November 2006 Brisbane MCQ Exam

Discussion in 'Australian Medical Council (AMC) EXAM' started by Guest, Nov 18, 2006.

  1. Guest

    Guest Guest

    Hi all

    Have you heard the funniest thing about today's exam? Allow me to let you know!

    Can you imagine someone telling you something very different you never imagined the one night before the exam... Please do because it is exactly what happened to all of us today....

    Only 3 hours exam - 125 questions (Can you believe that?)...

    We were sitting in the waiting area waiting for the exam to start when we were told that today we will take only 3 hours exam(part 2) because the other part (1) is not working on the PCs. We got shocked and didn't know how to react...whether it was good or bad but we couldn't do anything apart from praying for that part which we were going to take.

    About exam.... ummm I am not sure about others but I found that alot of questions were from recalls, some exactly the same and some with different stem options. Overall, it was moderately difficult paper.

    * Out of 125 questions 3 or 4 pictures were from Anthology book, 2 to 3 from outside

    * Only 1 ECG

    * Quite a few mastery questions from Paeds

    Anyway, good luck to all those who took the exam. Looking forward to hear from you.

    Regards
    Shaiza
  2. JAZZMAN

    JAZZMAN Guest

    ya
    i was in that room and that what happened exactly..it is said that it is australia wide

    i think we need to press them to have the best offer !!!!

    it is unfair to have only 125 Q marked
  3. leila_che

    leila_che Guest

    It is not right

    I was in that room too. The reaction among candidates was a happiness.

    I think we have rights to ask AMC to let us finish the exam with part 2.
    Maybe I will be much better in part 2.

    If we all will demand for our rights we will have more chance.
    I mean ALL of us.
    Personally I will call them on Monday asking for part 2. I need it. Sure I didn't get enough points on paper 1.

    Best of luck for all November candidates

    Leila
  4. bulimia

    bulimia Guest

    Nomore part 2 again Laila

    I had finished part 1 5 Ques & it was cancelled !

    Harder than our Part 2 - more hard

    Can"t withstand anymore stresses

    Enough for me
  5. docpriya23

    docpriya23 Guest

    nov amc2006

    hi shaiza,jazz..i gave the exam from brisbane too.i thought the paper was tricky .i did a lot of mistakes.i was wondering if we cud discus the 125 questions
  6. Guest

    Guest Guest

    Hi there

    Yes sure!

    We can discuss the questions. My friend and I have recalled most of the questions(not completely though).
  7. bulimia

    bulimia Guest

    Looks like U have Excellent memory Dr Shaiza

    Hope U won't make me depressed with your correct answers

    bcoz now I am feeling good & relaxed without any books to touch !

    But U will make me to be panic soon ! :cry:
  8. Guest

    Guest Guest

    think positive guys!!

    Well friends all of us are in the same boat!!.
    usually what happens in these kind of situitations the AMC does modify the marking system,
    AS for those wanting to do part 2...are you sure!!!
    or you'd rather take the whole exam again without fees?
    Food for thought.
    As for me personally i do not want to go through itagain,
    Thanks shaiza for recalling for the next batch... whoever they are.
    Till then CIAO
  9. Guest

    Guest Guest

    helloo

    yea i gave the exam too...it was really tricky... i still dont know if what happened is good or bad. lets see how the results pan out.there were a lot of loooong questions with a long list of tests...i dont know how they expect us to read all that and answer within 1 min. ridiculous.

    here is one question i remember (though the wordings are a little different..i cant remember exactly)

    what is the formula of endotracheal tube for peadiatric?

    a. Age + 4/ 4
    b. Ht + 4/4
    c. Ht+ 4/2
    d. wt + 4/4
    e. wt + 4/2


    there were 2 pics from that AMC anthology book.. bowen's disease..and pyogenic granuloma
  10. bulimia

    bulimia Guest

    That was age by 4 plus 4 -- in milli metre- ( inner diametre of the tube)

    if they ask oral length of endotracheal tube --it is measured by- age by 2 plus 12 in centimetre
    Its in Royal child handbook

    I was confused with skin lesion-- it looks like Tinea corporis to me

    not psoriasis
  11. leila_che

    leila_che Guest

    lenght of the tube

    a. age/2+12
    b. age/4+12
    c. height/4+4
    d. height/2+4
  12. bulimia

    bulimia Guest

    No leila

    the first option is correct
    age/4 +4
  13. Guest

    Guest Guest

    Re: Hi there

    Yes, you are right Bulimia. The first option is correct.
  14. bulimia

    bulimia Guest

    how about Tinea corporis & maternal triple test ?
    am I right ?
    and did U get other MCQs & Answers ??
    Thanx
  15. leila_che

    leila_che Guest

    yes , it is correct
    age/4+4
    sorry, it was a mistake
  16. Shaiza'

    Shaiza' Guest

    Of course, I wouldn't like to make you feel bad Bulimia. I don't know the answers myself. So don't worry! we are all in the same boat as Nrs stated above.
  17. Guest

    Guest Guest

    1. ECG - Atrial flutter/MI
    Patient is receiving MI treatment, now presents with this ECG. Management?
    tpa
    Cardioversion
    Amiodarone
    Verapamil

    2. Child presents with red eyes and red mucous membranes.
    Measles
    Kawasaki's Disease

    3. Patient with red eyes and pre-auricular nodes
    Glaucoma
    Conjunctivitis
    Corneal ulcer

    4. 80yr old male non-alcoholic presents with delirium psychosis. He tries to attack on you while you are examining him. Treatment?
    Oral Diazepam
    Nasal Midazolam
    I/M Thiamine
    I/M Haloperidol

    5. Patient with diplopia, can't see on the left side with his left eye
    Rt. 6th nerve
    Lt. 6th nerve
    Rt. 3rd nerve
    Lt 3rd nerve

    6. In acute psychosis, patient is most dangerous to:
    Siblings
    Parents
    Manager
    Nurses

    7. 13 yr old boy on 50th centile for 9 yrs for height. Best prognosis:
    Bone age for 9 yrs
    Bone age for 13 yrs

    8. Picture - Red shiny lesion with 2 to 3 irregular ulcers on the lower leg. Treatment
    Tetanus toxoid
    Tetanus + Antibiotics
    Rest + Antibiotics
    Dressing

    9. Picture - Fracture head of humerus. Management
    Triangular sling
    Cast
    Open reduction and internal fixation
    Rest and analgesia

    10. Picture - CXR (AP & Lateral view) . 70yr old male presents with hemoptysis and cough:
    Chronic bronchitis
    Interstitial Pneumonitis
    Asthma

    11. Picture - Bowens disease

    12. Picture - Pyogenic granuloma

    13. Farmer working with chainsaw. Got a swelling in his rt.arm. Investigation?
    Venography
    Doppler
    Lymphangiogram

    14. Old male patient presents with sudden blindness and contra lateral hemiplegia for 3 minutes.
    Middle cerebral artery
    Ant. cerebral artery
    Carotid artery

    15. S/s of midbrain lesion - not sure

    16. Female middle aged woman collapses while jogging. Diagnosis?
    SAH
    Extradural hemorrhage
    Subdural //
    Cerebral tumor

    17. S/s of Rectal carcinoma:
    Constipation + bleeding
    Diarrhoea + bleeding + constipation
    Alternate bowel habit + incomplete sense of defecation

    18. Anal hemorrhoids . Diagnosis?
    Anal verge (2 options)
    Bleeding

    19. Child with intussusception. Investigation?
    Air contrast enema
    X-ray
    U/s

    20. Patient with a picture of either Colon carcinoma or villous adenoma. Managemtent?
    Increase fibre diet
    Surgery

    21. Giardia lamblia diagnosis?
    Stool examination for cysts
    Stool culture
    Mucus examination

    22. Child with murmur going to axilla and his back. Heaving and thrill positive. Diagnosis.
    ASD
    VSD
    FT
    TGV

    23. Long question - Acynotic child with raised Rt & Lt atrial pressure and raised rt.ventricular pressure. Diagnosis.
    ASD
    VSD
    FT
    TGV

    24. Patient is on Digoxin. Presents with nausea and vomiting. Cause?
    Digoxin toxicity
    Previous renal impairment

    25. Middle aged woman with painful thyroid nodule. Low TSH, high T3 & T4. Treatment? Please see page 227 John Murtagh
    Neomercazole
    Paracetamol & Propranolol

    26. WOF drug doesn't require monitoring of its plasma levels?
    Azathioprine
    Hydroquinolone
    Gold
    Methotrexate

    27. Mother brings her daughter with c/o hair loss which is unexplained. Mother got married recently and changed her daughter's school. Diagnosis?
    Tinea capitis
    Separation anxiety

    28. Hereditary spherocytosis - AOF are true except
    H/o gall stones

    29. Psychodynamic therapy
    Schizophrenia
    Borderline personality disorder
    OCD

    30. Female fruit picker, c/o pain in her rt.hand. There is a swelling 3cm in size proximal to first MCP joint near radial border of her wrist. Diagnosis?
    Osteoarthritis
    Tenosynovitis
    Tendon

    31. Child presents with grey tonsilar exudate and cervical lymphadenopathy. Infectious Mononucleosis.
    Atypical lymphocytes on smear

    32. Patient with massive bleeding. In emergency you will give:
    Whole blood, low hemolysins
    Packed cells , low hemolysins
    Crossed matched blood
    Uncrossed O-ve (it seemed it was not the answer)

    33. Long question. Male from Bali with c/o anorexia, malaise and fever. Blood chemistry was given: High Alk.phos, ALT & AST were mildly high. Other investigations were within normal limits. Diagnosis?
    Hep A
    Hep B
    Malaria
    Cholangitis
    Ca Pancreas

    34. Long question. Young girl with raised Prolatcin levels. Can't remember values for FSH &" LH. Treatment?
    Bromocriptine
    OCPS

    35. OCPs - patient missed her pill dose. You would advise:
    Continue taking the pills
    Pregnancy test
    Stop taking pills and start new cycle after one week

    36. Rh immunization - fetus dead inside. except type of question. You will do AOF in a subsequent care except:
    U/s for placenta previa
    Give anti-D gammaglobulin to mother if fetus is Rh-negative

    37. Picture - Psoriasis/ Tinea. Treatment? Please see page 1029 John Murtagh
    PUVA
    Topical steroids
    Itraconazole

    38. Middle aged women with tightening headache, taking paracetamol and OCPs. Management:
    Relaxation therapy
    Stop taking OCPs

    39. Diuretics. WOF is true?
    Contraindication in gout
    Usually taken with K-sparing diuretics

    40.Diabetic patient with hypertension. Treatment?
    Diuretics
    B-blocker
    Ace inhibitors

    41. Pregnant pt. presents with cord prolapse. First step in management:
    Push the cord back
    Knee elbow position and push the cord back
    Await events

    42. 8yr old girl with many episodes of Nephrotic syndrome execerbation, not responding to steroid therapy. Next investigation?
    Urea & creatinine
    Renal biopsy

    43. Difference b/w Shizophrenia and organic syndrome (Delerium)?
    Fluctuating level of consciousness
    Duration of symptoms

    44. 60yr old male, previously fit no past medical history c/o flashes in his eye. 4 months (or days) later he presented with gradual loss of vision leading to complete blindness. Cause?
    Diabetes
    Macuar degeneration
    Retinal.a thrombosis
    Carotid.a stenosis

    45. Male pateint present with ptosis but preserved corneal reflex. Diagnosis?
    Diabetes

    46. DM autonomic s/s. AOF are true except:
    Bradycardia
    Impotence

    47. AOF causes decrease in transferrin level except:
    Fe.deficiency anemia
    Thalasemia
    Hamochromatosis

    48. AOF are advantages of OCPs except:
    Decreas breast ca
    // Endometrial ca
    // Cervical ca
    // Ovarian ca

    49. 45yr old Obese patient has beentaking OCPs sine 10 yrs, now stopeed taking pills and presents with 3 moths of amenorrhea - To confirm her pregnancy:
    Check serum qualitative B-HCG
    // // guantitative B-HCG

    50. 4.5 cm ovarian cyst on u/s. Most likely:
    Serous cystadenoma
    Dermoid cyst
    Follicular cyst

    51. Femal pt with 3 children, have done tubectomy. Now presents with menorhagia.Uterus is bulky and heavy. Management?
    Mefanamic acid
    Endometrial ablation
    Hysteroscopy and curretage

    52. 15yr old girl with breat development. No axillary or pubic hair
    Precoscious puberty
    Normal variant

    53. Young girl with normal tenar stage development except for her menses. what would you ask?
    When was her growth spurt started
    // // // brest developed
    // // // pubic and axillar hair
    Mother's menstrual history

    54. After right hemicolectomy patient presents with diarroea. Treatment?
    Loperamide
    Cholestyrmine

    55. Patient presents with abdominal pain, constipation, and abdominal distension. Past h/o appendecectomy 20 yrs ago. Cause?
    Tumor
    Adhesion obstruction
    Paralytic ileus

    56. Child with vomiting and diarrhea but not dehydrated. Cause?
    Chlostridium deficile in stool
    Rotavirus

    57. Working mother brest feeding her child. Now wants to know what should she do while at work in factory.
    Stop breast feeding
    Formula milk
    Continue brest feeding and express milk from her brest during working hours

    58. Pain managemnet of cancer patient. He is on self-controlled Morphine. Now presnts with morphine s/e. Management?
    Reduce the Morohine dose
    Replace Morphine with Pethidine

    59. Young girl left her home becuse of family tensions. Lining with her boyfriend, has no living place. Tearful and anxious. Management?
    Tell her about STDs
    Couciling for contraception
    Report to homeless services

    60. Female secretory with too much spending, having arguements with boy friend about leaving her job. Believes she will be a rich woman one day. Diagnosis?
    Mania
    Narcissistic personality disorder
  18. Bulimia

    Bulimia Guest

    Dr Shaiza

    What are the correct answers ???---- I am scared :shock:
  19. Bulimia

    Bulimia Guest

    For the candidates who are using these MCQ

    Just remind U with something -for U to consider

    In reality-- these MCQ did not come as simple statements as it has appeared here
    We've missed to put & couldn't recall some of the facts to put it into these to make it thorough & more comprehensively

    So just note the topics of these MCQ & try to read some more details
    Your answers might be right based on these rewritten ones
    But in reality -- there might be some differences from your answers
    believe me
    many tricky words in these sentences
    Just I am trying to make U clear
    No means to intervene & insult Dr Shaiza & his friend's Kind contribution & their good deeds to this forum!
  20. Guest

    Guest Guest

    61. What is most likely in Major depression?
    Early morning awakening
    difficulty in initiating sleep

    62. Male patient on anti-depressive medication since 1 yr, now doesn't want to take medicines anymore. Tell him to:
    Continue the medication
    Withdraw slowly because of s/e

    63. Patient presents with pleuritic chest pain, leaning forward. Pericarditis. Treatment?
    Aspirin
    Aspirin + thrombolytics
    Analgesics

    64. Patient presents with burning pain along with vesicles and scabs. Herpes zoster/Post herpetic neuralgia. Treatment?
    Oral Acyclovir
    Carbamazepine

    65. 8yr old girl with temporal lobe epilepsy. Treatment?
    Valporate
    Carbamazepine

    66. Female patient with stiffness of shoulder girdle and Raised ESR - Polymyalgia rheumatica

    67. Long question. How to differentiate b/w Hypercalcemia and osteolytic (met. lesions)?
    High Parathormone levels
    High Calcium
    High Alk. Phos

    68. Before prescribing Antipsychotic medicine:
    Take a consent from Ethical authority
    Patent's history

    69. Question on Autism. Child has attachment to dinosaurs. Quiet and plays alone.

    70. Old female who is confused brought to you by her daughter. Management?
    CT scan head
    Occupational home assessment

    71. Another question about elderly confused patient. cause?
    UTI
    Septicemia

    72. During bladder catheterisation, patient collapsed. Cause?
    Bladder rupture
    Hemorrhage
    Septicemia

    73. Child with UTI. Urine bag showed mixed growth and E.coli > 10.
    Contamination, not infection
    Proven infection

    74. Best treatment for UTI?
    Trimethoprim'
    Norfloxacin

    75. Tracheal tube size for a child - Age+4/4

    76. Male patient concerned about complication of hernial operation.
    Sepsis
    Paraesthesia on left side of Penis
    // // // Scrotum
    Infetion

    77. During operation patient got breathless. Management?
    Aspirin
    Heparin infusion
    Warfarin

    78. In absence of heart disease, the most common cause of death during operation is?
    Cardiomegaly with S3
    MI since 1 year
    Stable Angina
    CABG
    Asthma

    79. Female smoker, c/o difficult breathing and chest pain, h/o air travel for 4 weeks. DVT (PE).Investigation?
    X-ray
    Ventilation perfusion scan

    80. Fever on 5th post op. day?
    Wound infection
    Paralytic ileus

    81. IgA Nephropathy
    Hematuria + HTN + Edema following sore throat
    Hamaturia without HTN following sore throat

    82. Child c/o morning headache, ataxia and nsytagmus. Family h/o migraine. Exposure to chicken pox in school. Diagnosis?
    Migraine
    Post fossa tumor
    Varicella cerebellitis

    83. Severe bacterial infection in a child?
    Increased pulse rate
    Disinterested to mum

    84. 4 days old infant lethargic, cold and mottled. Investigation?
    CXR
    Electrolytes
    ABGs

    85. Child with cough and cynosis - Pertussis
    Cough will continue for 4 weeks

    86. Prevention of Cervical Carcinoma
    Pap smear
    HPV vaccine

    87. Lymph node drainage below dentate line
    Superficial inguinal L.N
    Deep // //

    88. Investigation for claudication:
    Ankle brachial index
    Arteriography

    89. Volkman's contracture - the most ominous sign:
    Pallor
    Pulselessness
    Paraesthesia

    90. Football player with knee injury
    Tear of medial meniscus
    An isolated rupture of Ant.cruciate ligament
    Tear of medial meniscus and medial collateral ligament

    91. Knee dislocation. Injury to:
    Popliteal artery
    Femoral artery

    92. Picture - U/s fetus: (Either neural tube defect or Down syndrome)
    U/s
    Tripple test
    Amniocentesis

    93. Neonatal sepsis - can't remember this question

    94. Shoulder dislocation - Numbness to
    Upper lateral arm
    Upeer medial arm

    95. Male with lumbar lordosis + back pain:
    Osteoarthritis
    Ankylosing spondylitis

    96. Male with lumbar disc prolapse - senses preserved but loss of ankle jerk
    Rest and analgesics
    Refer to orthopaedic opinion

    97. Sclerosing cholangitis is associated with:
    Chrohn's disease
    Ulcerative colitis

    98. Long question. Male drinker (60g per day) now presents with confusion. Blood chemistry was given.
    Hepatic isufficency
    Liver cancer

    99. Male with weakness in lower limbs + decreased reflexes
    Cervical injury
    Myopathy

    100. Patient on Carbamazapine for epilepsy, well controlled for many years. Now c/o fits:
    Increase the dose
    Check plasma levels

    101. Pregnant patient can eat WOF?
    Smoked tuna
    Salmon
    Tined tuna

    102. HBcIgM shows:
    Recent infection
    carrier state

    103. Osteoarhritis. Management?
    Stick on contralateral hand
    // // ipsilateral hand

    104. During hemodialysis, you experienced a gush of blood on your face. First step?
    Wash your face
    Inform to medical unit
    Trace the source of blood (patient)

    105. Diagnosis of endometriosis:
    U/s
    Leproscopy

    106. Newborn with congenital anomaly and cataract. Diagnosis?
    CMV
    Rubella

    107. Indication for laprotomy after MVA?
    Blood in peritoneal cavity
    Air in peritoneal cavity
    Splenic rupture
    Liver injury

    108. Venous ulcer/thrombosis. Management?
    Stockings
    Antibiotics

    109. Lowest 5-yr survival rate?
    Colon ca
    Pancreatic ca
    Lung ca

    110. Patient with DKA. First step?
    5% Dextrose i/v
    Insulin
    Bicarbonate i/v

    111. Patient with bleeding form single duct. family h/o breast cancer. Investigation?
    U/s
    Mammography

    112. Middled aged woman presented with jaundice after cholecystectomy. Investigation?
    U/s
    ERCP
    Cholecystogram

    113. Adrenal tumor on CT scan 1.5 cm. No s/s. Management?
    Surgery
    Repaet CT scan after 6 months

    114. Patient with ectopic pregnancy. Diagnosis?
    Transvaginal u/s - empty uterus
    // // // - adenaxal mass

    115. 36 weeks pregnant woman, uterus soft and 2cm long. Wants to get delivered b'coz husband is going for a work after one week.
    Plan her delivery next day
    Request her to continue pregnancy
    C/sec

    116. Child with red irregular lesion on chest:
    Cavernous hemangioma
    Strawberry hemangioma

    117. Young patient with Asthma:
    Prednisolone before exercise
    Salbutamol before exercise
  21. Hi friends,

    I am so sad for you but I wish you will pass I wish I can do somthing . AMC should make the pass rate high other wise they are in a big trouble . It is a big Issue now even out side Australia.
    You need to relax now because I know how you feel after the exam .

    Please
    Shaiza
    Jazzman
    Leila
    Bulimia
    docpriya23
    nrs

    contact me when you get your result via email because I am not in Australia now , I will be back Jaunry 2007 and I do like to know your result
    My email address
    sabaabdulrazak@yahoo.com

    I hope you will all pass and we will study for the clincal together


    Good Luck
    God bless you all
  22. Hi friends,

    I am so sad for you but I wish you will pass I wish I can do somthing . AMC should make the pass rate high other wise they are in a big trouble . It is a big Issue now even out side Australia.
    You need to relax now because I know how you feel after the exam .

    Please
    Shaiza
    Jazzman
    Leila
    Bulimia
    docpriya23
    nrs

    contact me when you get your result via email because I am not in Australia now , I will be back Jaunry 2007 and I do like to know your result
    My email address
    sabaabdulrazak@yahoo.com

    I hope you will all pass and we will study for the clincal together


    Good Luck
    God bless you all
  23. Bulimia

    Bulimia Guest

    Thanx Dr Saba

    Have a nice trip for U

    U are a kind man indeed !
  24. :x I am not a man
    I am a nice girl
  25. any way thank you
    I wish you good luck
  26. Bulimia

    Bulimia Guest

    Gosh ! :oops:

    Dr Saba-- I really thought that U are a Nice & kind old Iraqi ( an old man )

    You have an old man tone
  27. Guest

    Guest Guest

    Hi

    Hi Bulimia!

    I am not sure of Psoriasis myself. But according to John Murtagh page 1029, it was Psoriasis. what do you say?

    And I also marked tripple screening test, but not sure of correct answer.
  28. Bulimia

    Bulimia Guest

    Dr Shaiza

    My problem with John Murtagh is -I only have a CD with 3 books in it
    So I can't turn the page as U have referred
    Plz tell me the chapter No
    Is there the same picture in it ?
    what did it say ?

    And I have a strange feeling with a baby with strawberry naevus & they gave the 2 options which are true for the statement
    I can prove it to U with kumar & clark
    Both strawberry naevus & cavernous haemangioma is for Strawberry Naevus
    Any comments ?
  29. Guest

    Guest Guest

    hi bulimia

    strawberry hemqngioma and caplillary hemangioma are the same.
    cavernous hemangioma is similar to caplilary hemangioma but is deep rooted. Both get involuted by the time the child is 7-9 yrs of age
    I agree that question had 2 options which were similar.
    I marked capillary hemangioma.
    I dont know what the correct answer is though.

    I marked psoriasis-coal tar
    Triple test to rule out neural tube defect

    We need to discu the anwrrs too.
  30. Bulimia

    Bulimia Guest

    Doc priya

    Then start putting your Answers here

    I'll check with mine & let U know--Only if U wish

    I've been using Kumar & Clark only-not Davidson

    both Cavernous H'gioma & Strawberry naevi are the same & we have these 2 options in it
    No-- capillary haemangioma option in Melb

    Then I chose Strawberry naevi to be on the safe side

    For an old lady with ECG-Atrial flutter -- I use cardioconversion -- am I right ? :roll:
    tell me where can I find this psoriasis picture ???
  31. Bulimia

    Bulimia Guest

    Sorry- Dr priya & Dr Shaiza

    I meant it does look like candida infection-- so I chose Imidazole

    I didn't mean tinea corporis

    Dr priya-- if it is big psoriasis-- U must use topical steroid--
    but it doesn't look like psoriasis
  32. Shaiza'

    Shaiza' Guest

    Bulimia! This is chapter 95 - Vulvar disorder

    I also marked strawberry hemangioma and cardioversion for ECG. But not sure.

    Priya! If it was Psoriasis, the treatment was topical steroids.

    What about shoulder dislocation? What treatment? Was it open reduction and internal fixation?
  33. Bulimia

    Bulimia Guest

    for shoulder dislocation- Triangular sling & early mobilisation ( I might be wrong)

    I still feel that this skin lesion is systemic candidiasis

    anyway - I'll check

    how about ant dislocation of shoulder Jt ??-- sensation loss is lateral aspect

    and how to reduce Alcohol drinking?-- silly Ques--I think I chose penalty imposed -- something like that

    and- Young sport man with knee injury-- I chose # patella-- might be wrong
    for knee dislocation-- I chose peroneal A ( I knew it -it was wrong )
    Tell me more of your answers to me
  34. Guest

    Guest Guest

    Oops! Sorry! It wasn't shoulder dislocation. It was fracture neck of humerus I think. That's why I marked reduction and fixation. :roll:

    For shoulder dislocation, yes it was lateral part of upper arm.

    For Psoriasis/Tinea - any other suggestions? I am not sure
  35. Guest

    Guest Guest

    For Alcohol drinking, I chose the same answer.

    Young sports man with knee injury-- I chose tear of both medial meniscus and medial collateral ligament

    For knee dislocation-- I chose popliteal A

    What about you Priya? What did you choose?
  36. Bulimia

    Bulimia Guest

    it is not Psoriasis dr shaiza -- it is candidiasis
    I think-- paroneal A is wrong-- I can't find it in the trauma book
    yes- for knee injury-- U might be right with ligament tear
    what about- psychiatrist Pt's violent ?--- I chose nurses :lol:
    Bcoz most of them are victims of Psy Pt
    and one red eye with follicles -- something like that-- I chose iritis-- bcoz-of young age-so it wasn't glaucoma- unilat-- so it wasn't conjunctivitis
    for fundoscopy-- it was DM
    I even forgot my Answers what I've chosen :roll:
  37. Bulimia

    Bulimia Guest

    Supracondylar # of humerus is Triangle sling & early mobilisation
    for preg lady with Cx infavourable-- I chose-- offer CS
    Very active lady with UTI came back from overseas--- Cipro Abio
  38. Bulimia

    Bulimia Guest

    Dr Shaiza & Dr Priya-- Some of your Ques are Diff from Us
    We have no CXR- ap- lat
    We were in Melb
  39. melbdr

    melbdr Guest

    hi guys

    AMC people r tricky , even in the Same centre the questions were different , and the choices were too , as if the choices werent already confusing

    i hope they have an external quality control measure (doesnt seems so) and indepedant cheking .

    for those who think its a big issue and amc would be linient , its not so
    such things have happened in past , last yr in nov , similar thing happend in sydney , most people failed,

    when given a tough call , amc would like to err on the side of failing doctors , instead of facing the wrath of media if sum doc they passed ended up as bad dcotor.
  40. melbdr

    melbdr Guest

    it popletial artery , most surgery questions were st8 forward , like mucous dirrohoes - pelvic abcess.

    i chose nurses - eye folicle , i coulcnt find any iritis (it said pupil normal , reacting to light) fundoscopy was DM? some people said it was R> vein heomm.

    about the ecg , i think it had wide QRS and VT also , in such case we give lidnocain ...( case from davidson)
  41. melbdr

    melbdr Guest

    some questins from other forum

    Q:pregnant woman at 36 weeks with hemmorhage-1000ml.pulse 100.BP-130/80.uterus tense.fetus dead.What is not necessary in further treatmnet

    A.central venous pressure measuremnet with resuscitation
    B.ultrasound for placenta previa
    c.blood coagulation
    D.
    this women needs urgent resuucsi , there was sum more choice , i forgot but i markeds that.

    Q:Woman with infertility 2 years.Regular cycles.No rise in BBT.Hysteroslapingogram shows one tube not patent.
    Husbands sperm count 15 million.75%morphology 50% motile..have sex every alternate day from day 10th to 17th of the cycle.(lol how unusual)cause of infertility

    A.tube patency
    B.no ovulatiopn
    C.poor semen specimen (??? what they meant about specimen???)
    d infrequent sex

    a primigravida presents for 1st antenatal chekup, every thing fine, she asks for dietry advice which of the following is safest

    1, soft cheese
    2. salami
    3. shushi
    4. smoked salmon
    5. tuna in brine


    39 yr old female , 3 kids , menorrohagia since 2 yrs since she has a clip sterilisation, how to manage.

    1 histeroscopy with curratage
    2 remove clip
    3 histerectomy


    A women presents at 36 weeks , asks to induce labour cause her hubby going out for 4 weeks tommorow ,cervix not ripe what to do

    1 refuse and counsel
    2 ask her to talk to patient advocate for fianl dicision
    3 induce tomm
    4 chek every day and induce when cervix ripe.
    5 ........


    a 23 yr old women presents with diarohhoea after 60 cm ileal resection and right hemi colectomy, what do u advice for diarrohoea

    1. loperamide
    2 anticholernegic
    3 .......
    4....
    5.........

    what increases the chances of post op mortality the most

    1. CABG
    2 Mi in last 1 year
    3 cardiomegaly with 3rd heart sound
    4
    5


    a patient post mi on clopidrogil , presents with partially obstructed hiatus hernia ..

    1 do operation immediately
    2 take off clopidrogil , do operation after 1 week
    3 give plasma protein and operate
    4 give cryoprecipitate and operate
    5 ...


    an elderly patient , 60gm alchohal drinker for 30 years presents with , anaemia , thrombocytopenia and lucopenia , liver enzyme raised , pt complaining of weakness , tiredness and bodyache since 6 months

    1 cronic aleukemic lukemia
    2 alchohal liver disease
    3
    4
    5
  42. Guest

    Guest Guest

    shaiza,bulimia--here are my answers

    1. ECG - Atrial flutter/MI
    Patient is receiving MI treatment, now presents with this ECG. Management?
    tpa
    Cardioversion
    Amiodarone
    Verapamil
    It was anterior MI-leadv4-6 had st elevation

    2. Child presents with red eyes and red mucous membranes.
    Measles
    Kawasaki's Disease

    3. Patient with red eyes and pre-auricular nodes
    Glaucoma
    Conjunctivitis
    Corneal ulcer
    It shud be conjuctivitis,with follicles and preauricular node--follicualr conjunctivits presents like this.I got that wrong--i wrote forign body as the patient had 3 day history..silly me

    4. 80yr old male non-alcoholic presents with delirium psychosis. He tries to attack on you while you are examining him. Treatment?
    Oral Diazepam
    Nasal Midazolam
    I/M Thiamine
    I/M Haloperidol
    I dont know the answer

    5. Patient with diplopia, can't see on the left side with his left eye
    Rt. 6th nerve
    Lt. 6th nerve
    Rt. 3rd nerve
    Lt 3rd nerve

    6. In acute psychosis, patient is most dangerous to:
    Siblings
    Parents
    Manager
    Nurses

    7. 13 yr old boy on 50th centile for 9 yrs for height. Best prognosis:
    Bone age for 9 yrs
    Bone age for 13 yrs

    8. Picture - Red shiny lesion with 2 to 3 irregular ulcers on the lower leg. Treatment
    Tetanus toxoid
    Tetanus + Antibiotics
    Rest + Antibiotics
    Dressing

    9. Picture - Fracture head of humerus. Management
    Triangular sling
    Cast
    Open reduction and internal fixation
    Rest and analgesia

    10. Picture - CXR (AP & Lateral view) . 70yr old male presents with hemoptysis and cough:
    Chronic bronchitis
    Interstitial Pneumonitis
    Asthma
    the 4th option was bronchiectasis--some say they cud see lesions on the lateralCXR--well icudnt,so i wrote chronic bronchitis

    11. Picture - Bowens disease

    12. Picture - Pyogenic granuloma

    13. Farmer working with chainsaw. Got a swelling in his rt.arm. Investigation?
    Venography
    Doppler
    Lymphangiogram

    14. Old male patient presents with sudden blindness and contra lateral hemiplegia for 3 minutes.
    Middle cerebral artery
    Ant. cerebral artery
    Carotid artery

    15. S/s of midbrain lesion - not sure --thiswas PCA anerysm,as it was a case of isolated 3rd nerve palsy--i got it wrong--i wrote midbrain infarction.

    16. Female middle aged woman collapses while jogging. Diagnosis?
    SAH
    Extradural hemorrhage
    Subdural //
    Cerebral tumor

    17. S/s of Rectal carcinoma:
    Constipation + bleeding
    Diarrhoea + bleeding + constipation
    Alternate bowel habit + incomplete sense of defecation 18. Anal hemorrhoids . Diagnosis?
    Anal verge (2 options)
    Bleeding

    19. Child with intussusception. Investigation?
    Air contrast enema
    X-ray
    U/s

    20. Patient with a picture of either Colon carcinoma or villous adenoma. Managemtent?
    Increase fibre diet
    Surgery

    21. Giardia lamblia diagnosis?
    Stool examination for cysts
    Stool culture
    Mucus examination

    22. Child with murmur going to axilla and his back. Heaving and thrill positive. Diagnosis.
    ASD
    VSD
    FT
    TGV

    23. Long question - Acynotic child with raised Rt & Lt atrial pressure and raised rt.ventricular pressure. Diagnosis.
    ASD
    VSD
    FT
    TGV

    24. Patient is on Digoxin. Presents with nausea and vomiting. Cause?
    Digoxin toxicity
    Previous renal impairment --dont know

    25. Middle aged woman with painful thyroid nodule. Low TSH, high T3 & T4. Treatment? Please see page 227 John Murtagh
    Neomercazole
    Paracetamol & Propranolol

    .----more to come
    [/b]
  43. Guest

    Guest Guest

    answers contd

    25)WOF drug doesn't require monitoring of its plasma levels?
    Azathioprine
    Hydroquinolone
    Gold
    Methotrexate
    I dontknow the answer--please tell

    27. Mother brings her daughter with c/o hair loss which is unexplained. Mother got married recently and changed her daughter's school. Diagnosis?
    Tinea capitis
    Separation anxiety
    Trichotilomania

    28. Hereditary spherocytosis - AOF are true except
    H/o gall stones
    other options were-
    positve family history
    -splenectomy is helpful
    -coombs postive???was it positve or negative( i marked this option ,thinking coombs is postive.but if the option was given as positive then i dont know whether this question had any wrong option as all were correct)

    29. Psychodynamic therapy
    Schizophrenia
    Borderline personality disorder
    OCD

    30. Female fruit picker, c/o pain in her rt.hand. There is a swelling 3cm in size proximal to first MCP joint near radial border of her wrist. Diagnosis?
    Osteoarthritis
    Tenosynovitis
    Tendon
    Dont know what th ecorrect answer is--please tell

    31. Child presents with grey tonsilar exudate and cervical lymphadenopathy. Infectious Mononucleosis.
    Atypical lymphocytes on smear

    32. Patient with massive bleeding. In emergency you will give:
    Whole blood, low hemolysins
    Packed cells , low hemolysins
    Crossed matched blood
    Uncrossed O-ve (it seemed it was not the answer)

    33. Long question. Male from Bali with c/o anorexia, malaise and fever. Blood chemistry was given: High Alk.phos, ALT & AST were mildly high. Other investigations were within normal limits. Diagnosis?
    Hep A
    Hep B
    Malaria
    Cholangitis
    Ca Pancreas
    I dont know--some say cholangitis,i chose malaria for the guy from bali

    34. Long question. Young girl with raised Prolatcin levels. Can't remember values for FSH &" LH. Treatment?
    Bromocriptine
    OCPS

    35. OCPs - patient missed her pill dose. You would advise:
    Continue taking the pills
    Pregnancy test
    Stop taking pills and start new cycle after one week

    36. Rh immunization - fetus dead inside. except type of question. You will do AOF in a subsequent care except:
    U/s for placenta previa
    Give anti-D gammaglobulin to mother if fetus is Rh-negative

    dont know the answer..please tell

    37. Picture - Psoriasis/ Tinea. Treatment? Please see page 1029 John Murtagh
    PUVA
    Topical steroids
    Itraconazole
    I wrote coal tar--controversial question...dont know the answer

    38). Middle aged women with tightening headache, taking paracetamol and OCPs. Management:
    Relaxation therapy
    Stop taking OCPs --dont remember what i wrote

    39. Diuretics. WOF is true?
    Contraindication in gout
    Usually taken with K-sparing diuretics

    40.Diabetic patient with hypertension. Treatment?
    Diuretics
    B-blocker
    Ace inhibitors

    41. Pregnant pt. presents with cord prolapse. First step in management:
    Push the cord back
    Knee elbow position and push the cord back --(please note ,this option was to push the head back and not he cord back,as ideally the cord shudnt be touched.)
    Await events

    42. 8yr old girl with many episodes of Nephrotic syndrome execerbation, not responding to steroid therapy. Next investigation?
    Urea & creatinine
    Renal biopsy --one needs to rule out FSGS

    43. Difference b/w Shizophrenia and organic syndrome (Delerium)?
    Fluctuating level of consciousness
    Duration of symptoms
    affect disorder

    44. 60yr old male, previously fit no past medical history c/o flashes in his eye. 4 months (or days) later he presented with gradual loss of vision leading to complete blindness. Cause?
    Diabetes
    Macuar degeneration
    Retinal.a thrombosis
    Carotid.a stenosis

    45. Male pateint present with ptosis but preserved corneal reflex. Diagnosis?
    Diabetes

    46. DM autonomic s/s. AOF are true except:
    Bradycardia
    Impotence
    nocturnal diarrhoea

    47. AOF causes decrease in transferrin level except:
    Fe.deficiency anemia
    Thalasemia
    Hamochromatosis
    pregnancy

    48. AOF are advantages of OCPs except:
    Decreas breast ca
    // Endometrial ca
    // Cervical ca
    // Ovarian ca

    49. 45yr old Obese patient has beentaking OCPs sine 10 yrs, now stopeed taking pills and presents with 3 moths of amenorrhea - To confirm her pregnancy:
    Check serum qualitative B-HCG
    // // guantitative B-HCG
    Transvaginal USG to see empty uterus


    50. 4.5 cm ovarian cyst on u/s. Most likely:
    Serous cystadenoma
    Dermoid cyst
    Follicular cyst
  44. Bulimia

    Bulimia Guest

    Some MCQ we don't have in my computer

    25)WOF drug doesn't require monitoring of its plasma levels?
    Azathioprine
    Hydroquinolone ( I didn't get that one)
    Gold
    Methotrexate

    27. Mother brings her daughter with c/o hair loss which is unexplained. Mother got married recently and changed her daughter's school. Diagnosis?
    Tinea capitis
    Separation anxiety
    Trichotilomania
    alopecia acreta**** ( is that due to stress ??)

    30. Female fruit picker, c/o pain in her rt.hand. There is a swelling 3cm in size proximal to first MCP joint near radial border of her wrist. Diagnosis?
    Osteoarthritis
    Tenosynovitis**** ( my choice)
    Tendon

    29. Psychodynamic therapy
    Schizophrenia
    Borderline personality disorder*** ( my choice only)
    OCD
    phobia

    28. Hereditary spherocytosis - AOF are true except
    H/o gall stones
    other options were-
    positve family history
    -splenectomy is helpful
    -coombs postive*** ( my choice)

    35. OCPs - patient missed her pill dose. You would advise:
    Continue taking the pills *****
    Pregnancy test
    Stop taking pills and start new cycle after one week

    36. Rh immunization - fetus dead inside. except type of question. You will do AOF in a subsequent care except:
    U/s for placenta previa*****
    Give anti-D gammaglobulin to mother if fetus is Rh-negative

    3 Middle aged women with tightening headache, taking paracetamol and OCPs. Management:
    Relaxation therapy
    Stop taking OCPs -- we don't get this one

    what we got is

    Obese lady BMI-28-- failed with all kinds of Wt reduction techniques for 4 times & gain Wt again & again
    - I chose-- gastric banding
  45. Guest

    Guest Guest

    Hi

    Bulimia

    Can you give me your email address?

    Thanks
  46. Bulimia

    Bulimia Guest

    If U can give it to me --that would be great!

    U know I must hide from demanding ones -- Intending candidates :wink:
  47. Guest

    Guest Guest

    hello all
    its really shocking to know that the exam was of just 125 questions... but if i would be there my reaction will be a happy one i think...
    its really nice to see that such sincere people like you still exist in this world.
    INSHALLAH YOU ALL WILL PASS 8) (Ameen)
    my prayers are with you, dont worry and dont get tense.
    i dont know which books to study and which not. will u please tell me the books ? are the Kaplan series step2 ok? which books alongwith them?(apart from anthology and mcqs
    best wishes :)
  48. Bulimia

    Bulimia Guest

    Yes- U are right !

    I am also very glad to see that Nov 18th group are sincere- honest - working very hard- helping each other & fairly united!!

    I am also shocked to learn that many newcomers are
    very insincere- rude- very lazy - less efforts & having parasitic attitudes

    Even they wouldn't be recognised as DOCTORS
  49. Guest

    Guest Guest

    Hi

    Yes, I am glad too. We are all working as a team. After a very long time 18th November group is working sincerely with each other. Even though we don't know the right answers. I haven't seen anyone doing this for ages.

    Anyway, You can find my email address on my profile.
  50. Bulimia

    Bulimia Guest

    I'm not a member here
    I can't find yours
    anyway
    I can give U mine
    that's not a real one of me other buddies
    don't abuse me during my rest time :lol:

    theeri.salamm@gmail.com

    What's up Dr Shaiza
    anything personal ???
    I am now panic thinking that I might have many wrong Answers

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