AMC book of MCQs Flashcards
Risk of strangulation is highest in which hernia
Femoral Hernia
Differential to a femoral hernia
Femoral lymph node swelling
A 38-year-old builder had acute back pain which subsided over 24 hours. He now
complains of increasing numbness and tingling in both legs and poor bladder and
bowel control. Which one of the following should be the first step in management?
MRI
could be cauda equina
Mangement of Gas gangrene
Adequate and early wound debridement with removal of devitalised tissue
Plummer Vinson Syndrome
Triad of Dysphagia, ID-Anemia , Esophageal webs
Also present is glossitis and Cheilosis
Normal range of Serum osmolality
300
Age of menarche in Australia
10-16
First sign of puberty in females
Enlargement of breast buds
Which is the most usual mode of transmission of hepatitis C in Australia?
IV drug use
The most appropriate surveillance test to screen for the likely future development of malignant hepatoma (hepatocellular carcinoma, HCC) in a patient with Hepatitis C-related cirrhosis is:
AFP
Preferred Diagnostic for Pulmonary Embolism
CTPA
Test for congenital dislocation of the hip
Positive findings are the reduction of the dislocated femoral head into the acetabulum with an audible and palpable ‘jerk’ or ‘clunk’ (Ortolani ‘sign of the jerk’)
When is ergometrine administered
Ergometrine should achieve a profound uterine contraction, after the uterus has been ‘rubbed up’ manually in an attempt to expel any intrauterine clot which would consume clotting factors and allow further bleeding because of inadequate uterine contraction.
Treatment for Urothelial Tumor
Nephroureterectomy
Spinal Nerves involved in Abnormal Moro reflex
C5 and C6 through the erb point
Most important risk factor for colorectal carcinoma is
Family history
Glasses used in Myopia
Concave
Young female with hypertension and hyperkalemia
Primary Hyperaldosteronism
Divisions of Sciatic nerve
Tibial and peroneal
Signs of Fibular nerve damage
presentation of the common fibular nerve injury is a “foot drop”. It ranges from the weakness of the dorsiflexion and toe extension to the complete paralysis and inability to dorsiflex and evert the foot.
The main sensory symptom is the loss of sensation in the dorsum of the foot and the first dorsal webspace.
Causes of Foot drop
- Weak tibialis anterior
- Common peroneal nerve palsy
- Sciatic nerve palsy
- Prolapsed Disc (L5)
- MND- anterior horn cell
- Bilateral foot drop from Spinal or brain lesion
Signs of sciatic nerve lesion
weak knee flexion, lose ankle jerk, lose plantarflexion of foot as well as dorsiflexion, eversion, inversion, there is more widespread sensory loss L5
Signs of L5 radiculopathy
Loss of inversion and eversion
numbness and weakness in the little and ring fingers of the left hand, along with weakness of abduction of the little finger
Ulnar nerve
Signs of median nerve palsy
Weakness in Thumb opposition and pinching
weak wrist flexion and pronation
man falls on his
outstretched right arm, with
subsequent severe shoulder pain and
limited movement, especially when
attempting to elevate his arm over
the head.
Dislocated glenohumeral joint.
most common causes
of hypertension and chronic renal impairment in young
adults.
Reflex nephropathy
initial managment for paradoxical respiration following trauma
Institute positive-pressure ventilation via an endotracheal tube.
Main cause of dysmenorrhea in teenagers
Endometrial prostaglandin release
Side effects of tamoxifen in breast cancer
endometrial polyp formation, subendometrial oedema and, rarely, endometrial
carcinoma.
inability
to
abduct
the arm more than about 40°
in the presence of an actively
contracting deltoid muscle
Rupture of supraspinatus tendon.
most common cause of rectal bleeding in childhood,
Anal Fissure
Type of insomnia in depression
Middle insomnia - waking up during the night and
then having trouble getting back to sleep and, if successful, having broken sleep
thereafter
Common Symptoms of Giardiasis
diarrhoea, stomach cramps, bloating, nausea, loose and pale greasy stools, fatigue, and weight loss
multiple
acquired subserosal gas cysts occur in the small and large bowel, usually secondary
to obstructive airways disease and emphysema.
pneumatosis cystoides intestinalis
months of gradually progressive weakness of the right upper and lower limbs associated with ictal seizures, headache and papilloedema suggest
Frontal meningioma
MMSE score of Alzheimer’s
Above 26
causes pain localised diffusely and deeply around the joint, which is worse on prolonged standing or walking or with the effort of lifting.
Osteoarthritis of the hip
A 65-year-old patient presents with severe abdominal pain, shock, moderate abdominal rigidity, and intense lower back pain.
Leaking Aortic Aneurism
Findings of Presbycusis
AC> BC in both year
Weber test lateralization to better year
Old age
Neck swelling that moves with swallowing
Thyroglossal duct cyst
Treatment for Scrotal varicocele
Ligation of the
vein via a retroperitoneal approach in the iliac fossa
ameliorates symptoms and signs successfully.
fetal movements are still not being felt 24 hours after a normal cardiotocograph {CTG), what is the management
Induction of labour
Paul Bunnel test is for
Infectious mononucleasis
key lab findings in obstructing stone in
the (common) bile duct
Conjugated hyperbilirubinemia, bilirubin in the urine, no urinary urobilinogen.
DOC for Community acquired lobar pneumonia
benzylpenicillin intravenously
Management of septic abortion
- Culture
- antibiotics
- curettage
in that order
Canon a wave is seen in
complete heart block
when does pueperal psychosis occur
2 weeks after delivery
20% chance of reoccurrence
