Usage for hash tag: january2020amc1

#january2020amc1 A 5 year old child presented with fever, conjunctival congestion, muco-cutaneous erythema, palmar erythema and lymphadenopathy. What is the next step in management? A.Echocardiography B.Antibiotics C.Blood culture D.Full blood count E.Ultrasound scan

#january2020amc1 An 18 month old child is brought in by his mother who is complaining that her child has been having diarrhoea. Undigested food is noticed in the child’s faeces, otherwise the child is at the appropriate growth and development stage. What is the most likely diagnosis...

#january2020amc1 A female infant is brought in by her mother with a 3 day history of fever and cough. The baby’s condition has somewhat deteriorated over the past 24 hours. On examination the child has tachypnoea with intercoastal recessions. There are widespread bilateral crepitations and...

#january2020amc1 A 22 year old male was brought into the emergency department by paramedics in an ambulance following a motor vehicle accident. He’s lethargic, is co-operative and his BP is 88/55 mm Hg. IV fluid were already commenced. What is your next step in management? A.Bolus 1L N/Saline...

#january2020amc1 A 21 year old male who is previously well presents with muscle jerks, has been to a party prior to consultation. He drinks alcohol. On examination his blood pressure is elevated. What is the most likely underlying cause of his problem? A.Marijuana use B.Ecstasy C.Heroin D.Cocaine

#january2020amc1 An 80 year old lady living on her own, came in with pallor and lethargy. The blood picture shows a Hemoglobin of 7 g/dl and the MCV of 60. what is the most likely cause of her anaemia? A.Iron deficiency B.Mainutrition C.Chronic disease D.Malignancy

#january2020amc1 A pregnant female at 38 weeks of gestation comes in with uterine contractions. She is a nulliparous woman. On examination the cervix is 4cm dilated after 4 hours. What is the next step in management? A.Offer ceasarian section B.Do amniotomy C.Give her epidural anaesthesia...

#january2020amc1 A 15 year old girl presents to you seeking for advice due to her poor performance at school. She is tearful and in emotional distress. When asked about her parents, she said that her mother said to sort out things by herself. She broke up with her boyfriend a few days ago. What...

#january2020amc1 A 64 year old female comes with vaginal dryness and as her husband is frustrated due to their sexual performance. She has come to seek your advice. What is the next step in management? A.Commence her on HRT B.Commence her on estrogen C.Commence her on vaginal estrogen...

#january2020amc1 A 26 year old pregnant female was recently exposed to a child with varicella zoster virus. She is anxious and wants to know the possibility of getting infected. What is the nest step in management? A.Give her immunisation B.Terminate the pregnancy C.Check her immune status...

#january2020amc1 A 55 year old woman presents with hot flushes, and had a hysterectomy some years ago. What is the most appropriate treatment of choice for her problem? A.Oestriol valerate (Progynova) 0.5 B.Conjugated equine estrogen (Premarin) 0.625 C.Oestradiol D.Combined oestrogen and...

#january2020amc1 A pregnant lady is 28 weeks of gestation and has presented with irregular contractions and pink mucous PV discharge. What is the next investigation that will determine that she will go into labour? A.Candida albicans positive B.Fetal scalp PH C.Bacterial vaginoisis positive...

#january2020amc1 An 85 year old man post MI does not want to be resuscitated if it happens again. His wife died one month ago. What is the most appropriate next step? A.Put a DNR order on his bed B.Discuss with his family C.Assess his competency D.Discuss with patient advocate

#january2020amc1 36 year old man presents with a history of multiple joint pains and fever over the previous 8 months. On exam BP180/118 left foot drop with digital infarcts. What is your next in management? A) Sural nerve biopsy B) Echocardiogram C) FBC D) CSF E) ANA antibodies

#january2020amc1 A young woman present with severe chest pain aggravated by inspiration, and relieved on recumbent position. on exam she has a crunchy systolic sound in left sternal border, she has H/o pulmonary embolism before. what inv to do to reach dx? a. ana b. ctpa c. V/q scan d. ANCA e...