AMC EXAMS AUSTRALIA ,AUSTRALIAN MEDICAL EXAMS,MCQS,CLINICALS.

1.Metabolic syndrome is increasing but often goes unrecognised. 2.Measuring insulin resistance is unnecessary – measuring waist circumference is simpler and more important. 3.Ethnicity needs to be considered when cut-off points for waist measurement are used to screen for patients at risk of metabolic syndrome. 4.Risk factors for metabolic syndrome often cluster together, and the increase in risk is multiplied rather than added. 5.Modest weight loss (5kg) and/or increased physical exercise reduce the risk of developing diabetes in patients with metabolic syndrome.

Country/ethnic group Waist circumference Europids Male 􀀪 94 cm In the US, the Female 􀀪 80 cm ATP III values (10 cm male; 88cm female) are likely to continue to be used for clinical purposes. South Asians Male 􀀪 90 cm Based on a Female 􀀪 80 cm Chinese, Malay and Asian-Indian population Chinese Male 􀀪 90 cm Female 􀀪 80 cm Japanese Male 􀀪 90 cm Female 􀀪 80 cm Ethnic South and Use South Asian Central Americans recommendations until more specific data are available. Sub-Saharan Use European data until Africans more specific data are available. Eastern Use European Mediterranean data until more specific and Middle East data are available.

A patient with successfully treated DVT remains at increased risk of DVT or PE for life and will need prophylaxis at times. Prophylaxis (with, for example, enoxaparin 40mg daily) should begin 12 hours before elective surgery. In orthopaedic surgery, it should be continued at this dose for three weeks after discharge from hospital2. Early remobilisation and compression stockings should be used routinely for all surgery. Intra-operative calf compression machines are often used in prolonged elective surgery. High-risk medical patients (eg, those likely to be inpatients for more than five days) should receive routine prophylaxis whether or not they have had a prior DVT. Seek advice if the patient has renal impairment because LMW heparins accumulate quickly in patients with moderate to severe renal failure. All women with previous DVT or artificial heart valves should receive daily heparin prophylaxis during pregnancy. Haematological review is recommended in tho...

HEALTH INSURANCE IS ONE OF THE MOST IMPORTANT THING YOU NEED TO HAVE WHEN YOU ARRIVE IN AUSTRALIA.IT IS A MUST I WOULD SAY.THERE ARE MANY OPTIONS TO SELECT FROM