Usage for hash tag: january2020amc1

  1. Tiffany Wong

    Medicine You suspect that your patient abuses her child and after conducting some test, she doesn’t come to collect report. What is your next line of managemen

    #january2020amc1 You suspect that your patient abuses her child and after conducting some test, she doesn’t come to collect report. What is your next line of management? A.Call patient to follow-up B.Send letter to patient C.Report to social services D.Call police
  2. Tiffany Wong

    Medicine A 54 year old man comes to you in general practice for colon cancer screening. He says that his cousin brother was diagnosed with colon cancer. Stool

    #january2020amc1 A 54 year old man comes to you in general practice for colon cancer screening. He says that his cousin brother was diagnosed with colon cancer. Stool examination was done which was found to be negative. Which one of the is most appropriate in the management of this patient...
  3. Tiffany Wong

    Obstetrics and Gynaecology A pregnant female presents in the 1st trimester of her pregnancy. Her pap smear report is that of CIN III. What is the next step in management?

    #january2020amc1 A pregnant female presents in the 1st trimester of her pregnancy. Her pap smear report is that of CIN III. What is the next step in management? A.Terminate pregnancy B.Observe C.Cone biopsy D.Colposcopy E.Hysterctomy
  4. Tiffany Wong

    Paediatrics A one week old infant is brought to you by his mother with an erythematous rash on the back trunks and legs with accasional papules. Which of the foll

    #january2020amc1 A one week old infant is brought to you by his mother with an erythematous rash on the back trunks and legs with occasional papules. Which of the followingis the most likely diagnosis? A.Infantile Eczema B.Toxic Erythema C.Herpes
  5. Tiffany Wong

    Medicine A 22 year old male presents with rash on buttocks and hematuria. Which of the following is the most likely diagnosis?

    #january2020amc1 A 22 year old male presents with rash on buttocks and hematuria. Which of the following is the most likely diagnosis? A.Henoch Scholien Purpura B.Meningococcal meningitis C.Post-streptococcal glomerulonephritis
  6. Tiffany Wong

    Surgery A 34 year old male presents with intestinal obstruction. Which of the following is the next step in fluid management?

    #january2020amc1 A 34 year old male presents with intestinal obstruction. Which of the following is the next step in fluid management? A.Hartman’s during surgery B.Hartman’s before surgery C.Dextose in 1/2 normal saline before surgery D.Dextrose in 1/2 normal saline after surgery E.5% Dectrose...
  7. Tiffany Wong

    Paediatrics A 14 year old female is noticed to have secondary sexual characteristics and has a short stature. Which of the following tests will help in reaching a

    #january2020amc1 A 14 year old female is noticed to have secondary sexual characteristics and has a short stature. Which of the following tests will help in reaching a diagnosis? A.Karyotyping B.LH/FSH ratio C.Estradiol levels D.Head CT
  8. Tiffany Wong

    Medicine A middle aged woman presents to you with a history of right upper quadrant abdominal pain with fever. No jaundice is clinically noted. Which of the fo

    #january2020amc1 A middle aged woman presents to you with a history of right upper quadrant abdominal pain with fever. No jaundice is clinically noted. Which of the following is the next step in management? A.ERCP B.Percutaneous cholecystectomy C.Laparoscopic cholecystectomy
  9. Tiffany Wong

    Obstetrics and Gynaecology A 29 year old woman who is currently breastfeeding presents to you with a history of tender painful breast. An aspirate was taken and the smear showed

    #january2020amc1 A 29 year old woman who is currently breastfeeding presents to you with a history of tender painful breast. An aspirate was taken and the smear showed gram positive cocci in cluster. Which of the following antibiotics is the treatment of the choice? A.Flucloxacillin...
  10. Tiffany Wong

    Medicine A patient who was recently commenced on clozapine develops an upper respiratory infection. What is the next step in management?

    #january2020amc1 A patient who was recently commenced on clozapine develops an upper respiratory infection. What is the next step in management? A.Full blood count B.Liver function tests C.Fasting lipids D.Stop clozapine
  11. Tiffany Wong

    Obstetrics and Gynaecology A 26 year old pregnant female had a normal check up at 16 weeks of gestation. At the 24th week of gestation the ultrasound scan showed hydrops fetalis

    #january2020amc1 A 26 year old pregnant female had a normal check up at 16 weeks of gestation. At the 24th week of gestation the ultrasound scan showed hydrops fetalis. What is the most likely organism that may have lead to the occurrence of this condition? A.Herpes B.Varicella C.Parvovirus...
  12. Tiffany Wong

    Medicine A middle aged man presents to you with a history of lower back and buttock pain that is also described as shooting to the leg. What is the most likely

    #january2020amc1 A middle aged man presents to you with a history of lower back and buttock pain that is also described as shooting to the leg. What is the most likely cause of his presentation? A.Spinal cord compression B.Claudication of artery C.Cauda equina syndrome D.A spinal tumor
  13. Tiffany Wong

    Obstetrics and Gynaecology A female patient that has recently delivered presents with fever, tender uterus and foul smelling lochia. Which of the following antibiotics is the tr

    #january2020amc1 A female patient that has recently delivered presents with fever, tender uterus and foul smelling lochia. Which of the following antibiotics is the treatment of choice? A.Ceftriaxone and metronidazole B.Ampicillin and gentamycin C.Gentamycin and metronidazole
  14. Tiffany Wong

    Obstetrics and Gynaecology A 30 year old woman presents to you seeking advice on finding out if she has endometriosis as her friend was recently diagnosed with this condition. W

    #january2020amc1 A 30 year old woman presents to you seeking advice on finding out if she has endometriosis as her friend was recently diagnosed with this condition. Which of the following would be your advice in reaching a definitive diagnosis? A.Ultrasound scan B.Laparoscopy C.Endometrial biopsy
  15. Tiffany Wong

    Obstetrics and Gynaecology A 25 year old presented with a painful breast lump. What is your next step in management?

    #january2020amc1 A 25 year old presented with a painful breast lump. What is your next step in management? A.Fine needle aspirate B.Ultrasound scan C.Mammography D.Wide local excision
  16. Tiffany Wong

    Obstetrics and Gynaecology A 35 year old woman with a BMI of 16 in her teens has two children and seeks your advice to prepare for menopause. What is your advice on the next ste

    #january2020amc1 A 35 year old woman with a BMI of 16 in her teens has two children and seeks your advice to prepare for menopause. What is your advice on the next step? A.Bone densimetry scan B.HRT C.Blood glucose D.Mammogram
  17. Tiffany Wong

    Obstetrics and Gynaecology A pregnant woman presents for her antenatal clinic. Some bruises were noticed on her hand. On further questioning she admitted that she was slapped by

    #january2020amc1 A pregnant woman presents for her antenatal clinic. Some bruises were noticed on her hand. On further questioning she admitted that she was slapped by her husband. She has a history of abuse by her husband. What is your next step in management? A.Tell her that domestic...
  18. Tiffany Wong

    Obstetrics and Gynaecology A 24 year old patient with a history of polycystic ovarian syndrome was startedd on a diet and execise program. She subsequently lost 20kg and started

    #january2020amc1 A 24 year old patient with a history of polycystic ovarian syndrome was startedd on a diet and execise program. She subsequently lost 20kg and started having normal regular periods with midcycle pain. She now wishes to conceive. Which of the following is your next step in...
  19. Tiffany Wong

    Paediatrics An aboriginal child is brought in with fever. On examination there is a bulging fontanelle. On CSF culture streptococcus species was isolated. Which o

    #january2020amc1 An aboriginal child is brought in with fever. On examination there is a bulging fontanelle. On CSF culture streptococcus species was isolated. Which of the following reasons is the cause of his condition? A.Ig A deficiency B.Aboriginal background C.Malnutrition D.Prematurity
  20. Tiffany Wong

    Medicine An elderly man complain of knee pain on examination the knee was normal. What is the most likely diagnosis?

    #january2020amc1 An elderly man complain of knee pain on examination the knee was normal. What is the most likely diagnosis? A.Hip osteoarthritis B.Knee osteoarthritis C.Septic arthritis D.Rheumatoid arthritis