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AMC March 2023 Recalls

AMC March 2023 Recalls list blog offers an in-depth exploration of past Australia Medical Council (AMC) exam questions, shedding light on their intricacies and patterns. By dissecting questions from previous exams, we provide a thorough understanding of the exam’s structure and content. Armed with this knowledge, you can fortify your study approach and strategy, ensuring a solid foundation based on insights gleaned from past exam questions. Let’s journey through the invaluable wisdom offered by past exams, paving the way for your continued excellence in the medical field.

As we peel back the layers of these questions, a treasure trove of insights emerges, offering a profound knowledge base. Armed with this newfound understanding, you can tailor and strengthen your study approach and overall strategy. This process ensures a solid educational foundation, built on the wisdom and knowledge gleaned from an in-depth analysis of past exam questions.

Together, let’s embark on this intellectual journey through the historical archive of exams, absorbing the invaluable wisdom they hold. These insights serve as a guiding light, illuminating your path towards continued excellence and success in the esteemed medical domain, ensuring a promising and fulfilling future in the field of medicine.

Adult male, stabbed with a knife in the chest. Knife was still in place in his chest.. stable vitals what is the most appropriate management.

  1. Remove knife under general anesthesia
  2. Remove knife and place chest tube
  3. Remove knife and pressure dress
  4. Remove then stich.

24 yo woman comes due to dyspnea on exertion & fatigue for 2 mths. Had URTI 3 mths ago that resolved in 3-4 days. A crescendo-decrescendo systolic murmur heard along the left sternal border. Rapid upstrokes of the peripheral pulses present. Cause?

  1. Bicuspid aortic valve
  2. Decreased cardiac contractility
  3. Interventricular septal hypertrophy

34yo man is brought due to difficulty swallowing, blurred vision & mild dyspnea. Returned yesterday from a trip during which he snorkeled, ate locally cured fish & hiked in a forest. Oral mucosa is dry, speech slurred, pupils dilated & neck muscles weak. Next step?

  1. Administer antitoxin therapy
  2. Administer atropine and pralidoxime

42yo man with persistent sadness, weight gain & fatigue the past 4 mths. MDD after a divorce 3 yrs ago. History of separation anxiety disorder as a child. GAD in mother. Symptoms resolved with sertraline. Features for antidepressant therapy?

  1. Age of onset of initial depressive episode
  2. Number of prior depressive episodes

75yo man is brought due to increasing confusion over the past 3 wks. Wife died 4 wks ago & has not been sleeping well since. Has COPD & hypertension. Takes doxylamine, amlo & tiotropium. Gait is ataxic & speech dysarthric. Mild cortical atrophy. Next step?

  1. Add donepezil therapy
  2. Add selective serotonin reuptake inhibitor therapy
  3. Discontinue doxylamine

yr-old man with ALS is withdrawn, sleeping more than normal & having episodes of confusion. Uses a wheelchair. Percutaneous gastrostomy tube placement 6 mths ago due to dysphagia. Tongue atrophy with fasciculations & bilateral basal atelectasis. Next step?

  1. Arterial blood gas analysis
  2. Depression screening

yr-old man with periodic substernal chest pain. Has hypertension & diabetics. Right foot amputated. Imaging after administration of an adenosine analog reveals nonuniform radioactive isotope uptake in the myocardium, consistent with myocardial ischemia. Change observed?

  1. Augmentation of flow in non–obstructed vessels
  2. Enhancement of myocardial contractility

5yo boy is brought for evaluation of multiple new growths on the face. Patient can open & close his eyes without pain or difficulty. Next step?

  1. Biopsy the lesion
  2. Observe and provide reassurance

yr-old retiree comes due to 2 mths of weight loss, dry cough & progressive pain in his right arm. Treated for community-acquired pneumonia a yr ago. History of type 2 diabetes mellitus & hypertension. Used to travel internationally for work. 30- pack-yr smoking ;quit 5 yrs ago. Cause?

  1. Aspergilloma
  2. Superior pulmonary sulcus tumor

yr-old girl briefly lost consciousness after a right side head injury. CT scan reveals a right frontotemporal epidural hematoma. While waiting for craniotomy, the patient becomes somnolent & develops left lower extremity weakness. Cause of worsening neurologic status?

  1. Diffuse axonal injury
  2. Subarachnoid hemorrhage
  3. Subfalcine herniation

yr-old woman complains of periodic headaches in the temporal region, visual disturbances & neck stiffness. Biopsy of a scalp artery confirms giant cell arteritis. Slowly progressive muscle weakness 6 mths later. Headaches resolved, but has difficulty climbing stairs & getting up from a chair. Cause?

  1. Drug-induced myopathy
  2. Inflammatory myositis

yr-old man with an increasing number of small lesions appearing on his hands, scalps & other locations. Spots associated with intermittent, mild itching but are otherwise asymptomatic. Uses electronic cigarettes regularly & drinks 3-5 alcoholic beverages on weekends. BMI 32. Diagnosis?

  1. Irritant contact dermatitis
  2. Lichen planus
  3. Psoriasis

yr-old woman with stabbing, unremitting abdominal pain & confusion. Worse in the upper abdomen & associated with nausea & frequent nonbloody emesis. Has type 1 diabetes mellitus & major depression. The mucous membranes are dry & capillary refill is delayed. Diagnosis?

  1. Acetaminophen overdose
  2. Acute cholangitis

yr-old primigravida at 32 wks gestation is brought due to a seizure that occurred 30 min ago. Patient’s head moved from side to side, eyes fluttered, jaw clenched & rhythmic, asynchronous movements of the upper & lower extremities. Episode resolves within 1 min. Next step?

  1. 24 urine
  2. mgso4
  3. video eeg

yr-old woman is brought due to behavioral disturbances. History of Alzheimer disease & hypertension. Medications include amlodipine & donepezil. Nightly risperidone is started & a wk later, patient is less aggressive, but her restlessness & wandering have worsened. Next step?

  1. Add memantine therapy
  2. Advise nursing home placement

yr-old woman comes due to diffuse abdominal pain & malaise for 24 hrs. Type 1 diabetes mellitus & end-stage renal disease 2 yrs ago. Receiving peritoneal dialysis. Aspirate from peritoneal dialysis catheter is cloudy; Gram stain of fluid shows gram-positive cocci. Cause?

  1. Germ cell tumor
  2. Histoplasmosis
  3. Hodgkin lymphoma

yr-old woman comes due to intermittent headache & associated with nausea & vomiting .She is afebrile & has never had a headache like this before. Her only medication is oral contraceptive pills. BMI is 34 kg/m2. Papilledema seen on funduscopy. Left untreated?

  1. Blindness
  2. Intracranial bleeding

yr-old woman with worsening headaches & right-sided weakness. A retired seamstress & chronic tobacco use. Right-sided pronator drift. Partially calcified extra-axial mass compressing left frontal lobe. Mass appears dural-based & homogeneously enhances on post-gadolinium MRI. Next step?

  1. Chemotherapy
  2. Combination antitubercular therapy
  3. Surgical resection

38yo gravida 5 para 5, with painful ambulation on postpartum day 1. Received epidural analgesia during labor & had vaginal delivery of 4.4 kg infant complicated by shoulder dystocia relieved by McRoberts maneuver & suprapubic pressure. Focal tenderness inferior to bladder. Diagnosis?

  1. Epidural abscess
  2. Femoral neuropathy
  3. Pubic symphysis diastasis

yr-old gravida 1 para 0, at 25 wks gestation with increasing substernal chest pain. Has twin pregnancy & admitted for inpatient monitoring for preterm labor. Receiving heparin for venous thromboembolism prophylaxis. Lower extremities 1+ pitting edema to the knees. Diagnosis?

  1. Acute fatty liver of pregnancy
  2. Heparin-induced thrombocytopenia

yr-old gravida 2 para 1, at 20 wks gestation on routine prenatal visit. Wks ago, had 2 days of fever & pharyngitis. Uterine fundus is below umbilicus. US shows a fetus with bilateral periventricular intracranial calcifications & an enlarged liver with multiple intrahepatic calcifications. Cause?

  1. CMV
  2. Influenza virus

yr-old woman comes due to a painful leg ulcer that has been expanding over the last 2 mths. History of Crohn disease, well controlled for the past 2 yrs with azathioprine. Works as a gardener. Diagnosis?

  1. Erythema nodosum
  2. Pyoderma gangrenosum
  3. Hidradenitis suppurativa

yr-old woman with a 2-cm groin mass below the right inguinal ligament. History of obstructive pulmonary disease with occasional exacerbations & hypertension. 45 pack-year smoking. BMI 34. Mass is tympanitic to percussion. Next step?

  1. CT angiogram of the lower extremities
  2. Elective surgical repair

51yr-old woman comes due to progressive right arm & shoulder pain for 4 mths. History includes hypertension treated with lisinopril & hypothyroidism treated with levothyroxine. Mild atrophy of right deltoid muscle. Range of motion of right shoulder markedly reduced. Next step?

  1. Deltoid muscle biopsy
  2. Range of motion exercises

80yr old woman with increasing abdominal pain, nausea, vomiting & inability to keep food down.  Has chronic paroxysmal atrial fibrillation. Abdomen distended & tympanic. Tenderness in right groin area. X-ray reveals distended bowel loops with air-fluid levels. Cause?

  1. Groin hematoma
  2. Small bowel adhesions
  3. Small bowel herniation

yr-old girl is brought for leg pain. Prior to this, sedentary lifestyle. Started walking routine & transitioned to plant-based diet. Feels tired most days. Weight at 90th & height at 75th percentile. Bilateral ankles, knees, elbows & wrists have mild swelling & tenderness. Medication?

  1. Ceftriaxone
  2. Levothyroxine
  3. Naproxen

yr-old primigravida at 36 wks gestation comes for a routine prenatal visit. She wishes to have a natural delivery without any medication that would decrease the pain. Doesn’t want cesarean delivery. Appropriate response?

  1. Giving your condition, caesarean unlikely. We’ll discuss this again only if it is absolutely needed.
  2. I would recommend a c-sec delivery only if it were absolutely necessary. Lets talk about the indication.

EXACT SAME WORD

yr-old college student with worsening abnormal movements, particularly at highly stressful times. Started in middle school when he would repeatedly blink & shrug his shoulders. Grades have declined & is embarrassed during class presentations. Father died age 50 from stroke. Treatment?

  1. anti- oligonuecleotide therapy
  2. ?? VMAT2 inhibitor therapy

yr-old woman comes with 5 mths of fatigue, excessive sweating & palpitations. Lost weight during the past 6 mths with an over-the-counter weight loss remedy. Has lid lag. Thyroid shows a small gland. Radioiodine uptake by the thyroid gland

is diffusely decreased. Diagnosis?

  1. Elevated ATPA titer
  2. Elevated ESR
  3. Low serum thyroglobulin level

day-old boy is brought due to persistent bilious vomiting for 10 hrs. Irritable & refused to feed. His last bowel movement was 24 hrs ago. Abdomen is firm & distended with hypoactive bowel sounds & tenderness to palpation. Small amount of stool in rectal vault. Occult blood in stool. Next step?

  1. Contrast enema
  2. Exploratory laparotomy

yr-old girl comes due to “wetting her bed” for the past wk. Eats dinner at 6 PM, with which she has her last glass of milk or juice. Goes to bed at 8:30 PM. Her parents divorced six mths ago & she lives with her mother & older sister. Height & weight are at 40th percentile. Next step?

  1. Obtain a urinalysis
  2. Reassure that this will resolve in a few weeks

yr-old man being hit in the face with a basketball. Bleeding from both sides of his nose for about 10 min that stopped with pressure. Currently unable to breathe through his nose. Has allergic rhinitis treated with oral antihistamines. Soft, fluctuant swelling of septum bilaterally. Next step?

  1. Embolize the ??sphenopalatine artery
  2. Incise and drain the nasal septum

Follow-up for 6-mth-old boy after completing a course of antibiotics for a febrile urinary tract infection. US shows mild right hydronephrosis. A voiding cystourethrogram shows retrograde urine flow into right ureter & collecting system with dilation & blunting of renal calices. If untreated?

  1. Development of renal cysts
  2. Fibrosis of renal interstitial space

yr-old boy with bed-wetting. Never stayed dry overnight for more than 3 consecutive nights. Irritable & inattentive. Parents achieved nighttime dryness at age 5. Height & weight at 75th & 25th percentiles, respectively. BP at 90th percentile. Tonsils symmetrically enlarged. Next step?

  1. Initiate a trial of methylphenidate
  2. Obtain nocturnal polysomnography

yr-old man with temporal headaches, fatigue, ears ring & eyes blurry. Moderate cervical lymphadenopathy. Hepatosplenomegaly present. Dilated, segmented & tortuous retinal veins. Sensory deficits in feet. Serum protein electrophoresis reveals a sharp IgM spike. Diagnosis?

  1. Chronic lymphocytic leukemia
  2. Multiple myeloma
  3. Waldenstrom macroglobulinemia

yr-old gravida 2 para 1, at 34 wks gestation comes to establish prenatal care. Had cesarean delivery at 25 wks gestation due to eclampsia & fetal growth restriction. Fetus in frank breech presentation with estimated weight at 50th percentile. Wished for a vaginal delivery. Next step?

  1. Repeat US in 2 weeks to determine mode of delivery
  2. Schedule a cesarean delivery at 37 weeks gestation

yr-old man comes due to nausea, generalized weakness & muscle cramps. History of type 2 diabetes mellitus, hypertension & hyperlipidemia. Medication of metformin, lisinopril & rosuvastatin. Bilateral basal crackles present. Bilateral 2+ lower extremity edema. Cause?

  1. Decreased cardiac output
  2. Glomerulonephritis
  3. Renal tubular injury

yr-old man comes due to increasing forgetfulness. Unable to concentrate & complete paperwork. Has hypertension, hypercholesterolemia, diabetes, benign prostatic hyperplasia & transient ischemic attack. Family history: hypertension, diabetes & Alzheimer disease. Cause?

  1. Alzheimer disease
  2. MDD

yr-old woman comes due to diffuse abdominal pain & malaise for 24 hrs. Type 1 diabetes mellitus & end-stage renal disease 2 yrs ago. Receiving peritoneal dialysis. Aspirate from peritoneal dialysis catheter is cloudy; Gram stain of fluid shows gram-positive cocci. Cause?

  1. Contamination via bacteria from the bowel
  2. Touch contamination

yr-old woman comes due to excessive urination at night. Past 2 wks, has been getting up at least 3 times at night to urinate. History of hypothyroidism treated with levothyroxine & bipolar disorder treated with lithium carbonate. Decreased skin turgor & dry mucous membranes. Cause?

  1. Hypothalamus
  2. Proximal tubule of the kidney
  3. Renal collecting ducts

yr-old man, 2-week history of shortness of breath and fatigue. out of breath when walking short distances and has dry nighttime cough. 25-pack-year smoking history and drinks alcohol socially. worked in construction. cause?

  1. Absence of an audible S3
  2. Lack of crackles on lung auscultation
  3. Normal BNP level (<100 pg/mL)
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