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

MEDICINE, SURGERY , OBSTETRICS AND PSYCHIATRY 1. An elderly woman can read the newspaper, but has halos in bright sunlight. A. Cataract B. Glaucoma C. Presbyopia D. Macular Degeneration 2. Which of the following drugs decrease renin: A. Beta Blockers B. ACE Inhibitors C. Spironolactone D. Hydralazine E. Centrally acting antihypertensives. 3. Newborn with respiratory distress , faint breath sounds on the left and with a scaphoid abdomen A. Meconium aspiration syndrome B. Situs inversus C. Diaphragmatic hernia 4. Which nerve gives the sensation of taste to the anterior 2/3rd of tongue. A. Trigeminal nerve B. Facial nerve C. Hypoglossal nerve D. Glossopharyngeal nerve 5. A Patient who underwent a cholecystectomy, now comes with jaundice .what is the investigation of choice. A. Oral cholecystogram B. CT scan C. Ultrasound D. Sr. Creatinine E. Upper GI Studies 6. Regarding pseudobulbar palsy AOF is true …except A. Wasting and fasciculation of tongue B. Jaw jerk decreased C. Loss of sphincte...

Thyroid MCQs   1. propylthiouracil has a longer half-life than carbimazole. 2.   carbimazole and propylthiouracil act to block thyroid hormone          synthesis by inhibiting thyroid peroxidase . 3.It is prudent to have a white cell count (WCC) during any febrile illness for all patients taking antithyroid medication. 4.life-threatening agranulocytosis, which is defined as a neutrophil count of less than 0.05x10 9 /L. 5. Cluster of symptoms and signs of agranulocytosis includes mouth ulcers, sore throat, fever, and rash.     Answers 1.     FALSE-Carbimazole has longer half-life so prescribed one or twice daily but PTU three times daily. 2.     TRUE-Mechanism of action 3.     FALSE -Need a differential WCC (Febrile neutropenia has serious consequences) 4.     TRUE- 5.     TRUE-Need patient education preferably written instruction to sto...

ASTHMA MCQS   Following are considered as asthma triggers that needs to be avoided.   1.     Cigarette smoke 2.     Laughter 3.     Exercise 4.     Animal allergens (e.g.   pets) 5.     Bee products (e.g., pollen, propolis, royal jelly)   Answers 1.     TRUE-Always avoid 2.     FALSE-Unavoidable trigger 3.     FALSE-Unavoidable trigger 4.     TRUE-Avoid or reduce where possible 5.     TRUE-Avoid or reduce where possible.

THUNDERSTORM ASTHMA   1.       1. Seen in areas    with high ryegrass pollen concentrations in the air. 2.       2.  Can cause life threatening allergic asthma flare ups. 3.       3.  Can happen with no history of asthma but in individuals sensitized ryegrass pollen. 4.       4.  Can happen with undiagnosed asthma. 5.       5.  Lack of inhaled corticosteroid preventer treatment has been identified as a risk factor.   1.TRUE 2. TRUE 3. TRUE 4. TRUE 5.TRUE

http://amcexams.blogspot.com/?spref=gb ASTHMA MCQs     a.       Anyone can develop asthma at any age. b.       History of allergy is necessary to diagnose asthma c.       Finding of variable expiratory airflow limitation on spirometry confirms the diagnosis. d.       In young children asthma is diagnosed without lung function tests. e.       Silent asthma may present with unique symptoms.     a.       TURE b.       FALSE c.       TRUE-In adult asthma diagnosis d.       TRUE-when spirometry is not possible and involves   symptoms observation for months or years. e.       TURE-No hallmark symptoms like wheezing or cough but respiratory distress with other symptoms such as yawning ,signing or...

1. IS THIS HYPERTHYROIDISM OR THYROIDITIS ?                                                 HOW TO DIFFERENTIATE?                                                              HOW THE TREATMENT DIFFER ? Most of the time this is where the questions are set💥 Causes of Hypertyroidism=high hormone levels                                             Graves Disease                                            Toxic multinodular goite                       ...

http://amcexams.blogspot.com/?spref=gb .Main differential diagnoses of eating disorders Malabsorption syndromes •  Inflammatory bowel disease •  Coeliac disease Endocrine •  Diabetes mellitus •  Hyperthyroidism Malignancy •  Central nervous system tumours, lymphoma, leukaemia Other psychiatric disorders • Depression •  Obsessive compulsive disorder •  Anxiety disorder

Table 1. DSM-IV diagnostic criteria for common eating disorders2 Anorexia nervosa 1. Refusal to maintain body weight at or above a minimally normal weight for age and height (eg. weight loss leading to maintenance of body weight less than 85% of that expected, or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected) 2. Intense fear of gaining weight or becoming fat, even though underweight 3. Disturbance in the way that body weight, size or shape is experienced, undue influence of body shape and weight on self evaluation, or denial of the seriousness of current low body weight 4. In postmenarchal females, amenorrhoea, ie. the absence of at least three consecutive menstrual cycles Types • Restricting type: during the current episode of anorexia nervosa, the person has not regularly engaged in binge eating or purging behaviour (self induced vomiting, misuse of laxatives, diuretics, or enemas) • Binge eating/purging type: ...

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

BOX 1: Asthma Control Questionnaire 5-item version Circle the number of the response that best describes how you have been during the past week 1. On average, during the past week, how often were you woken by your asthma during the night? 0. Never 1. Hardly ever 2. A few times 3. Several times 4. Many times 5. A great many times 6. Unable to sleep because of asthma 2. On average, during the past week, how bad were your asthma symptoms when you woke up in the morning? 0. No symptoms 1. Very mild symptoms 2. Mild symptoms 3. Moderate symptoms 4. Quite severe symptoms 5. Severe symptoms 6. Very severe symptoms 3. In general, during the past week, how limited were you in your activities because of your asthma? 0. Not limited at all 1. Very slightly limited 2. Slightly limited 3. Moderately limited 4. Very limited 5. Extremely limited 6. Totally limited 4. In general, during the past week, how much shortness of breath did you experience because of your asthma? 0. None...

able 1. Primary features of each rosacea subtype and their specific therapies 4 Rosacea subtype Clinical features Therapies available Erythematotelangiectatic Transient erythema and persistent centrofacial erythema with or without telangiectasia. Topical brimonidine Oral isotretinoin Laser/light therapy Papulopustular Persistent centrofacial erythema with transient centrofacial papules and/or pustules Topical metronidazole/ azelaic acid/ivermectin Oral doxycycline/erythromycin/minocycline Oral isotretinoin Phymatous Thickened skin and irregular surface nodularities, most commonly involving the nose (rhinophyma) though it can involve other facial convexities and the ears as well Oral isotretinoin Surgical intervention Ocular Foreign body sensation in the eye; burning or stinging sensation; dryness; itching; ocular photosensitivity; blurred vision; scleral telangiectasia; and/or periorbital oedema Eyelid hygiene and lubricant eye drops Topical cyclosporin/metr...