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

ERECTILE DYSFUNCTION -MCQS 1.May be a marker for asymptomatic cardiovascular disease. 2.Is a strong independent risk factor for atherosclerotic cardiovascular disease. 3.Not commonly coexists with symptoms of benign prostatic hyperplasia. 4.Most erectile dysfunction has an organic cause. 5.Recreational drug use is considered as a risk factor. ANSWERS 1.TRUE-Particularly in younger individuals. 2.TRUE-prevelence and association with vascular disease is well recognised. 3.FALSE-commonly coexists with symptomatic benign prostatic hyperplasia 4.TRUE-about 80% 5.TRUE-Other risk factors includes -sedentary life style, obesity, obstructive sleep apnoea, smoking ,diabetes, hypertension, dyslipidaemia ,thyroid disorders, medications etc.

STREPTOCOCCAL PHARYNGITIS/TONSILLITIS-MCQS 1. Shared decision making for antibiotics is preferred when risk of non-suppurative complications is not high. 2. Symptomatic therapy can be offered with follow up if symptoms worsen or do not improve within 3-7 days period. 3. A delayed prescription for antibiotics if the patient is not able to return for follow up. 4. Streptococcal tonsillitis/pharyngitis can last up to seven days with or without antibiotics. 5. May sometimes need to be treated with immediate antibiotic therapy. ANSWERS   1. TRUE-Non suppurative complications like rheumatic fever/carditis 2. TRUE 3. TRUE 4. TRUE 5. TRUE-depend on the risk category for suppurative and non-suppurative complications.

Skin lesions assessment -Clinical method of melanoma diagnosis A-Asymmetry(irregular shape)- B-Border irregularity- C-colour=Variety of shades ?(brown,red,white, black,) D-diameter 6mm or more.? E-Evolution-Has there been a change in size ,shape,colour or height ? F-Firm or not ? G-Growing-gradually getting larger ? BUT   -Even if the answer is NO to all You still need to see a doctor for assessment .

RHEUMATIC HEART DISEASE COMPLICATIONS-MCQS COMPLICATIONS OF RHEUMATIC HEART DISEASE INCLUDES 1. Premature death. 2. Atrial fibrillation. 3. Pulmonary Hypertension. 4. Stroke. 5. Endocarditis. Answers 1. TRUE 2. TRUE 3. TRUE 4. TRUE 5. TRUE RHEUMATIC HEART DISEASE REFERS TO CHRONIC COMPLICATIONS OF ACUTE RHEUMATIC CARDITIS.

EXERCISE DURING PREGNANCY 1.Exercise during first trimester is not recommended. 2.Reduces the risk of pre-eclampsia 3.Helps improve good blood sugar control 4.Reduces the risk of gestational hypertension 5. Helps loose weight. ANSWERS 1. FALSE 2. TRUE 3. TRUE 4. TRUE 5. TRUE. And helps improve mental health and pelvic floor musculoskeletal health.

LICHEN SCLEROSUS-MCQS 1. More common in men. 2. Mainly affects the genital area. 3. Rare in children. 4. Presents as a well-defined skin lesion. 5. Need surveillance to detect malignant changes. Answers 1. FALSE-10 times more common in women 2. TRUE-Vagina is spared  3. TRUE-affects all ages  4. TRUE 5. TRUE-

ACUTE RHEUMATIC FEVER-MCQS CLINICAL MANIFESTATION OF ACUTE RHEUMATIC FEVER INCLUDES 1. SUBCUTANEOUS NODULES- 2.CARDITIS- 3.CHOREA 4.JOINT PAINS 5.ERYTEMA MARGINATUM 1. TRUE-rare but highly specific -seen as painless nodules in bony prominence 2. TRUE-a pancarditis-manifestation depend on the degree of heart involvement . 3. FALSE-Sydenham chorea-common in females-manifest after a long latency period of months . 4. TRUE-ARTHRITIS/POLYARTHRALGIA-usually seen within 21 days of infection- a major manifestation. 5. TRUE-rare but highly specific manifestation-may be seen after a hot shower. ALL THESE CALLED MAJOR MANIFESTATIONS.

SPINAL MUSCULAR DYSTROPHY -MCQS RED FLAGS SIGNS OF SPINAL MUSCULAR DYSTROPHY INCLUDES 1.Hypotonia. 2.No head control. 3.Absent reflexes. 4.Tounge fasciculation. 5.Cognitive impairment. ANSWERS 1.TRUE-Profound hypotonia 2.TRUE-Little or no head control 3.TRUE-Absent ,reduced or asymmetric moro reflex and deep tendon reflexes 4.TRUE-feeding difficulty, recurrent respiratory tract infections. 5.FALSE-Normal cognitive development(baby is happy and bright but lazy!)

HEUMATIC FEVER -MCQS 1.One of the complications of GAS(Group A streptococcus)infection 2.Immune mediated complication that can affect Heart ,Skin, Brain, Joints 3.Cardiac complications may be long lasting. 4.Recurrent episodes of rheumatic fever is unlikely after initial episode. 5.Considering the risk category the diagnostic criteria may be different. Answers 1. TRUE-a Non suppurative complications 2. TRUE-Heart-carditis, Skin-osler’s nodes/Janeway lesions, Brain -retinal roth spots,Joints -arthralgia 3. TRUE-May be life long 4. FLASE-depends on individual risk 5. TRUE