Usage for hash tag: march2020amc1

#march2020amc1 A 60 year female known case of diabetes mellitus and heart failure was operated for cholecystectomy. On second postoperative day she went to the toilet. After coming out from the toilet she collapsed on the floor. On examination, Pulse 44/min, BP 80/46. She recovered immediately...

#march2020amc1 A male presents with history of pruritis and dark urine. There is a palpable mass in the right upper quadrant that moves with inspiration. What is the most likely diagnosis? A.Acute cholecystitis B.Gall bladder stasis C.Acute choledocholelithiasis D.Pancreatic cyst E.Acute...

#march2020amc1 A 24 year old male is brought to the emergency department with head injury. You noticed clear fluid dripping from his nose and suspect him to have a basal skull fracture. Which of the following is the most appropriate next step in management? A.Orogastric tube B.Nasogastric tube...

#march2020amc1 A 4 year old child presents with recurrent headaches that goes away after a few hours of sleep. Which of the following medications is the most appropriate to use? A.Paracetamol B.NSAIDS C.Propronalol D.Ergometrine

#march2020amc1 A 45 year old lady who has been on the oral contraceptive pill for the past 10 years stopped the pill 3 months ago and has been amennorhic since then. Which of the following is the most appropriate next step? A.B-HCG B.Estrogen C.FSH & LH D.FSH

#march2020amc1 A patient with history of gout is on colchicine and steroids when he presents with an acutely painful knee. On examination the knee is swollen. On aspiration, there are no organisms seen however the neutrophils are abundant. What is your next step in management? A.Arthroscopy...

#march2020amc1 An elderly woman was brought to the clinic with her husband who commented that he has noticed his wife getting more forgetful and that she at times has visual hallucinations. What is the most likely diagnosis? A.Lewy-body dementia B.Transient Ischemic attack C.Schizophrenia...

#march2020amc1 What is the most ominous sign of an arterial ischemia of the limbs? A.Paralysis B.Pain C.Pallor D.Cool on touch

#march2020amc1 Picture of a young boy with Lt shoulder pain and inability to move his arm. What is your diagnosis? A.Rotator cuff injury B.Glenohumeral joint dislocation C.Acrominoclavicular joint dislocation D.Clavicular fracture

#march2020amc1 An old woman presents with sadness and feel depressed. Her husband died two years ago. What is your diagnosis? A.Abnormal grief reaction B.Depression C.Anxiety

#march2020amc1 What would be the most likely findings found in ABG of someone that is hyperventilating? A.PO2 99mm Hg, PCO2 65mm Hg, pH7.33 B.PO2 96mm Hg, PCO2 45mm Hg, pH7.26 C.PO2 103mm Hg, PCO2 40mm Hg, pH7.36 D.PO2 102mm Hg, PCO2 26mm Hg, pH7.46

#march2020amc1 A 3 year old child was brought in by his mother, who is concerned about his growth and feeding. On examination the child looked normal and no abnormalities were detected. While taking the history the mother said that the child had never been immunised. What advice will you give...

#march2020amc1 A 60 year old female comes to the clinic complaining of urinary incontinence. She is incontinent unless she is close to the toilet. What is your next step in management? A.Bladder re-education B.Pelvic floor exercise C.Ultrasound scan

#march2020amc1 A 50 year old lady with history of depression came in teary, confused and upset one week after the second anniversary of her mother’s death. She is insomniac and has lost weight over the past month. She hears her mother’s voice. What is your diagnosis? A.Normal bereavement...

#march2020amc1 Rh negative pregnant lady presents at 32 weeks, felt heart sounds absent, confirmed fetal death on ultrasound ICTdone 32 weeks ago is negative. What is the cause of the intrauterine fetal death? A.Feto-materal haemorrhage B.Rh iso immunization C.Unexplained cause

#march2020amc1 A child with constipation and fecal impaction with painful passage of stools with blood. What will be next step in management? A.Laxative and high fibre diet B.High fibre diet and fluids C.Barium enema D.Fissurectomy

#march2020amc1 A six week old baby, presents with breathing difficulty, crowing noise while crying, better when asleep. The baby is adequate in weight and thriving well. What is your next step in management? A.Reassure B.Bronchoscopy C.Chest x-ray