AMC clinical- 22nd September 2007 Adelaide

Discussion in 'AMC Clinical Exam' started by Guest, Sep 22, 2007.

  1. Guest

    Guest Guest

    Hi Guys, I have used this forum to study for the AMC exam and felt I just had to recall the questions and post it here. I don’t know if I will pass but wish me luck guys…

    1. Hospital setting: Talk to the son of a man who has undergone laparotomy for intra-abdominal aneurysm. He is in the ICU, is on assisted ventilation and will be extubated tomorrow. He had given consent before the operation to talk to his family about the procedure and progress. Answer questions and deal with concerns.

    2. GP with shared care: GBS positive in vaginal swab of 36 week old lady, no problems so far in pregnancy. History taking and explain management.

    3. ED setting: Clot in right popliteal vein of university student who returned from Europe trip. History and management. Fam H/O DVT in mother- examiner asked what test will u do- anti-phospholipid antibody. How much Heparin and what route? Not on OCP, no smoking.

    4. ED setting in a country hospital: Brown snake bite, materials given to manage, pt stable and asymptomatic of evonemation. Explain to pt, what test to do to check- serum check kit was in the station. Examiner asked what will u do if he get symptomatic of brown snake bite- give anti-venom. Do u know where they get the anti-venom from- fangs of snake.

    5. GP setting. Post menopausal bleeding- 52 yr old lady with 18 months of amenorrhoea, PV bleeding for 4 days. History, ask investigations from examiner and explain further management to patient.

    6. GP setting. Febrile fit- 38 degrees, had an episode of fit 2 hrs back, has had similar ones before with the fever. Growth in the 50th percentile- history was not suggestive of any problems in milestones. Explain to mother and manage.

    7. GP setting. HSP- TWO EXAMINER STATION- 3 yr old active, well child with bruises and bleeding gums. Had URTI 2 weeks back and then developed bruises and petechiae all over. Ask investigations to examiner, tell parent about DD and management.

    8. GP setting. A 7 week preg lady, second child with a history of C- section in previous preg 2 yrs back for fetal distress asking if she can have a vaginal delivery this time.

    9. GP setting. 4 month old baby, breast fed with 4 episodes of diarrhea and 3 episodes of vomiting. Previously well, no symptoms at the moment. Focused history, examination findings from the examiner and manage.

    10. ED setting: 50 yr old with palpitation and dizziness. History, PE from examiner and explain management. ECG given, think it was AF/SVT.

    11. Setting: Intern in a Gastroenterology unit .A 47 yr old insurance agent with chronic diarrhea for the last 6/12. History, PE findings from examiner and explain management to pt. He had floating stools with difficulty to flush, LOW about 5 kgs so far.

    12. FNAC of nodule in the left supra- clavicular region showed squamous cell CA- the other team had two examiners for this station. Relevant examination, DD of primary sites. Pt had Horner’s synd, weakness of L UL- check nerves also.

    13. Setting- night intern in tertiary hospital. 26 yr old lady in hospital, you are called at 4:00 AM to talk to her. She was admitted with abdominal pain, no cause found, has been seen and cleared by the home team and the picture now has not changed except she insists on Pethidine to relieve the pain. Examiner asks if I will give Temazepam.

    14. GP setting- 26 yr old lady with HepC positive, Hep B and HIV- neg done before blood donation at Red Cross. History, investigations and management.

    15. GP setting- Pt with Chronic Schizophrenia on Zyprexa for the last 3 months, asympt of psy illness, wt gain of 15 kgs since meds started. BMI-30, focused history and management.

    16. ED setting: 25 yr old with severe headache, has had migraines in the past but this one is more severe than before, History, ask examination findings and management. Pt was febrile with neck stiffness.
  2. Thank you and good luck
    how did you do in the exam ??
  3. samora

    samora Guest

    thanks mate

    thanks and wish u good luck
  4. fg

    fg Guest

    Thanks for recall but i think it was ITP instead of HSP as there were decreased platelets and no tummy or joint pain. Bruises were also widespread rather than only on buttocks.
    bye
  5. samora

    samora Guest

    i totally agree with you dr. fg
  6. Hi Dr gg
    I hope you passed the exam , hte results were good
    Please let us know about you

    all the best
    Saba
  7. Guest

    Guest Guest

    22nd September 2007 Adelaide

    I passed, thanks for ur good wishes.
  8. Dr sahu

    Dr sahu Guest

    congrats Dr.gg

    hello Dr.gg congrats for passing the exam could u pls write the amc diagnosis for the senarios it would be great help thanx
  9. Guest

    Guest Guest

    I have not got the feedback from the exam, will post it on the forum when it arrives...
  10. Guest

    Guest Guest

    22nd September 2007 Adelaide- FEEDBACK

    Bleeding after menopause
    chronic pain
    chronic diarrhoea
    DVT
    Emergency snake bite management
    Febrile convulsions
    GBS +ve swab detected
    acute headache
    neck swelling
    positive Hep C test
    post op counselling
    Acute thrombocytopenia of childhood
    Vaginal delivery after CS
    Weight gain side effect of anti-psychotic
    Palpitations and dizziness
    viral gastroenteritis
  11. Dr. sahu

    Dr. sahu Guest

    thanx gg!!!!

    :D thanx Dr. gg for the amc diagnosis ,how abt ur internship have u applied for it???? there are two inputs round the year one in june and the other in jan which are u applying for and do let me kw !!!!!
  12. samora

    samora Guest

    Thanks dr. gg
  13. Guest

    Guest Guest

    22nd September 2007 Adelaide

    I am going to finish internship by Jan 2008...
  14. Guest

    Guest Guest

    Dear gg

    congrat your success. Would please post your information about post opt. counselling in this forum. thank you
  15. Guest

    Guest Guest

    22nd September 2007 Adelaide

    Ask pt's family what they know.
    Identify the issues/ concerns/ fears.
    Tell them what you know in terms of pt's progress and further/ current management.
    Offer to hold a family meeting with the senior team members.
    By the time you do all this, pt's family will be happy, ur job is done.

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