AMC 2007

Amc medical council AMC MCQ 1 exam 2010 questions download

May 2007 MCQ Exam 1.A piicture of Dupuytren contracture. Cause: A. Use of chronic vobrating tools B. Chronic alcoholism 2. Picture of Bowen disease from Anthology. Dx? 3. Picture of perianal haematoma. Mn? 4. Features of complex partial seizure given. Rx? 5. A 60 yo man, commercial driver has had a recent stroke. He has left hemiparesis and left homonymous hemianopia. What advice you will give him regarding driving in the future? A. never drive again B. Have an occupational driving test done 6. A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor and increasing darkness of colour of urine. his reticulocyte count was 8%. His Coomb's test was negative, no family history and on electrophoresis Type A hb was detected. What is the Dx? a. Hereditary Spherocytosis b. G6PD def c. Autoimmune HA d. Sickle cell anaemia e. thalassaemia 7. What is the use of Psychodynamic psychotherapy in Australia ? A. Phobia B. Anxiety disorder C. schizophrenia D. OCD 8. A boy came with fever and pain in the right leg. he hardly moves the leg and does not allow you to move it either. He refuses to carry weight on that leg. What could be the dx? A. Septic arthritis of hip B. OM of femur C. D. E. could be excluded easily

9. one of your colleague is taking anti psychotic medication for her own psychiatric illness. what should be your advice to her?? A. she should refrain from seeing pt. until she is asymptomatic B. she should take specialist review C. you should contact the medical advisory board 10. What is the most common association of childhood obesity in Australia ? A. Above average height

B. Hypercholesterolaemia C. DM D. cataract 11. What will be the first S/S when a plaster is too tight? A. Pain B. Change of colour C. Swelling D. Stiffness 12. which nerve regenerates most after taumatic laceration? A. ulnar n. B. Median n. C. Digital n. D. sciatic n E. Common peroneal n. 13. A patient came with 12 hr H/O severe vomiting. Pain in upper abdomen which is now constant in the epigastrium. There is rigity and guarding in the abdomen. Dx? A. ac. pancreatitis B. Perforated DU C. perforated GU 14. A pt came with an ill defined mass in the RIF and loose watery stools. He has fever and has lost 6 kgs of weight recently. Dx? A. Crohn disease B. Meckel diverticulitis C. UC D. Ca large gut 15. Most common S/S assoc. with ca rectum? A. altered bowel habit and tenesmus 16. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. on probing there was a track discovered which extended in the rectum for 15 cm. (these were the exact words). DX? A. Crohn dis B. Ankylostomiasis C. Ca rectum D. Haemorrhoids 17. A badly injured patient who takes anti psychotics is on the verge of collapse. but he is violent and refuses all treatment. what do you do? A. restrain him and treat 18. A patient opens his eyes to pain, withdraws to painful stimulus ans is unable to answer ant questions. What is his GCS? A. 7-9 B. 10-12 C. 3-5 C. 13-15

19. An old man who suddenly collapsed was unconscious for three minutes following which he recovered fully. 5 ECG rhythm strips given. Which could possibly explain his situation? A. 1st deg. HB B. 2nd deg HB C. VF D. Complete HB D. LBBB 20. One ECG which has digitalis effect on it. DX? 1.A piicture of Dupuytren contracture. Cause alcoholism

3. Picture of perianal haematoma. Mn? incision under local 5. A 60 yo man, commercial driver has had a recent stroke. He has left hemiparesis and left homonymous hemianopia. What advice you will give him regarding driving in the future? http://www.austroads.com.au/aftd/downloa...EBREV1.pdf page 71 stroke is mentioned & they said pt cant drive for 1 months after & 3 if SAH but if dense hemiplegia then he cant drive before specialist & assesor asses him so i will chose the 2nd option A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor and increasing darkness of colour of urine. his reticulocyte count was 8%. His Coomb's test was negative, no family history and on electrophoresis Type A hb was detected. What is the Dx? G6pd, he is black as he is from suddan & he was give sulpha containing medication 7. What is the use of Psychodynamic psychotherapy in Australia ? used allover the world for panic attacks so i guess anxiety disorder would be the one 8. A boy came with fever and pain in the right leg. he hardly moves the leg and does not allow you to move it either. He refuses to carry weight on that leg. What could be the dx? A. Septic arthritis of hip B. OM of femur **** C. D. E. could be excluded easily OM should be excluded as per AMCQ book 10. What is the most common association of childhood obesity in Australia ? A. Above average height B. Hypercholesterolaemia C. DM D. cataract dont know at all,any help plz 11. What will be the first S/S when a plaster is too tight?

A. Pain ****** B. Change of colour C. Swelling D. Stiffness if there a discomfort option i would have choosen it 12. which nerve regenerates most after taumatic laceration? A. ulnar n. B. Median n. C. Digital n. ***** D. sciatic n E. Common peroneal n. not sure why 13. A patient came with 12 hr H/O severe vomiting. Pain in upper abdomen which is now constant in the epigastrium. There is rigity and guarding in the abdomen. Dx? A. ac. pancreatitis B. Perforated DU C. perforated GU all of them can have these symptoms,its missing some info,which way of sitting that help the pt relief the pain,age of pt ,previous history ,i would go for Acute pancreatitis cuz there s no shoulder tip pain,nothing said about bowel sounds 14. A pt came with an ill defined mass in the RIF and loose watery stools. He has fever and has lost 6 kgs of weight recently. Dx? A. Crohn disease B. Meckel diverticulitis C. UC D. Ca large gut UC bloody diarrhea & no masses never heard about a meckel on the right Ca usualy have histoy of bowel habits change but wt loss support that crohns would be my choice as emerck online say about crohns The most common initial presentation is chronic diarrhea with abdominal pain, fever, anorexia, and weight loss. The abdomen is tender, and a mass or fullness may be palpable 16. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. on probing there was a track discovered which extended in the rectum for 15 cm. (these were the exact words). DX? A. Crohn dis B. Ankylostomiasis C. Ca rectum D. Haemorrhoids crohns diz merck says Abscesses are common, and fistulas often penetrate into adjoining structures, including other loops of bowel, the bladder, or psoas muscle; fistulas may even extend to the skin of the anterior abdomen or flanks. Independently of

intra-abdominal disease activity, perianal fistulas and abscesses occur in 1⁄4 to 1⁄3 of cases; these complications are frequently the most troublesome aspects of Crohn's disease. 18. A patient opens his eyes to pain, withdraws to painful stimulus ans is unable to answer ant questions. What is his GCS? A. 7-9 B. 10-12 C. 3-5 C. 13-15 eye on pain 2 withdraw to pain 5 unable to answer quz 1 so 7-9 11. What will be the first S/S when a plaster is too tight? A. Pain****** B. Change of colour C. Swelling D. Stiffness this is from Toronto notes clinical signs and symptoms early pain • greater than expected for injury • not relieved by analgesics • increase with passive stretch of compartment muscles pallor • palpable tense, swollen copmparment late • paralysis (inability to move limb - late) • pulses are usually still present • paresthesias NOT pulslessness • most important feature found on physical exam is PAIN out of proportion to injury (the other signs are „late signs‟) 4.a lady with sore throat, a week later developed a swelling which moves with deglutition 1 2 3 4

solitary thyroid nodule MNG thyroglossal cyst cervical lymph node

The diagnosis is usually established by observing a 1- to 2-cm, smooth, well-defined midline neck mass that moves upward with protrusion of the tongue. Routine thyroid imaging is not necessary, although thyroid scintigraphy and ultrasound have been performed to document the presence of normal thyroid tissue in the neck. Treatment involves the "Sistrunk operation," which consists of en bloc cystectomy and excision of the central hyoid bone to minimize recurrence.1 Approximately 1% of cysts are found to contain cancer that is usually papillary (85%). Squamous, Hürthle cell, and anaplastic cancers also have been reported, but are rare. Medullary thyroid cancers are, however, not found in thyroglossal duct cysts.

I forgot to mention the relation to infection ... Thyroglossal duct cysts present as midline masses of the anterior neck (Figure 25–4. ). Like branchial cleft cysts, they may be asymptomatic and only appear when they become infected in the setting of an upper respiratory tract infection...Current thats a good was of practcisng but ur getting most questions statments wrong ,like there was never written a mass in midline moved wit hdegulttaion ,and i dnt think there is conncetion bw thyroglossal cyst and throat infection ,anywayz may be it was written midline i dnt rember exactly may be ur rite and one of the choice for the other question was pilonidal sinus tract and it was at 3 o clok position or it was the other question i dnt rember exactly 1. A patient with acute myocardial infarction used heparin; which of the following methods is used for monitoring: a. BT b. PT c. ARTT d. INR e. Fibrinogen 2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT: a. AF b. S 1 increased c. Palpitation increased S 2 in apex d. S 3 e. Presystolic murmur 3. In a patient with myocardial infarction was found a new systolic murmur on examination. Cardiac ejection fraction was 55%. Which of the following is MOST probable cause: a. Aortic regurgitation b. Papillary muscle dysfunction c. Mitral valve stenosis d. Papillary muscle rupture e. Tricuspid valve regurgitation 4. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment: a. Renal artery angioplasty b. ACE Inhibitors c. Antihypertensives d. Diuretics e. Arteries dilation drugs 5. An obese patient with diabetes mellitus is under anti-hypertension treatment. His blood pressure is 160/100mmBg on examination. Which of the following is your INITIAL consideration for this patient: a. Decreased protein in his diet b. Concurrent hypertensive therapy c. Give diuretics d. Control sugar intake in the diet e. Ideal weight 6. At which level of cholesteral you consider to give lipid-lowering statins (eg, simvastatin, pravastatin) a. 6 mmol/l b. 5.5 mmol/l c. 5 mmol/l d. 4.5 mmol/l e. 4 mmol/l 7. Patient with coronary heart disease and xanthoma along the Achilles tendons. Which of the following is THE MOST LIKELY diagnosis:

a. Familial hypercholesterolaemia b. Familial combined hyperlipidaemia c. Remnant removal disease d. Hypolipoproteinaemia 8. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a. Chest PA X-rays b. Pulmonary Doppler c. Blood gas d. Pulmonary ventilation perfusion mismatched on pulmonary scan e. Lung function measurement Contagious diseases 9. Which of the following is the MOST COMMON characteristic of pleura effusion of TB: a. Glucose decreased or absent b. Monocyte c. Blood stained d. Protein