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  1. Tiffany Wong

    Medicine A man came in with colicky abdominal pain. A renal calculus is seen at the ureteropelvic junction measuring 2cm. What is the next step in management?

    #oldrecallamc1 A man came in with colicky abdominal pain. A renal calculus is seen at the ureteropelvic junction measuring 2cm. What is the next step in management? A.Extracorporal shock wave lithotripsy B.Percutaneous Nepho lithotomy C.Basket removal D.Wait and reassure E.Nephrectomy
  2. Tiffany Wong

    Medicine An old man with dementia is in ICU. His wife is about to give consent. How does she base her decision for consent?

    #oldrecallamc1 An old man with dementia is in ICU. His wife is about to give consent. How does she base her decision for consent? A.With the weighing up of risk and benefit of current decision B.Based on his previous wishes C.According to her own wishes
  3. Tiffany Wong

    Paediatrics A 4 year old child comes with his mother who does not want her child immunised for MMR as he has an egg allergy. What is the next step in management?

    #oldrecallamc1 A 4 year old child comes with his mother who does not want her child immunised for MMR as he has an egg allergy. What is the next step in management? A.Give the vaccine anyway B.Do not give the vaccine C.Do a skin prick first D.Tell her that MMR does not contain egg protein
  4. Tiffany Wong

    Medicine Pic of the parotid gland giving with a syringe showing milky white aspirate. What is the most likely diagnosis?

    #oldrecallamc1 Pic of the parotid gland giving with a syringe showing milky white aspirate. What is the most likely diagnosis? A.Parotid duct obstruction B.Dental abscess C.Submandibular Calculi D.Suppurative parotitis E.Pleomorphic adenoma
  5. Tiffany Wong

    Medicine A 65 year old woman presents with a submandibulan lympy node swelling. She is afebrile, and does not have a cough nor a sore throat. Where will you mo

    #oldrecallamc1 A 65 year old woman presents with a submandibular lympy node swelling. She is afebrile, and does not have a cough nor a sore throat. Where will you most likely find the cause of her swelling? A.Lip B.Tongue C.Mandible D.Oral cavity
  6. Tiffany Wong

    Paediatrics A mother comes in to immunise her child with MMR, the child is allergic to eggs. What will be your next step in management?

    #oldrecallamc1 A mother comes in to immunise her child with MMR, the child is allergic to eggs. What will be your next step in management? A.Immunise the child under close supervision B.Do not vaccinate C.Tell her there is no connection between MMR and eggs D.Give a little bit of the...
  7. Tiffany Wong

    Paediatrics A 2 year old child was brought with stupor and confusion. He was attending a party with his parents where he was seen sipping liquids from glasses of

    #oldrecallamc1 A 2 year old child was brought with stupor and confusion. He was attending a party with his parents where he was seen sipping liquids from glasses of other people. What is the next step in management? A.Do serum electrolytes B.Do urine drug screen C.Resuscitation D.Call the police
  8. Tiffany Wong

    Paediatrics An 11 year old girl comes with her parents regarding her poor performance at school. Her mum spotted some stains on her undergarments occasionally. Sh

    #oldrecallamc1 An 11 year old girl comes with her parents regarding her poor performance at school. Her mum spotted some stains on her undergarments occasionally. She has been recently seen behaving odd with some movements mimicking sexual intercourse. What aspect of her history-taking is the...
  9. Tiffany Wong

    Paediatrics A 4 year old child has fever, irritability, mouth ulcers, and some maculopapular rash with vesicular pus containing lesions on his buttock, hands and

    #oldrecallamc1 A 4 year old child has fever, irritability, mouth ulcers, and some maculopapular rash with vesicular pus containing lesions on his buttock, hands and feet. Several erythematous lesions are also noted in the buccal mucosa. What is the most likely cause of this problem? A.Herpes...
  10. Tiffany Wong

    Psychiatry A 40 year old aboriginal woman has lost 6 of her relatives in the last 18 months. She has trouble sleeping, has lost weight and is feeling sad. She sa

    #oldrecallamc1 A 40 year old aboriginal woman has lost 6 of her relatives in the last 18 months. She has trouble sleeping, has lost weight and is feeling sad. She says she can feel and hear the spirits of her relatives in her home. What is the diagnosis? A.Depression B.Psychosis C.Greif...
  11. Tiffany Wong

    Medicine A 35 year old accountant presents to your clinic complaining of weakness and loss of sensation in his right thumb. Also he has a similar sensation in

    #oldrecallamc1 A 35 year old accountant presents to your clinic complaining of weakness and loss of sensation in his right thumb. Also he has a similar sensation in his forefinger. He is unable to grasp a pin with his thumb and index finger. There is no pain in the wrist. Where is the lesion...
  12. Tiffany Wong

    Medicine A 14 year old presents to the Emergency Department following a car accident in a car which was stolen and was driven by her 16 year old boyfriend. She

    #oldrecallamc1 A 14 year old presents to the Emergency Department following a car accident in a car which was stolen and was driven by her 16 year old boyfriend. She requests her parents not to be informed. What is the next step in management? A.Inform her parents B.Inform the police...
  13. Tiffany Wong

    Paediatrics A mother brings in her 2 year old child with rhinorrhea, mild upper respiratory tract infection and no fever. She asks you about immunisation as her c

    #oldrecallamc1 A mother brings in her 2 year old child with rhinorrhea, mild upper respiratory tract infection and no fever. She asks you about immunisation as her child has never been immunised. What will you advise her? A.Give immunisation now B.Defer the immunisation by one week C.Do not...
  14. Tiffany Wong

    Medicine A child presented with headache, fever and neck stiffness. The CSF analysis shows an increase in lymphocytes and normal protein. What is the most like

    #oldrecallamc1 A child presented with headache, fever and neck stiffness. The CSF analysis shows an increase in lymphocytes and normal protein. What is the most likely organism? A.Echovirus B.Herpes C.Mycoplasma D.H influenza
  15. Tiffany Wong

    Medicine 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

    #oldrecallamc1 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.Anastomotic stricture B.Malabsorption syndrome C.Acute cholecystitis
  16. Tiffany Wong

    Medicine A 28 years of investment banker presents with premature ejaculation. What will you advice this patient to overcome his condition?

    #oldrecallamc1 A 28 years of investment banker presents with premature ejaculation. What will you advice this patient to overcome his condition? a) Instruct him to squeeze the base of the penis b) To use a condom after erection c) Relaxation techniques d) Masturbation e) Try different coital...