Usage for hash tag: april2020amc1

#april2020amc1 A pregnant female of 28 weeks of gestation was found to have an abdominal size quivalent to 38 weeks. An ultrasound done at 18 weeks was normal. What is the most likely cause of the discrepancy? A.Twins B.Molar C.Viral infection D.Gestational diabetes

#april2020amc1 A 60 year old male presents with transient loss of vision with discomfort felt behind the eye. Which of the following is the following is the next step in management? A.CT head B.Carotid Doppler

#april2020amc1 A 5 year old is brought in by his grandmother and is refusing to move his hand which is in a pronated position. Which of the following is the most likely cause? A.Dislocated shoulder B.Pulled elbow C.Septic Arthritis D.Fracture

#april2020amc1 A 60 year old man presents with nystagmus and ataxia. On history he is noted to be a heavy alcohol drinker. Which of the following is the most likely diagnosis? A.Brain tumor B.Wernicke’s encephalopathy

#april2020amc1 A 6 year old female that is mentally impaired attends “special school”. The teacher has recently noticed abnormal sexual behaviour. Which of the following is the most likely cause? A.Sexual abuse B.Autism C.Schizophrenia D.Normal variant

#april2020amc1 A 45 year old farmer is in financial debts due to the severe drought and is blaming the government for the current problem. He is planning to kill himself so that his family can benefit from his insurance. Which of the following defence mechanism is he using? A.Denial...

#april2020amc1 A 36 year old male presents with a history of right hand weakness, headache and vomiting. He has been having these symptoms for the past 5 years. Which of the following is the most likely cause? A.Meningioma B.Glioblastoma C.Multiple sclerosis D.Motor Neurone Disease...

#april2020amc1 A middle aged man presents to you with a history of lower back pain and buttock pain that is also described as shooting to the leg. He has also recently noticed urinary incontinence. What is the most likely cause of his presentation? A.Spinal cord compression B.Claudication of...

#april2020amc1 A 45 year old woman diagnosed with carcinoma of the cervix is diagnosed with stage TNM 116. What is the next step in management? A.Hysterectomy B.Large loop execision of the transformation zone C.Radiation D.Cryotherapy

#april2020amc1 A 2 month old infant is brought to you with a history of vomiting after feeds that is sometimes forceful and is sometimes effortless. It is non-bilious. What is your next step in investigation? A.Enema B.Ultrasound scan C.CT scan D.Barium meal

#april2020amc1 An elderly patient presents with a history of hearing loss, vertigo and vomiting. What is th most likely diagnosis? A.Labyrinthine B.Acoustic neuroma C.Meniere’s disease D.Benign positional vertigo

#april2020amc1 The MRI of a patient shows compression of the S1. what is the most likely finding seen on clinical examination? A.Absent ankle jerk B.Absent knee jerk C.Hyper-reflexes of ankle D.Hyper-reflexes of knee

#april2020amc1 A 30 year old male was brought into the emergency department complaining of severe headache following a motor vehicle accident. You noticed a swelling on his head. What is the most appropriate next step? A.CT scan B.MRI C.X-ray D.Intubation

#april2020amc1 A 25 year old male recently returned from Thailand and is now complaining of headache, malaise and fever. Which of the following is the most important investigation? A.Electrolytes B.Bowel biopsy C.Thick and thin blood smear D.Stool

#april2020amc1 You are planning on conducting a research to look at the association between hypertension and myocardial infacrtion. What is the most appropriate study design for this research? A.Randomised controlled trial B.Case study C.Cohort D.Cross section

#april2020amc1 A neonate presents with vesicles over his body 48 hours after delivery, and is kernig’s positive. Lumber puncture shows a predominance of lymphocytes, an increase in proteins, and normal glucose. What is your next step in management? A.Acyclovir B.Ceftraixone C.Penicillin...

#april2020amc1 A man had a gastric bypass surgery, after which he has started developing abdominal bloating, sweating and nausea after 1 hour of having a meal. What will you do next? A.Endoscopy B.Serum amylase C.Ultrasound D.CT scan