Usage for hash tag: february2020amc1

#february2020amc1 A 50 year man came from Thailand trip, complaining of dyspnoea and chest pain. On examination BP 120/70, P 112/min. Chest x-ray normal. Which one of the following is the best investigation in the management? A.ECG B.Echo C.CTPA D.Troponin level

#february2020amc1 A blood culture of a woman with fever is positive for E. Coli. What is the most likely sourse of the infection? A.Paramasal sinus B.Pneumonia C.Unrecognised cholecystitis D.Urinary tract infection E.Infected heart valves

#february2020amc1 A 54 year old patient presents with low back pain. The ALP is markedly elevated which of the following is the most likely diagnosis? A.Paget’s disease B.Multiple myeloma C.Lung carcinoma

#february2020amc1 A mother brought her 3 year old child to you as she noticed an abdominal mass whilst changing the diapers. On examination you note the child has periorbital ecchymosis. Which of the following is the most likely diagnosis? A.Wilm’s tumor B.Neuroblastoma C.Lymphoma

#february2020amc1 Which of the following antibiotics is the treatment of choice in a diabetic patient who has developed strep cellulitis? A.Flucloxacillin and metronidazole B.Flucloxacillin and ceftriaxzone C.Penicillin D.Penicillin with flucloxacillin E.Gentamycin

#february2020amc1 A 25 year old woman presents to the emergency department with 4 episodes of vomiting today and has central abdominal pain. Her last menstruation was four weeks ago. On examination her blood pressure and pulse are normal with minimal guarding and rigidity of her abdomen. What...

#february2020amc1 A patient presented with leg pain and on examination he was noticed to have a red cordlike veins that were tender on palpation in the lower limbs. What is your next step in management? A.Bed rest with limb elevation B.IV heparin C.Analgesia and immobilisation

#february2020amc1 A 60 year old woman with history of hypertension and breast cancer, has had a hysterectomy. What is the HRT of choice? A.Alendronate B.Cyclical HRT C.Estrogen only D.Continous HRT

#february2020amc1 Which of the following sources gives the maximum per capita radiation? A.Natural background radiation B.Electronic devices C.Mobile phones D.Nuclear radiation

#february2020amc1 A 65 year old lady is admitted to hospital with a fractured heck of femur, suddenly becomes agitated and found to be climbing out of bed. What is your next step in management? A.Restrain her B.Move her closer to the nurses’ station C.Do a delirium work-up

#february2020amc1 You are invited to give a health talk at the community on skin cancer. Which of the following measures would be the best advice to give regarding the prevention of skin cancer? A.Wear sunglasses and a hat B.Use a sunscreen every morning C.Avoid sun exposure between 10am and 4...

#february2020amc1 A 65 year old, married male with a BMI of 32, has recently developed impotence and has been previously well. What is the next step in management? A.Reassure B.Serum FSH, LH C.Serum testosterone D.Serum glucose and lipids

#february2020amc1 A 29 year old woman is unable to conceive for more than 12 months. Her BMI is 37. You have noticed that she has downy facial hair. What is the most likely diagnosis? A.Polycystic ovarian syndrome B.Ovarian carcinoma C.Diabetes D.Premature ovarian failure

#february2020amc1 A 46 year old male came in with a history of abdominal pain with no family history of bowel carcinoma. Which of the following signs will be able to detect a carcinoma of the caecum? A.Altered bowel habits B.Bowel obstruction C.Rectal bleeding D.Fatigue and pallor E.Mass felt...

#february2020amc1 To assess the effect of a new drug, which of the following group of patients would be the most appropriate group to include in this study? A.Patients presenting to the general practitioner B.Hospital patients C.Patients in critical care D.University students E.Aged care residents

#february2020amc1 A 10 year old boy living in a remote area, has fallen from a tree and hit his head on the ground. He presents with bruises on his face and scalp. He is disoriented but is able to obey commands. What is the most appropriate management? A.Observe at the local medical center...

#february2020amc1 A 8 year old boy presents with his parents as he is recently noticed to be bedwetting. His parents do not ask for help. The physical examination is normal, there is no urine tract infection detected. What is the next step in management? A.Alarm clock method B.Renal ultrasound...

#february2020amc1 A 35 year old woman presents with lower abdominal pain. Her last menstrual period was 9 days ago. She experienced a similar episode a month ago. The pain is worse during urination. What is her diagnosis? A.Ovulation B.Endometriosis C.Ovarian cyst D.Ovarian Teratomia...

#february2020amc1 A mother is concerned about MMR vaccination and its association with autism. What will you do next? A.Give measles, mumps and rubella separately B.Tell her that MMR is not associated with autism C.Give the child rubella and mumps only D.Recommend her to skip the MMR

#february2020amc1 A patient with haemochromotosis, presents with ascites, fever, confusion and hepatic flap with Rt upper quadrant tenderness. What is the next step in managemennt? A.Abdominal paracentesis B.Ultrasound C.CT abdomen