30 th october off shore exam recalls

Discussion in 'Australian Medical Council (AMC) EXAM' started by madhu60, Nov 1, 2007.

  1. madhu60

    madhu60 Guest

    hi all
    i sat for oct offshore exam..........lots and lots of psychiatry was in there, they didnt leave any personality disorder and heaps of questions on schizophrenia.
    no ECG and not much surgery and peads,
    i ll post some recall questions today or tomorrow
  2. Imran.

    Imran. Guest

    .

    which one can decrease the prevalence of a disease in the population
    1. herd immunity
    2. treatment
    3. health programme

    ans . 1

    if u see in the hospital that one colleague is drunk with ataxia and he is preparing for a operation and u talk him but he reply mind your business , then what u will do next

    1. call the CMO at same time
    2. talk to another colleague that he will take charge
    3. call the police
    4. report the CEO in next morning

    ans 2

    10 years history of acidity, well controled with medicine, no history of weight loss, all physical parameters are normal,, now presents with problem in swallowing of the meat what is ur Dx

    1. stricture of esophagus
    2. carcinoma esophagus
    3. barrets esophagus
    4. side effects of drugs
    ans. 1 because no history of weight loss

    parents came to physician, they have a child with the cleft palate and want to know what is the probability of cleft palate in their second child

    1. 3%
    2. 7%
    3. 0.4%
    4. 4%

    ans 4

    a child born, and not able to take breath what u will do first

    1. phryngeal sucction
    2. intubation and ventilation
    3. wait and watch
    4. x-ray

    ans. 1

    Very few recalls though part1 was easier though part2 a bit difficult specially the mastery questions were very confusing mostly was getiing stuck on 2 options
    some of the questions i can recollect

    who are more likely to have violent behaviour
    a. young man
    b. a criminal
    c. with history of violent behaviour
    d. homelessness

    questions on Good pastures syndromes
    many scenarios on Meningitis with CSF picture given

    Child having fever with dysphagia gradual in onset stridor
    lat view of neck shown
    1) Ac. Epiglottits
    2) Laryngotracheobronchtis
    3) Tonsillar Abscess
    4) Retropharyngeal Abscess

    picture of lesion on the back appeared to be nummular eczema

    Many questions on Psychiatry all of them on Atypical Anti psychotics, Lithium carbonate, Somatisation, Manchausen, Conversion reactions, Schizophrenia

    One scenario of melanoma in past 5 yrs back with recurrence

    AChondroplasia in mothers brother and chances of getting them in the kid of non affected father

    Two scenarios on left iliac pain

    Term baby born by NVD is brought to Emergency with history that he was found to be unwell on D4 from home. On examination no murmur, baby is floppy, cyanosed and weak pulses. The diagnosis is?

    A. Hypoplastic left heart syndrome
    B. Transposition of great vessels with VSD
    C. Tetralogy of fallot
    D. VSD
    E. PDA
  3. 2007

    2007 Guest

    exam

    how was the exam in general?were the questions from the same topics as the recalls?
  4. Guest

    Guest Guest

    absolutely not. there were only about 20 recall questions as far as i know. and i did most of the papers bet 2004 and 2007.
  5. 2007

    2007 Guest

    hi

    could you post more questions please?
    thanks
  6. madhu60

    madhu60 Guest

    An 85 years old man comes to u with lots of bruises, he lives with his daughter, on further questioning he tells u that he is abused by his son in law, but he strictly asks u not to inform police as he could tackle the matter himself, what would u do

    1) give him medication and let him go home
    2) inform the police
    3) arrange for his regular checkup but keep his secret



    Old man admitted in hospital for a week for surgery, after surgery he has confusion , ataxia, tremors, what is most likely diagnosis

    1) alcohal withdrawl
    2) delerium


    3- A question about lithium toxicity causing hypothyroidism

    4-A boy with unilateral undescended testes, what is the most probable association?
    1)sterility
    2)inguinal hernia
    3)carcinoma


    5-A diabetic man with hypertension presents with impotence, taking
    following drugs ACE inhibitors, B blockers, metformin, sulfonylureas.what is the most probable cause of his impotence
    1) ACE inhibitors
    2) B blockers
    3) Metfprmin
    4) sulfonylureas

    6- A patient presents with shuffling gait, mask like face,typical presentation of parkinsonism
    most probable diagnosis?


    7-urinary incontinence......large amount of urine is lost,which type?
    1) urge incontinence
    2) stress incontinence
    3)overflow incontinence

    8- patient presents with a foul smelling vaginal discharge, mic ex presents clue cells diagnosis

    1) trichomonas vaginalis
    2) bacterial vaginosis


    9-a young patient presents with cyclical vulvovaginitis, most probable organism?


    10) An X ray showing bronchopneumonia, patient presents with cough and consolidation ,no chest pain, treatment
    1) penicillin
    2) tetracycline
    3) trimethoprim sulfamethoxazole


    11)A young patient asking for contraception, after giving her full information she chooses depo provera, she is 15 years old.what would u do
    1) tell her that depo is not suitable for her age
    2) give her depo injection
    3) give her all the sideeffects and leave the dcesion on her


    12-2 or 3 questions on c section

    13-A comes to u wife is pregnant and they ask u about the risk of child having achondroplasia, both mother and father are not effected but mothers brother has it, what would u tell her

    1) 50% chance
    2) 25% chance
    3) equals to any othet person

    14) one baby has cleft lip and cleft palate, what are the chances of next baby having the anomaly

    15) 2 questions on good pastures syndrome

    16)A question on preeclempsia

    17)what is the best method to find out EDD?
    1- scan in the second trimester
    2- vaginal exam on 8th week
    3 abdominal exam on 12 week


    18) A question on wilms tumour

    19) A question on retropharyngeal abscess

    20)Slipped capital femoral epiphysis , question on diagnosis of this dis?

    21) septic arthriris

    22) an alcoholic man presents with severe epigastric pain, pain radiates from the right hypochondrium to the back
    1- acute pancreatitis
    2- acute cholecystitis
    3- ruptures abd aneurysm

    23) picture of dome shaped syctic mass on the base of the tongue diagnosis
    1- ranula
    2- mucous syct


    24)child presents with neck lumps after tonsilitis diagnosis
    1- lymphadenitis
    2- tonsilitis
    3 retropharyngeal abscess


    25) A patient presents with recurrence of excised malignant melanoma?
    treatment?
    1) wider excosion

    26) epidural anesthesia contraindicated in
    1- reduced platelet count

    27) child with pyloric stenosis presents with alkalosis, what type it shouls be?
    1- hypochloremic met alkalosis
    2- hyperchloremic met alk
    3- normochloremic met alkalosis

    28) picture of ulner nerve palsy

    29)QUESTION ON ANAL FISSURE

    30) Question on cystic fibrosis

    31) patient with jaundice and antimitochondrial antibodies

    thats all i could recall right nowhope it ould help, good luck to all of u
  7. 2007

    2007 Guest

    thank u

    more recalls welcome..and any tips too.. :D
  8. mogan

    mogan Guest

    Is it enough?

    Can the past year questions be enough for the MCQ? Advice please.
  9. madhu60

    madhu60 Guest

    yes the topics are same but the questions are not same, so u read the whole topic of the question
  10. drgonzo

    drgonzo Guest

    there were ZERO ECGs. very few CVS questions on the whole. Paper seemed to be full of esp OBG and Psychiatry . esp OBG.

    very few recalls. bet the 2004 and 2007 papers, there must have been something like 20 or so recalls.

    i think it would be wise to check up what the second to last offshore paper contained and to see if there is a pattern in the questions they set.

    This is for real. It seemed to be very difficult, esp the bloody OBG questions.
  11. drgonzo

    drgonzo Guest

    if u see in the hospital that one colleague is drunk with ataxia and he is preparing for a operation and u talk him but he reply mind your business , then what u will do next

    1. call the CMO at same time
    2. talk to another colleague that he will take charge
    3. call the police
    4. report the CEO in next morning

    ans 2

    **** Why is it not 1 ??
  12. Kc

    Kc Guest

    70% on clinical scenarios, some of them really tuff! especially the one in part 2
  13. kc

    kc Guest

    1. a man has thyroidectomy due carcinoma. He developed fever tachycardia after 10 days. What is the most likely cause ?
    A. sepsis********
    B. thyroid storm
    C. hypothyroidism
    D. d
    E. d
    may be pul-embolism also

    At which level of cholesteral you consider to give lipid-lowering statins (eg, simvastatin, pravastatin)
    a. 6 mmol/l
    b. 5.5 mmol/l ******
    c. 5 mmol/l
    d. 4.5 mmol/l
    e. 4 mmol/l
    Depends on the patient and risk factors treatment target is < 4 with heart disease should be initiated at 4

    Which following group is the MOST at RISK OF HIV infection:
    a. Heterosexual
    b. Homosexual
    c. Intravenous drug user*********
    d. Blood transfusion
    e. Haemophilias

    11. Which of the following group is LEAST LIKE of infection of HIV:
    a. Heterosexual
    b. Blood Transfusion ********
    c. Homosexual
    d. Haemodialysis
    e. Haemophiliacs
    I think the question has something to do with 1980 or something?

    . A 65 year old man has ‘bulk†diarrhoea with “oilâ€. He drinks alcohol for many years . Which of the following is your investigation
    a IV pancreagraph
    b Endoscopy pancreagraph ********
    c. Abdominal X-ray
    d Ultrasound
    e Enema
    ERCP

    18.For an elderly man, which above following blood sugar level need further investigation
    a. 5 mmol/l
    b. 5.5 mmol/l
    c. 6 mmol/l
    d. 6.5 mmol/l
    7 mmol/l ********
    Only if it is fasting !!!

    Which of the following is typically occurring in heparin – induced thrombocytopenia:
    a. Joint bleeding
    b. Petechial purpura on the skin
    c. Thrombosis ******
    d. Haematuria
    e. Ecchymosis
    Typically causes white platelet thrombus.

    A 28 year-old female with long standing alcoholism, history of bowel irritation. Lab: HB 9.8; MCV 110. Which is the MOST LIKELY diagnosis:
    a. Whipple’s disease
    b. Colorectal carcinoma
    c. Coeliac disease *******
    d. Irritative bowel syndrome
    e. Ulcerative colitis

    A 55 year-old patient has blood pressure 200/130mmHg. His left kidney is small and urine tests and kidney functions are normal. What is your NEXT investigation:
    a. Intravenous pyelography
    b. Retrograde
    c. Renal CT scan *********
    Renal scan

    A 2 y.o presented with chronic constipation. AXR shower heavy faecal loading of the colon . P/R was uneventful. What is the most appropriated next step?
    a. Double contract barium enema
    b. Rectal biopsy
    c. Anal dilation
    d. AXR *******
    e. Laxatives

    WOF is most likely cause of mouth ulcers in children?
    a. Aphthous ulcer
    b. Behcet’s syndrome
    c. Herpes simplex
    d. Herpes Zoster
    e. Self inflicted ******
    . A woman has a child with Spina Bifida. She is pregnant again and asks your advice about this pregnancy. You may advise her to do all the following EXCEPT: (R.T. 3/[snip])
    a. Amniocentesis at 16-18 weeks
    b. U/S at 16 weeks to detect any fetal malformation
    c. U/S at 12 weeks for anencephaly
    d. U/S at 11-12weeks to measure the Nuchal Fold
    e. Triple or quadruple test at 16 weeks ********
    That’s for downs

    34y.o, G2 P1 presents at term with mild pre-eclampsia and a Bishop score of 4. WOF is INCORRECT in her management?
    a. Rupture the membranes
    b. Rupture the membranes then put up Syntocinon infusion
    c. Put up Syntocinon infusion in Hartman’s solution ******
    d. Apply prostaglandin PE2 intra-vaginally
    e. Apply prostaglandin PE2 intra-vaginally

    11.most common cause of painless jaundice in preg
    a. cholestasis *****
    acute hepatitis

    42 yo woman on O/C come to see you b/o mid-cycle spot bleeding. What is the most likely cause?
    a. Reduced oestrogen level ******
    b. Cervical ectropion(erosion)
    c. Cervical intra-epithelial neoplasia
    d. Endocervical cancer
    e. Atrophic vaginitis

    After ejaculation which of the following is the site were MOST of the sperms are lost
    a. The vagina ******
    b. The cervix
    c. The uterine cavity
    d. The ampulla
    e. The isthmus

    Management of urge incontinence includes all the following EXCEPT
    a. Anti-cholinergic drugs **********
    b. Pelvic floor muscles exercises
    c. Dilatation of the bladder sphincter
    d. HRI ????
    e. Baldder retraining (Bladder drill)

    A lady presents an engorged long saphenous veins and engorged tributaries in the calf and thigh , which of the following is the management?
    a. Ligation of saphenous vein
    b. Ligation of stripping vein *********
    c. Amputate the leg if varices are severe
    d. Sclerotherapy
    e. Remove varices vein under local Anaesthesia
    Isn’t it ligation and stripping?

    Lithogenesis of bile is increase by all of the following EXCEPT:
    a. Age
    b. Weight loss **********
    c. Malabsorption
    d. Crohn’s disease
    e. Hyperlipidaemia

    A man, middle age, complains that there was a mild abdominal pain with an abdominal distension , which was relied by passing flatus, There was semiformal stool motion . Which of the following is the most possible diagnosis?
    a. Irritable bowel syndrome ******
    b. Cancer of colon
    c. Coeliac disease
    d. Diverticular disease

    A 24 years old man was apprehended by the police in public park because of aggressive behaviour. He claimed total amnesia of the event. What is the MOST LIKELY explanation fro his behaviour:
    a. Global amnesia
    b. Brief psychotic reaction
    c. Alcohol and drug intoxication********
    d. Organic brain disorder
    e. Epilepsy

    4. Which of the following is a RISK FACTOR potential violent behaviour in a patient?
    a. Being in prison
    b. Past history of violence *********
    c. Alcohol and drug abuse
    d. Organic brain disorder
    e. ?
    5. (J Type) Prostate cancer:

    a) Increase in acid phosphatase after PR
    b) PSA is better prognostic indicates than acid phosphatase ***********
    c) Causes only sclerotic lesion in 2%
    d) Reduces incidence
    e) 5 year survival – 25%

    6. In cystic fibrosis all true EXCEPT:
    a) Intestinal obstruction in newborn
    b) Iron deficiency anaemia
    c) DM
    d) Dehydration in summer *********
    e) Intermittent constipation

    7. In a patient with chronic lung disease, the following clinical signs point to the presence of airflow obstruction rather than pulmonary fibrosis:
    a) Prolonged expiratory time ***********
    b) Early inspiratory crackles at the bases
    c) Predominant upper chest movement with breathing
    d) Use of accessory muscles of breathing
    Increased gas transfer factor

    8. Osteoporosis seen in all EXCEPT:
    a) Thyroxine ***********
    b) Steroids
    c) Phenytoin
    d) ACTH
    e) Carbamazepine
    Is D ACTH or GNRH ?

    9. Drugs causing orthostatic hypotension:
    a) Cloridine
    b) L-dopa
    c) ACE inhibitors
    d) B-blocker
    e) Ca channel blocker ********
    Almost all antihypertensives cause it ???


    2. In regard to nerve suturing which nerve will have better result
    a) ulnar nerve
    b) medial nerve
    c) digital nerve *********
    d) sciatic nerve
    e) radial nerve

    1. The mother of premature baby born at 30 weeks gestation was out of the hospital in 6 weeks. Baby was in good condition, thriving well. Mother has concern about her baby not having good head control and social smile. What would you do:
    a) No treatment – everything is normal **********
    b) Developmental delay
    c) Blood transfusion
    d) Iron and vitamin supplements
    e) Start baby on solid foods

    2. A 2 year old child with clean-cut on his head. He has never been immunised. The optimum management is:
    a) Tetanus immunoglobulin
    b) Tetanus toxoid
    c) Triple antigen vaccination
    d) Penicillin
    e) Childhood DT vaccine **********
    From GM but why not DPT ??

    3. All of these conditions can cause hypoglycaemia EXCEPT:
    a) Post-date baby
    b) Low birth weight for gestational age
    c) Mother prescribed phenytoin during pregnancy ********
    d) Mother used propranolol
    e) Mother is diabetic
    Phenitoyn should not be given even if causes fetal hydantoin synd

    4. Which of the following conditions is the least common cause of developmental delay in 2 year old child, with lassitude, anorexia and speech regression:
    a) Brain tumour
    b) Epidural haematoma *********
    c) Food allergy
    d) Lead poisoning
    e)

    5. A 12 year old girl was watching TV in the evening. She then became short of breath, hyperventilating. The diagnosis would be:
    a) Asthma
    b) Anxiety reaction ********
    c) Epilepsy
    d) Personality disorder
    e) Psychotic episode

    6. A 6 week old baby was vomiting from birth. His birth weight was 3.6 kg. He is now 3.8 kg. Physical examination was normal. The most useful examination/test would be:
    a) Barium meal
    b) Serum electrolytes *********
    c) Plain x-ray of the abdomen
    d) Barium enema
    e) Full blood test

    7. The young child ingested caustic soda. What would you do:
    a) Give ipecacuanha
    b) Give vinegar in water
    c) Give milk
    d) Stomach lavage
    e) Lemon juice******** not sure??


    8. What is not right about cerebral palsy in childhood:
    a) Associated with deafness
    b) More than 80 % of affected are retarded (IQ < 70 %)
    c) Increase spasticity in child’s life
    d) IQ < 50 in 95 % of patients
    e) IQ > 80 in 50 % of patients***********
    1
    . A man is going to court. He assaulted his wife while intoxicated. He wants you to write a medical report. Your appropriate response is:
    a) refer to a psychiatrist
    b) will write a balanced non judgemental report about his medical and social status*****
    c) will write report saying that he is a terrible man
    d) it is not your responsibility because you are not getting paid for this
    e) you don’t write medico-legal reports


    1. In preserve blood which of the following last longer:
    a) platelet
    b) fibrinogen
    c) prothrombin
    d) factor VII
    e) factor VIII
  14. ah beng

    ah beng Guest

    my trial

    who are more likely to have violent behaviour
    a. young man
    b. a criminal
    c. with history of violent behaviour
    d. homelessness

    ans c

    Child having fever with dysphagia gradual in onset stridor
    lat view of neck shown
    1) Ac. Epiglottits
    2) Laryngotracheobronchtis
    3) Tonsillar Abscess
    4) Retropharyngeal Abscess

    ans 2

    Term baby born by NVD is brought to Emergency with history that he was found to be unwell on D4 from home. On examination no murmur, baby is floppy, cyanosed and weak pulses. The diagnosis is?

    A. Hypoplastic left heart syndrome
    B. Transposition of great vessels with VSD
    C. Tetralogy of fallot
    D. VSD
    E. PDA

    ans A

    An 85 years old man comes to u with lots of bruises, he lives with his daughter, on further questioning he tells u that he is abused by his son in law, but he strictly asks u not to inform police as he could tackle the matter himself, what would u do

    1) give him medication and let him go home
    2) inform the police
    3) arrange for his regular checkup but keep his secret


    ans 2

    Old man admitted in hospital for a week for surgery, after surgery he has confusion , ataxia, tremors, what is most likely diagnosis

    1) alcohal withdrawl
    2) delerium


    ans 1



    4-A boy with unilateral undescended testes, what is the most probable association?
    1)sterility
    2)inguinal hernia
    3)carcinoma

    ans 2



    5-A diabetic man with hypertension presents with impotence, taking
    following drugs ACE inhibitors, B blockers, metformin, sulfonylureas.what is the most probable cause of his impotence
    1) ACE inhibitors
    2) B blockers
    3) Metfprmin
    4) sulfonylureas

    ans b blocker


    7-urinary incontinence......large amount of urine is lost,which type?
    1) urge incontinence
    2) stress incontinence
    3)overflow incontinence

    ans 2


    8- patient presents with a foul smelling vaginal discharge, mic ex presents clue cells diagnosis

    1) trichomonas vaginalis
    2) bacterial vaginosis


    ans 2

    9-a young patient presents with cyclical vulvovaginitis, most probable organism?

    candida
  15. Guest

    Guest Guest

    KC Thank you for pasting my answers from the other site !

    Stress incontinence does not pass a large volume, Its is either functional incontinence or Urge .
  16. san111

    san111 Guest

    Thanks Kc for the answers.

    The answer to urge continence management question can not be anti cholinergics as it is used in the treatment of urge incontinence.

    Management: General
    General measures
    Avoid Diuretics including caffeine
    Avoid Constipation
    Plan fluid intake to prevent sleep interruption
    Behavioral measures (first-line treatment)
    See Bladder Retraining Drills
    See Kegel Exercises
    Behavioral therapy is more effective then medication
    Burgio (2002) JAMA 288:2293-9
    Wyman (1991) Urol Nurs 11:11-7


    Management: Medications
    General
    Medications are only an adjunct to behavioral therapy
    Anticholinergic (Propantheline, Imipramine)
    Inhibits detrussor contraction
    Increases bladder capacity
    Bladder Relaxants (antimuscarinics)
    See Bladder Antispasmodics
    Inhibits involuntary detrusor contractions
    Medications (long-acting agents are preferred)
    Oxybutinin XR reduces Incontinence episodes 28%
    Tolterodine XR offers similar benefit to Oxybutinin
    Oxytrol (transdermal antispasmodic patch)
    M3 Specific antimuscarinics (Vesicare, Enablex)
    Consider alpha-blocker medications if BPH present
    Example: Terazosin (Hytrin)
    Estrogen not recommended
    Oral Estrogen Replacement may exacerbate Incontinence
    Intravaginal preparations lack evidence to support


    may be the answer is HRI,

    Thanks.

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