PLAB 1 Renal and Urology Practice Questions
One of the ten areas in your GMC result · 52 practice questions with answers
180 questions across all ten areas in 3 hours, with a score for renal and urology so you know where you stand.
Free renal and urology drillA 67-year-old man with type 2 diabetes has an eGFR of 38 mL/min/1.73 m², and 41 mL/min/1.73 m² 3 months later. His urine albumin:creatinine ratio (ACR) is 45 mg/mmol on two early morning samples. How should his chronic kidney disease be classified?
Renal and Urology on PLAB 1
Renal and urology questions cover acute kidney injury on the wards, chronic kidney disease in primary care, and urological emergencies such as urinary retention, renal colic and testicular torsion. Many questions test drug safety in kidney disease.
- In your GMC result
- Your percentage correct in renal and urology, next to the average for all candidates
- On our mock exam
- 14 of 180 questions, with your percentage for this area in the result
- Our drill
- 10 questions from 52 renal and urology questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass

What renal and urology questions test
- Acute kidney injury: staging, prerenal, renal and postrenal causes, which drugs to stop, and when to refer
- Hyperkalaemia: emergency treatment in the right order
- Chronic kidney disease: eGFR and ACR staging, blood pressure targets, and referral to nephrology
- Urinary tract infection: lower UTI in women, men, pregnancy and catheters, and pyelonephritis
- Stones and obstruction: renal colic imaging and analgesia, and the infected obstructed kidney
- Prostate and the scrotum: lower urinary tract symptoms, acute retention, prostate cancer referral and testicular torsion
Sit the full 180 questions under the real clock
180 questions across all ten areas in 3 hours, with a score for renal and urology so you know where you stand.
Free renal and urology drillHow to revise it
- Learn the AKI drug list: what to stop or hold (NSAIDs, ACE inhibitors, ARBs, diuretics, metformin) and why.
- Know the steps for treating hyperkalaemia in order, with doses from the BNF.
- Learn the NICE referral criteria for visible and nonvisible haematuria.
Common questions
Are urology emergencies tested on PLAB 1?
Yes. Testicular torsion, acute urinary retention and the infected obstructed kidney are classic PLAB 1 scenarios because a Foundation doctor must recognise them and get urgent help.
Which guidance do renal questions follow?
NICE guidance on acute kidney injury, chronic kidney disease and urinary tract infection, NICE suspected cancer referral (NG12), and the BNF for drug use in renal impairment.
180 questions across all ten areas in 3 hours, with a score for renal and urology so you know where you stand.
Free renal and urology drillThe other PLAB 1 areas
Sources
- GMC: What is the PLAB 1 exam? (180 questions, three hours, five options)
- GMC: PLAB 1 results (scoring, ten feedback areas, Angoff pass mark, exam and result dates)
- GMC: When and where can I take PLAB 1?
- GMC: Booking a PLAB 1 place (eligibility, attempt limit)
- GMC: Fees for doctors (PLAB fees from 1 April 2026)
- GMC: Additional PLAB 1 attempt
- GMC: Recent pass rates for PLAB 1 and PLAB 2
- GMC: MLA content map (September 2026)
- GMC: Changes to PLAB 1 in 2027
Original practice questions for exam preparation, written to the GMC’s MLA content map (September 2026) and current UK guidance. Independent practice, not affiliated with or endorsed by the General Medical Council (GMC). Follow current national and local guidance in clinical practice.