WANNA BE A DOCTOR IN AUSTRALIA?

Interested in working as a doctor in Australia?Yes.......ok you can! 

You can find all the information in AMC(Australian Medical Council website).

(A).

1.Are you eligible for AMC exams - Self-Check Eligible Medical Schools 

2.How to get Medical Registration-Pathways for International Medical Graduates

(B).

How to Apply-Click Here

(C)

1. English Language requirement-Not for AMC exams but only when you apply for medical registration.

DEVELOPMENT OF ANXIETY IN BIPOLAR DISORDER

there is an accurate

research findings regarding the comorbidity of anxiety disorders in individuals with bipolar disorder (BD). Studies have shown that approximately half of individuals with BD will develop an anxiety disorder at some point in their lives, and about a third will have an anxiety disorder at any given time. The presence of an anxiety disorder comorbidity in individuals with BD can have a negative impact on various aspects of their presentation and course of illness, including treatment response and outcome. Unfortunately, there is limited research available on the underlying causes and optimal management of this comorbidity. However, it is important for clinicians to be aware of this potential comorbidity and to screen individuals with BD for anxiety disorders. Providing comprehensive and ongoing treatment for both conditions can help prevent the negative consequences of anxiety disorder comorbidity in individuals with BD. This may include a combination of medication and psychotherapy, tailored to the specific needs of the individual.

MCQs

TOXIC MULTI NODULAR GOITRE-MCQS

1.Thyroid gland with at least 2 autonomously functioning nodules that secretes excess thyroid hormones.
2.Symptoms include dysphagia, dyspnoea dizziness and /or neck discomfort.
3.Tc -99 scan shows a homogeneous pattern.
4. Non contrast CT scan along with spirometry is useful to evaluate when there is a suspected tracheal compression.
5. Pemberton's sign is used to evaluate venous obstruction in patients with goitre


Answers
1. TRUE
2. TRUE-retrosternal goitre may cause dizziness when raising arms above the head.
3. FALSE-Heterogeneous pattern with many areas with hyperactivity and hypo-activity throughout the gland.
4. TRUE- Non contrast CT scan and inspiratory flow volume loop obtained during the spirometry manoeuvre may be helpful for functional evaluation of tracheal compromise.
5. TRUE-The sign is positive when bilateral arm elevation causes facial plethora

EPILEPSY MANAGEMENT-AUSTRALIA

Treatment of status epilepticus in hospital.


1.Immediate measures Secure airway

Give oxygen
Assess cardiac and respiratory function
Secure iv access
Give lorazepam 4 mg iv or diazepam
10 mg iv
Repeat after 10 mins if no response

2.In hospital


Take blood for electrolytes, LFT, calcium,
glucose, clotting, AED levels and storage
for later analysis
Measure blood gases
Establish aetiology
Give thiamine or 50% glucose solution if
indicated
Within 30 minutes In patients with established epilepsy:
give usual AED orally, NG or iv

3.In patients with new-onset epilepsy or if
seizures continue:

fosphenytoin (18 mg/kg phenytoin
equivalent), up to 150 mg/min with ECG
monitoring or phenytoin 18mg/kg,
50 mg/min with ECG or phenobarbital
15 mg/kg iv, 100 mg/min
Longer than ITU may be necessary
minutes Anaesthetise with EEG monitoring
Midazolam, phenobarbital, propofol, or
thiopentone most commonly used
Non-convulsive status Augment or reinstate usual AEDs
Consider lorazepam or diazepam iv