thunderclap headache, CT head, LP xanthochromia, nimodipine, Hunt and Hess grading.
Meningitis & Encephalitis
Bacterial vs viral, LP interpretation, empirical antibiotics, dexamethasone, NICE NG240.
Guillain-Barré Syndrome
Ascending weakness, areflexia, CSF albuminocytological dissociation, IVIG vs plasmapheresis.
Myasthenia Gravis
Fatigable weakness, ptosis, anti-AChR antibodies, edrophonium test, pyridostigmine, thymectomy.
Bell's Palsy
LMN vs UMN facial palsy, House-Brackmann grading, prednisolone within 72 hours, eye protection.
Peripheral Neuropathy
Mononeuropathy vs polyneuropathy, causes (diabetes, B12, alcohol), nerve conduction studies.
Dementia
Alzheimer's vs vascular vs Lewy body vs FTD, MMSE/MoCA, acetylcholinesterase inhibitors, NICE NG97.

Key NICE Guidelines for PLAB 1 Neurology

Every question includes NICE guideline references. These are the four guidelines most frequently tested in PLAB 1 neurology questions.

NG128
Stroke and transient ischaemic attack in over 16s
Aspirin 300mg immediately for ischaemic stroke, thrombolysis within 4.5 hours, thrombectomy within 24 hours
NG217
Epilepsies: diagnosis and management
Sodium valproate first-line for generalised seizures (avoid in women of childbearing age), lamotrigine/levetiracetam alternatives
NG71
Parkinson's disease in adults
Levodopa, dopamine agonists, or MAO-B inhibitors as first-line; consider patient age and comorbidities
NG150
Headaches in over 12s: diagnosis and management
Triptans first-line for acute migraine, topiramate/propranolol for prophylaxis, avoid opioids

Why Use UKMLA Revision for Neurology Questions?

GMC Content Map Aligned

Every question maps to a specific condition on the official GMC PLAB 1 Content Map. No irrelevant content.

Full Clinical Explanations

Every answer option explained — not just why the correct answer is right, but why each distractor is wrong.

NICE Guideline Summaries

Concise NICE guideline summaries for every condition, so you learn the evidence base alongside the questions.

Frequently Asked Questions

How many neurology questions are in PLAB 1?

Neurology is a high-yield specialty in PLAB 1, typically accounting for 8–12% of the exam (approximately 14–22 questions out of 180). The GMC Content Map lists over 25 neurological conditions that can appear, including stroke, epilepsy, multiple sclerosis, Parkinson's disease, and headache disorders.

What neurology topics appear most frequently in PLAB 1?

The highest-yield PLAB 1 neurology topics are: stroke and TIA (ABCD2 score, thrombolysis criteria), epilepsy (first-line AED by seizure type, status epilepticus), headache (migraine vs cluster vs SAH red flags), meningitis (empirical antibiotics, LP interpretation), and Parkinson's disease (first-line treatment). These appear in multiple sittings.

How do I differentiate UMN from LMN lesions in PLAB 1?

Upper motor neurone (UMN) lesions cause: spasticity, hyperreflexia, upgoing plantar response (Babinski positive), and weakness without wasting. Lower motor neurone (LMN) lesions cause: flaccidity, hyporeflexia, downgoing plantar response, weakness with wasting and fasciculations. Bell's palsy is LMN (affects entire face including forehead); stroke is UMN (spares forehead due to bilateral cortical representation).

Which NICE guidelines are most important for PLAB 1 neurology?

The most important NICE guidelines for PLAB 1 neurology are: NG128 (stroke and TIA), NG217 (epilepsy), NG71 (Parkinson's disease), NG150 (headache), NG220 (multiple sclerosis), and NG97 (dementia). You do not need to memorise guideline numbers, but you must know the key management recommendations for each condition.

How should I revise PLAB 1 neurology questions?

The most effective approach is: (1) learn the key conditions from the GMC Content Map, (2) practise SBA questions by topic focusing on the 'next best step' rather than diagnosis, (3) master the key scoring tools (ABCD2, ROSIER, MMSE), (4) review NICE guideline summaries for each condition, and (5) practise differentiating UMN vs LMN and central vs peripheral causes of common presentations.

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