16 may brisbane

Discussion in 'AMC Clinical Exam' started by mel ..80, May 16, 2009.

  1. mel ..80

    mel ..80 Guest

    1 ingunial hernia
    2 ca colon
    fussy eater
    spont pnemothorax
    endometrial ca
    breech with placenta previa
    elderly who tripped
    stress coz of husbands psychi illness
    rt iliac fossa pain
    breast lump
    delirium..hip replacement
    HTN ocp
    child abuse
    ...was really stressed during exam...n made lot of mistakes..will post details soom..pray for me guys
  2. Guest

    Guest Guest

  3. guest000

    guest000 Guest

    can u tell little bit more detail plz
  4. Guest

    Guest Guest

    brisbane 16 may

    1) child with spiral fracture of humerous
    2) 2.5 year old ,mother complains of loss of appetite,weight and height provided,if you ask they give you the growth chart which was normal ,the only problem was that the child eating junk food
    3)child under 12 month with inguinal and umbilical(1cm)
    4)lady 18 month post menopause with vaginal bleeding,nothing in history
    5)34 month pregnant with breech presentation and placenta previa living 100 km from nearest hospital
    6)20 year old with breast lump in left breast ,no other symptom,mother had a cancer
    7)lady with bipolar husband and teenager at home ,cant cope any more
    8)25 year old with panic attacks after recent car accident(PTSD)
  5. Guest

    Guest Guest

    9)alcoholic guy concerned about drinking similar to AMC book case
    10)70 year old with resent falls,history :drinks alcohol,history of MI
    11)25 year old with HTN she is taking OCP
    12)delirium case similar to AMC book
    13)pneumothorax in a young boy(i could not find in CXR?)
    14)LLQ pain in young girl,appendicitis
    15)70 year old lady with stricture in barium enema of colon
    16)young boy with sliding hiatus hernia similar to AMC book case
  6. guest 555

    guest 555 Guest

    1. mother of 2 ½ y.o kid came to your GP c/o child not eating well. Height and weight given.
    1. history
    2. advise mother about management
    (this station will require you to plot growth only if you ask though)
    2. 20 y.o Uni student has episodes of SOB, using Ventolin she got over the counter
    1. ask her about history/ SOB
    2. tell patient probable diagnosis
    3. manage
    3. 34 wks AOG placenta praevia major and breech presentation. You’re a GP in a remote clinic. Tertiary hospital 225 kms away
    1. tell px about diagnosis
    2. manage
    4. 25 y.o. man w/ sudden SOB, hand over of colleague, said normal chest findings. Still a bit breathless.
    1. get history
    2. ask investigations done
    3. tell patient diagnosis and manage
    5. 5 month boy with symptom of intermittent inguinal mass. Normal PE. Mass at external inguinal ring. Also has 1 cm umbilical hernia
    1. Tell mum about the diagnosis
    2. Advise on management
    6. 50 something male patient came to you about his alcohol intake because he saw commercials on tv about alcohol. You saw him last week and did tests. MCV 106, GGT 85.
    1. tell him the results
    2. get history
    3. counsel
    7. 72 male h/o fall. General health ok. Daughter lives nearby
    1. get history
    2. summarize to examiner
    3. advise patient about management
    8. 52 y.o woman had changes in bowel habits, bleeding per rectum, weight loss. You did barium contrast study. X-ray taped outside. Picture of possible colon cancer
    1. explain xray to patient
    2. advise about possible diagnosis and management
    9. 25 y.o male has reflux symptoms. Not overweight. Endoscopy done showing oesophagitis and severe reflux, no ulcerations, has small sliding hiatus hernia
    1. Explain results to patient
    2. advise about management
    10. 30 something lady, RIF pain. Stable obs for now.
    1. history
    2. manage px
    11. 5 month baby preterm, unwanted pregnancy, 19 y.o mum, lives w/ boyfriend who is not the father of the baby. Mum works part time and sometimes leaves baby with BF. Baby cries when arm moved. X-ray- spiral fracture of the upper humerus.
    1. explain x-ray to Mum
    2. advise re: diagnosis and management
    12. Delirium in a post-op patient. Very very long stem. Same as AMC delirium case though.
    13. 25 y.o woman noticed 2 cm mass on the R breast
    1. take history
    2. advise about diagnosis and management
    14. 45 y.o. woman not coping. Comes to your GP. Has a husband with bipolar and has a 16 year old daughter.
    1. take history
    2. tell patient possible problem
    3. counsel
    15. 54 y.o woman complaining of 18 months of amenorrhea after cessation of menses at 52 y.o.
    1. take history
    2. ask examiner about PE and investigations
    3. tell px about management
    16. 20 y.o. has 3 measurements of high BP
    1. take history
    2. manage
  7. guestbrizi

    guestbrizi Guest


    thanks....and good luck...
    anyone has any tips for a re-test?
    .........not available in Brisbane, for what i discovered...just Melbourne and Sydney ( for those that sit amc in Bris) ???!!!
  8. mel.80

    mel.80 Guest

    hi friends..i passed the exam.......will post details once i get the feedback.............thanks everyone
  9. HJ

    HJ Guest

    Thanks, and congratulation to your success!!!
  10. sarcar

    sarcar Guest

    amc clical bris

    never choose this center
    all the cases r good n but examiner r devil

    they just do pr n mask like face

    we diid very well despite they just failed :x :shock: :shock: :shock: :shock: :shock: :shock:
  11. Guest

    Guest Guest

    May 16 Brisbane

    1. Child with Spiral fracture of the right upper humerus. Explain diagnosis to accompanying parent, and explain your management. There is no need to take any further history.

    2. Breech presentation and placenta previa type IV in a primipara in her 34th week of gestation, you are in a rural GP setting : 100Km from the nearest hospital and 250Km from the nearest tertiary referral center. Explain the diagnosis and your management.

    3. 75 year old gentleman who lives alone and functions independently presenting with a history of falls. Take a history and summerise the case to the examiner.

    4. 25 year old male with dyspnoea for three hours. Obtain a history and request investigations (CXR shows pneumothorax) the explain your management.

    5. Young woman (?26) presenting with dyspnoea in a GP setting. She has a history of being involved in a motor vehicle accident five months ago, subsequently developed dyspnoea, no wheeze and self treated with intermittent ventolin with minimal effect. All investigations including those done for a respiratory illness (spirometry) is normal. Take a history and explain you management. This was the case of PTSD.

    6. 2 and a half year old child brought to you in a GP setting by a concerned mother requesting help about her son who is apparently not eating. There are two other siblings, 10 years and 12 years old and they are well. Take a focused history and explain your management. (remember to ask the mother for the growth charts).

    7. 52 year old lady presenting with vaginal bleeding 8 months after the cessation of menstruation. Take a history and explain your management.

    8. A concerned mother has brought you her 6 month old son with a right sided reducible inguinal region swelling and periumbilical swelling. Explain your diagnosis and management. (There is a pencil and paper there for diagrams if needed - remember to use it).

    9. 26 year old lady presenting with a right breast lump which she has noticed two weeks ago. She is presenting to you in a GP setting. Take a history and manage. ( This turns out to be a benign fibroadenoma).

    10. 52 year old lady presenting with weight loss and you are now seeing her for the second time in your GP practice. She has already had a barium enema which shows a filling defect in the descending colon ( radiology is given to you), Explain the diagnosis and management.

    11. 26 year old lady presenting to you in you GP practice with three recorded high blood pressures, Take a focused history ( where she tells you she is on oral contraceptives-Migrogynon50 and is a smoker) then explain your management.

    12. 35 year old gentleman presenting to your GP practice with gastric reflux symptoms, a gastroscopy has been done and the results show an esophagitis, hiatus hernia, no ulcers, no biopsies taken. Take a focused history ( he tells you he drinks 6 stubbies a day and smokes)and explain the investigations and management.

    13. 45 year old gentleman found to have abnormal liver function tests and FBE (high GGT, high MCV). Examination finding show a BP of 160/90mmHg. Explain the results and take a focused history.

    14. 26 year old lady presenting with RIF pain of six hours duration. Take a history, ask the examiner for examination findings and manage.
    examination - not an acute abdomen, PV reveals a vague mass in RIF, examiner will not reveal pregnancy test result nor ultrasound result.

    15. 40 year old lady " just not feeling well" , presents to your general practice. She has a 42 year old husband with bipolar disorder and a 16 year old daughter. Take a history and manage.
    History - rather unremarkable aside from saying she is unable to cope. Affect discordant with history, she seemed happy but saying she is sad ( don't know what that means). Clearly did not fit major depression symptoms, no suicidal tendencies.

    16. 75 year old day two post hip surgery with Dilirium, history of drinking 6 stubbies a day. This station was set such that you are the intern on the ward and have to communicate with the ortho reg who is in theater and explain your investigations and management. This station provided a page full of information supplied to you about the patient's examination and history.
  12. Teddy

    Teddy Guest

    AMC Clinical -Brisbane May 16

    Hi all I got my results and passed the test.
    Friends few suggestions
    - Dont worry about test centre,
    - treat the roleplayers as real patients
    - Be genuinely interested in patient care
    - Examiners at Brisbane were good come on you are there for exams not for a get together and they are supposed to be neutral
    - Examiners do give you some clues so be open to those.
    - Be specific in your diagnosis, give clearcut explanation to the patient; always be aware that you are a JMO so think about asking for help- referral to specialist they do appreciate that!

    All the best! :lol: :lol:
  13. guestbrizi

    guestbrizi Guest

    any newer

    Hi everybody..

    any recalls for the brisbane / sydney most recents?

    any recalls of resit exams?

  14. guestic

    guestic Guest

    ""40 year old lady " just not feeling well" , presents to your general practice. She has a 42 year old husband with bipolar disorder and a 16 year old daughter. Take a history and manage.
    History - rather unremarkable aside from saying she is unable to cope. Affect discordant with history, she seemed happy but saying she is sad ( don't know what that means). Clearly did not fit major depression symptoms, no suicidal tendencies""

    What do we do in this case? shall we admitt her for her Acopia?! or shall we offer social services to help her? really confused
  15. guestic

    guestic Guest

    any suggestions?
  16. are they trying to find out if we know about carers allowance? or there some thing hidden in it???


  17. DocWog

    DocWog Guest

    Unjust AMC

    I'm not a new candidate and tried to pass AMCQ exam in the past, however failed, and now get ready for another shot in November 2012, just before the End of the World. As I can tell from my previous experience, the exam won't reflect your potential, and even knowledge. Questions are deliberately made to confuse you and delay your answers, basically aiming candidates overall to fail. If you hold any kind of master degree, you will find questions not related to your specialization. Questions aren't easy as it seems, and sometimes need a second thought, but due to the lack of time, you're forced to move to the next question...a constant "hurry"mode. Be prepared that Australian Government prioritises graduates from Commonwealth Countries (which is clearly a DISCRIMINATION!!!!!). Government look at Overseas trained doctors ONLY as a source of permanent income. AMCQ DOES NOT provide an appeal if you decide to see your results also. In addition , while sitting the real exam, you will find a few supervises that will breath, eat, cough, sneeze next to you or make any kind of noise in general, e.g. whisper between each other. All these "wonderful" test + noise will cost you $1830. Sometimes I wonder...WHO WANTS TO BE A DOCTOR HERE Down Under? WHY and WHAT SHOULD I PROVE to Australian authorities that I'm a real deal? To be honest, the corruption is part of medical society here. "It is not what you know, IT IS WHO YOU KNOW", please remember this, and you won't find lots of friends, because medicine is a competitive and survival industry. Did you ever asked yourself- FOR THE SAKE OF WHAT to go through all of this? I've got a proposition, to be even with us, OTDs, let all Aussie professors, specialists, GPs etc,,,pass this exam as well as clinical in order to practice. I passed all required exams back in my country, so can anyone tell me why should I duplicate everything again? And what is going to happen if I decide to move to another country?!?!Exams, exams, exams and no practice...Yeap,it is exactly what I dreamed about. Actually, all these old professors and their associates received their degrees FREE OF CHARGE. Yes, a "real fair deal", like one of my former friends said, "possible, BUT NOT FOR EVERYONE". Medicine=dirty club.
    All the best. DocWog
  18. Lal_pakhe

    Lal_pakhe Guest

    Friends, there are many strategies explained but these are a few that helped me get through the clinical.

    1. TIME - give yourself enough time leading up to the exam, this is difficult because you have to start studying before getting a date for this exam. So have a strategy before getting the date and then once you have a date. In general three months of part time study should be enough if you were kind of okay in med school. One month is also fine, full time and if you are single.

    2. BOOKS - get the right books - "Murtagh" is a must (get all three in the series), AMC clinical book and the DVD. Go through this website for questions and use them as a guide only for areas that you need to brush up on. You are paying big bucks for this exam, so just get your own books.

    3. PRACTICE - this is a practical exam you have to practice out loud! Sitting quietly in your room thinking about the answers is a recipe for DISASTER. Go through the cases is detail.

    A proposed strategy for getting a perfect score:

    1. Skim thorough your old notes if you still have them, read all the headings only of the text books for this exam. You now have an idea of the material to cover. Use the AMC clinical book as the core study material. Read and practice each case on your own first, read the answers, then practice the delivery with a friend.

    2. The Philosophy of six. Read through all your notes six times :). Just gather the concepts: no need to memorize every word.

    3. The delivery technique: FIRST answer the question the station asks : don't be trapped by what you think they want - just answer the question. Remember the screening questions for each age group ( this is in the Murtagh text book) incorporate it in all your practice. Finally remember to council the patient about the condition and say that you are going to either refer to a specialist or schedule another appointment or going to print out some further information / pamphlets for them. Don't appear OVER CONFIDENT !!

    4. You are an ACTOR. Be calm, attentive, concerned, speak clearly and slowly, use pauses in your speech effectively.

    Lastly - eat healthy, think positive, and get some exercise. This will keep you focused and pull you out of those times of depression.

    I wish you all the best you know you can get this. Stick to positive energy and stay away from those negative people.

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