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 drill
Free sample · Question 1 of 3Renal and Urology

A 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
Line drawing of a kidney model, a urine sample pot, a strip of urine dipsticks and a catheter drainage bag on a bed frame

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 drill

How 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 drill

The other PLAB 1 areas

Sources

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.