AMC Clinical Exam Prep by Dr Jayse

• Request relevant physical examination findings from the examiner. • Review the examination card and ask further targeted questions. • State the most likely diagnosis and differential diagnoses. • Discuss further investigations and management as appropriate. #october2026

AMC Clinical Cases – 21 October 2026 Physical Examination Cases Case 1: Ear Examination • Perform a hearing assessment and ear examination. • State the most likely diagnosis and differential diagnoses. Case 2: Pelvic Examination for Irregular Bleeding • Explain the procedure and obtain informed consent. • Perform a pelvic examination on the mannequin. • Explain the findings, likely diagnosis and differential diagnoses to the patient. Case 3: Peripheral Artery Disease with Sensory Neuropathy • Perform a focused lower-limb examination, including peripheral circulation and sensory assessment. • State the most likely diagnosis and differential diagnoses. Counselling Cases Case 4: Teacher Concerned About Rubella Exposure • Take a relevant history, including exposure and immunisation status. • Explain the appropriate investigations and the reasons for them. • Discuss further management and precautions. Case 5: A 47-Year-Old Woman Wants to Stop the Oral Contraceptive Pill • Take a relevant medical and gynaecological history. • Discuss the risks and benefits of stopping contraception. • Counsel her about suitable alternative contraceptive options. Case 6: Multiple Rib Fractures • Explain the risks and potential complications before discharge. • Discuss pain relief, respiratory care and further management, with reasons. Case 7: Down Syndrome Counselling • Counsel the patient or family regarding Down syndrome. • Explain the condition, associated health concerns and available support. • Answer questions and discuss further assessment and management. History-Taking and Diagnostic Cases Case 8: Lower Limb Pain with Multiple Skin Lesions • The patient has lower-limb pain and multiple lesions on the left leg. Vital signs and a picture suggesting sepsis are provided. • Take a focused history. • Identify the most likely diagnosis, potentially necrotising fasciitis. • Discuss differential diagnoses and justify them with clinical findings. Case 9: Four-Month-Old Infant with Vomiting Since Birth • Take a focused paediatric history. • State the most likely diagnosis and differential diagnoses, particularly gastro-oesophageal reflux disease (GERD) and pyloric stenosis. Case 10: Child with Poor Concentration at School • Take a history from the parent or caregiver. • Explore the episodes, awareness, behaviour and developmental history. • State the most likely diagnosis and differential diagnoses; absence seizures are a possibility. Case 11: Video-Based Clinical Case • Watch a patient video lasting approximately four minutes. • State the most likely diagnosis and explain the supporting clinical features to the examiner. • Discuss the further assessment and management plan. Case 12: Mental State Examination (MSE) • A patient is brought in by police after allegedly closing or blocking a neighbour's fence. • Take a psychiatric history. • Conduct and present the MSE to the examiner. • Assess risk and discuss relevant differential diagnoses. Case 13: A 57-Year-Old Man with Blackouts Medications: Metformin, gliclazide, an ACE inhibitor and atorvastatin. • Take a focused history of the blackouts, including onset, duration, associated symptoms and recovery. • Explore medication use, meal patterns, diabetes control and cardiovascular risk factors. • State the most likely diagnosis and differential diagnoses. Case 14: Possible Elder Abuse or Unexplained Bruising in a Nursing Home Resident Scenario: A son comes to discuss his mother's multiple bruises. His mother lives in a nursing home and takes apixaban. An eye problem is also mentioned. • Take a relevant history from the son. • Explore the bruising, falls, medications, possible bleeding and the mother's care arrangements. • Identify relevant investigations and explain the reasons to the examiner. • Consider medication-related bruising, bleeding complications and possible elder abuse or neglect. Case 15: Shortness of Breath, Fever and Cough Scenario: A patient presents with shortness of breath for two days, fever of 38°C and cough. • Take a focused respiratory history.

Currently being resuscitated with IV fluids and uncrossmatched packed red blood cells." ​R (Recommendation/Request): "I am requesting an urgent mesenteric angiography and possible catheter embolization for active bleeding control." Here are structured AMC Clinical Exam cases tailored directly from the recall prompts in your image:

​A mother brings her 6-year-old daughter presenting with a fever, sore throat, and a skin rash. ​Task: ​Take a history from the mother. ​State the physical exam findings you are looking for. ​Discuss the diagnosis, treatment, and isolation requirements. ​Clinical Findings (Examiner Findings): ​High fever, tonsillar exudates, "strawberry tongue," sand-paper-like erythematous rash (blanches on pressure) dynamic past Pastia lines in skin creases. ​Key Management Points: ​Diagnosis: Scarlet Fever (caused by Group A Streptococcus / Streptococcus pyogenes). ​Treatment: Oral Penicillin V (or Amoxicillin) for 10 days (or Erythromycin/Azithromycin if penicillin-allergic) to prevent acute rheumatic fever and post-streptococcal glomerulonephritis. ​Public Health/School: Keep child home from school/daycare until at least 24 hours after starting antibiotic therapy. ​Case 5: Travel Vaccine & Malaria Prophylaxis Counselling ​Based on prompt 7: travelling overseas counsel for the required vaccination and prophylaxis ​Candidate Instructions: ​An adult planning to travel overseas (e.g., Sub-Saharan Africa or Southeast Asia) presents for pre-travel advice. ​Task: ​Take a travel history (destination, duration, planned activities, past vaccination status). ​Provide health advice regarding routine, recommended, and mandatory vaccines. ​Counsel on malaria prophylaxis and general travel safety. ​Key Management Points: ​Vaccinations: Ensure routine vaccines (Tetanus, MMR, Influenza) are up to date. Advise on Hepatitis A, Typhoid, Yellow Fever (if applicable), and Japanese Encephalitis/Rabies based on exact risk. ​Malaria Prophylaxis: Prescribe appropriate antimalarial regime (e.g., Doxycycline, Atovaquone-Proguanil, or Mefloquine) based on destination/resistance patterns, explaining when to start and finish taking it. ​Mosquito & Food Precautions: DEET insect repellent, bed nets, long clothing, "boil it, cook it, peel it, or forget it" food and water safety, and travel insurance. ​Case 6: Postpartum Iron Deficiency Anaemia Counselling (Vegetarian) ​Based on prompt "Post partum IDA Hb81, patient vegetarian, counselling for management" ​Candidate Instructions: ​A postpartum vegetarian woman (Hb 81 g/L) requires counselling regarding her anaemia management. ​Task: ​Explore symptoms (fatigue, shortness of breath, dizziness) and dietary history. ​Explain the diagnosis and discuss management options (Oral vs. IV Iron). ​Address dietary sources suitable for a vegetarian diet. ​Key Management Points: ​Medical Treatment Options: ​Oral Iron: Discuss elemental iron supplements; counsel on taking with Vitamin C (orange juice) and avoiding tea/coffee/calcium with doses. Mention common side effects (constipation, dark stools, nausea). ​IV Iron Infusion: Offer Ferric carboxymaltose (Ferinject) if rapid correction is needed or if oral iron is poorly tolerated/ineffective. ​Dietary Advice: Encourage non-heme iron sources (legumes, lentils, spinach, tofu, fortified cereals) paired with Vitamin C to enhance absorption. ​Case 7: ISBAR Handover for Diverticular Bleed ​Based on prompt 14: ISBAR diverticular bleed. Handover to the radiology reg for an embolisation ​Candidate Instructions: ​You need to perform a phone handover to the Interventional Radiology registrar for a hemodynamically unstable patient with a massive lower GI bleed secondary to diverticular disease. ​Task: Deliver a structured handover using the ISBAR framework. ​ISBAR Structure: ​I (Identification): "Hello, my name is Dr. [Name], GP/Resident at [Hospital]. I am calling to discuss [Patient Name], a [Age]-year-old male..." ​S (Situation): "...who has presented with acute, severe, painless hematochezia, likely a massive lower GI bleed due to suspected diverticular bleeding." ​B (Background): "Known history of diverticular disease and hypertension. Bowel preparation for colonoscopy was unsuccessful due to active bleeding." ​A (Assessment): "Vital signs: BP 90/55 mmHg, HR 115 bpm, Hb dropped to 72 g/L.

Clinical exam 15 October 2026 ​Case 1: Peripheral Arterial Disease (PAD) & Intermittent Claudication ​Based on prompt 1: 67M with pain in Right calf, smoker and h/o HTN and hypercholesterolaemia, signs of arterial claudication, PAD picture ​Candidate Instructions: ​You are an AMC candidate in a GP clinic. A 67-year-old male presents with right calf pain when walking. ​Task: ​Take a targeted history. ​Perform/outline relevant physical examination findings to discuss with the patient. ​Explain the likely diagnosis and management plan to the patient. ​Patient/Roleplay Information: ​History: Pain in right calf after walking 200m, relieved by rest after 5–10 minutes. History of heavy smoking (30 pack-years), hypertension, and hypercholesterolemia. ​Physical Exam Findings (Provided by Examiner): ​Weak/absent right popliteal and dorsalis pedis pulses. ​Cool right lower limb with pale skin on elevation and dependent rubor. ​Ankle-Brachial Index (ABI): 0.65 on the right side. ​Key Management Points: ​Lifestyle: Smoking cessation, daily structured exercise/walking program, diet modifications. ​Medical Therapy: Antiplatelet agent (Aspirin 100 mg/day or Clopidogrel 75 mg/day), statin optimization for lipid control, and BP optimization. ​Specialist Referral: Vascular surgeon evaluation for Doppler ultrasound / CT angiography and possible revascularization if disabling or non-responsive. ​Case 2: Major Depressive Disorder (MDD) in a Young Adult ​Based on prompt 2: 22M failed in his engineering exam, past history of gf leaving and depressed since 6 months ?MDD picture ​Candidate Instructions: ​You are an AMC candidate in a GP clinic. A 22-year-old male presents after failing his engineering exam. ​Task: ​Take a targeted psychiatric history. ​Assess suicide risk and safety. ​Formulate and explain the management plan to the patient. ​Patient/Roleplay Information: ​History: Low mood, anhedonia, sleep disturbances (early morning awakening), low energy, poor concentration, and feelings of worthlessness for the last 6 months following a breakup with his girlfriend. ​Risk Assessment: Denies active suicidal intent, but expresses feeling like a "failure." No prior history of psychosis or mania. ​Key Management Points: ​Biopsychosocial Approach: ​Psychological: Refer for Cognitive Behavioral Therapy (CBT) under a Mental Health Treatment Plan (MHTP). ​Biological: Consider SSRI (e.g., Fluoxetine or Sertraline) with psychoeducation on onset (2–4 weeks) and temporary initial side effects. ​Social & Safety: Involve family/support networks, safety planning (crisis line contacts), and university academic support/counseling services. ​Case 3: Paediatric Growth Chart Counselling & Obesity ​Based on prompt 4: Growth chart, Task to chart the given findings on the growth chart. Mother present, Child obese with BMI 28, task for counselling ​Candidate Instructions: ​You are an AMC candidate. A mother attends with her child whose growth findings need to be plotted. ​Task: ​Plot/interpret the child’s BMI percentile on the growth chart (BMI 28, >97th percentile). ​Counsel the mother regarding the child's weight and associated health risks in a non-judgmental manner. ​Provide a lifestyle management plan. ​Key Management Points: ​Communication: Validate mother's presence; avoid stigmatizing language (focus on "healthy growth" and "overall health"). ​Assessment: Screen for dietary habits (sweet drinks, screen time, physical activity levels, family eating dynamics). ​Management Plan: ​Whole-family approach to dietary changes (reducing refined sugars, portion control, increasing water/fruit/vegetables). ​Encourage at least 60 minutes of daily physical activity and limit screen time to <2 hours/day. ​Follow-up schedule for height and weight monitoring; avoid strict crash dieting in growing children. ​Case 4: Paediatric Sore Throat & Rash (Scarlet Fever) ​Based on prompt 5: Scarlet Fever, 6F with c/o sore throat/fever/rash ​Candidate Instructions:

• Draw the location of the lump on paper, clearly indicating the patient's right breast. • Explain the need for appropriate triple assessment: clinical examination, breast imaging and tissue diagnosis when indicated. Important clarification points for teaching: The original notes contain a few details that should be verified before students treat them as definitive diagnoses: • Upper abdominal pain: “Improved with melena” may be a transcription error. Melena means black, tarry stools and is an alarm feature, not a symptom of improvement. • Palpitations: A fast, regular rhythm does not establish atrial fibrillation. ECG confirmation is required. • Genital ulcers with urinary retention: Consider genital herpes and other causes; acute urinary retention requires prompt assessment. • Antenatal glucose testing: Interpret the fasting value according to the specific diagnostic criteria used in the station. • Psychiatry wrist-laceration case: The significance of the pink dress is unclear from the recall, so students should explore the patient's explanation rather than assume a particular psychiatric diagnosis.

• Take a focused history. • Assess the onset and pattern of diplopia, associated neurological symptoms and vascular risk factors. • State the differential diagnoses and explain the need for urgent assessment where indicated. Case 6: Palpitations Scenario: A female patient presents with palpitations after becoming concerned about friends who have experienced heart attacks. She describes a pounding sensation in the chest. The rhythm is fast and regular. She has hypothyroidism and takes thyroxine 100 micrograms, with poor medication adherence and no recent dose change. Headache is reported, but facial flushing is absent. Caffeine intake, risk factors and mood should be explored. The original recall suggests atrial fibrillation as a possible diagnosis, although the described regular rhythm requires confirmation. Tasks: • Take a focused history. • Ask the examiner for relevant physical examination findings. • Discuss the likely diagnosis and differential diagnoses. • Explain the investigations required, including ECG and thyroid function tests, and outline management. OBSTETRICS Case 1: Antenatal Visit at 12 Weeks Scenario: A woman at 12 weeks of pregnancy attends for an antenatal review. She has a history of gestational diabetes in a previous pregnancy and a BMI of 28. Investigations: Antenatal investigations are reported as normal except for the oral glucose tolerance test: • Fasting glucose: 5.6 mmol/L (above the stated threshold of 5.2 mmol/L). • One-hour and two-hour glucose values: Normal. Tasks: • Take a focused antenatal history. • Review and interpret the investigation results. • State the likely diagnosis, considering the applicable pregnancy glucose criteria. • Counsel the patient regarding diet, exercise, glucose monitoring and further management. GYNAECOLOGY Case 1: Amenorrhoea and Vaginal Dryness Scenario: A 37-year-old woman presents with cessation of menstruation and vaginal dryness. She has a history of termination of pregnancy and previous medication use, but no history of surgical procedures. Investigations: • FSH: High. • LH: High. • Oestrogen: Low. • Beta-hCG: Normal. • Prolactin: Normal. • TSH: Normal. Tasks: • Take a focused gynaecological history. • Discuss appropriate investigations. • Interpret the hormonal results and state the most likely diagnosis. • Counsel the patient regarding the diagnosis, fertility implications, bone health and management options. MUSCULOSKELETAL MEDICINE Case 1: Distal Fibula Fracture Scenario: A patient presents with left ankle pain following an injury. An X-ray demonstrates a distal fibula fracture. Tasks: • Explain the X-ray findings to the examiner. • Explain the likely cause of the ankle pain to the patient. • Discuss fracture management, immobilisation, weight-bearing advice and analgesia. • Explain the need for orthopaedic review and follow-up. PHYSICAL EXAMINATION STATIONS Case 1: Suspected Anaphylaxis in a Child Scenario: A child develops a facial and lip rash with swelling after attending a birthday party. Tasks: • Describe the visible findings in the photograph to the examiner. • Obtain and assess the vital signs. • Perform an anterior chest examination. • Recognise possible anaphylaxis and explain the immediate emergency management, including intramuscular adrenaline when indicated. Case 2: Parkinsonism Scenario: A video shows a man with features suggestive of Parkinson's disease. Tasks: • Describe the clinical findings observed in the video. • Explain the likely diagnosis to the medical student. • Discuss relevant differential diagnoses, including drug-induced parkinsonism and other causes of parkinsonism. Case 3: Breast Lump Examination Scenario: A female patient is concerned about a breast lump because her mother has a history of breast cancer. The examination reveals a lump on the patient's right breast, despite her initial concern about the left breast. Tasks: • Obtain consent and explain the examination. • Perform a systematic breast examination. • Describe the lump and relevant examination findings.

AMC Clinical Examination Date: 16 October 2026 PAEDIATRICS Case 1: Acute Gastroenteritis Scenario: A father presents with his son, who has had diarrhoea and vomiting for the past 24 hours. His other son has similar symptoms. There is no fever. Tasks: • Take a focused history within 3 minutes. • Review the physical examination findings provided on the card. • Findings: No signs of dehydration; trace ketones present. • Explain the likely diagnosis. • Discuss management and provide appropriate parental counselling. Case 2: Acute Otitis Media Scenario: A child presents with fever, ear pain and swelling following a recent cough and cold. The child was previously treated with amoxicillin but did not improve. There is no hearing loss. Tasks: • Take a focused history within 3–4 minutes. • Review the physical examination findings on the card. • Findings: Bulging tympanic membrane with purulent discharge. • Provide the diagnosis and discuss further management. PSYCHIATRY Case 1: Mental State Examination (MSE) Scenario: A video of a patient is shown for 4 minutes. Tasks: • Describe the mental state examination findings to the examiner. • Discuss the likely diagnosis and differential diagnoses. • Perform an appropriate risk assessment, including risk to self and others. Case 2: Wrist Laceration and Possible Psychotic Symptoms Scenario: A patient presents with a wrist laceration. The episode was reportedly triggered by seeing a roommate wearing a pink dress. Tasks: • Take a focused psychiatric history. • Explore the circumstances surrounding the injury and assess suicidal intent. • Assess psychotic symptoms, mood symptoms, substance use and relevant psychosocial factors. • Explain your differential diagnoses. MEDICINE Case 1: Acute Urinary Retention with Genital Ulcers Scenario: An 18-year-old female is unable to pass urine for the past 18 hours. She has a history of multiple sexual partners and genital ulcers. Tasks: • Take a focused history. • Review the physical examination findings on the card. • Discuss the likely diagnosis and differential diagnoses. • Explain immediate management, investigations and appropriate counselling. Case 2: Rectal Bleeding Scenario: A patient reports blood on the toilet paper after passing stools. Defecation is painful, and the stools are firm. There are no reported symptoms suggestive of colorectal cancer. The patient's father was diagnosed with colorectal cancer at the age of 52. Tasks: • Take a focused history. • Ask the examiner for the relevant physical examination findings. • State the most likely diagnosis and differential diagnoses. • Discuss appropriate investigations and management, taking the family history into account. Case 3: Burning Feet in a Patient with Diabetes Scenario: A patient with diabetes complains of burning sensations in the feet. The patient is not compliant with diabetes medication and drinks one to two glasses of wine on most days. Tasks: • Take a focused history. • Assess diabetes control, neuropathic symptoms, alcohol intake and complications. • State the most likely diagnosis and differential diagnoses, with reasons. Case 4: Upper Abdominal Pain Scenario: A patient presents with central upper abdominal pain rated 5/10. The pain is burning, non-radiating, worse after lying down and eating fatty foods, and not related to spicy foods, coffee or tea. The history includes a recent weight gain of 10 kg. The original recall notes improvement with melena; this detail requires clarification. Tasks: • Take a focused abdominal pain history. • Explore gastrointestinal symptoms, medication use, alarm features and relevant risk factors. • State the most likely diagnosis and differential diagnoses. • Discuss appropriate investigations and management. Case 5: Diplopia with Diabetes and Hypertension Scenario: A patient reports double vision that improves when either eye is covered, suggesting binocular diplopia. The patient has hypertension and diabetes, with urine glucose 2+ and ketones present. Medications include perindopril, metformin and atorvastatin, but adherence is poor. Tasks:

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4/4 June 2026 candidates passed !!! Struggling With Clinical Performance? You’re Not Alone. Many candidates say, “It’s probably a performance issue.” And often — they’re right. Clinical exams aren’t just about knowledge. They test: Communication under pressure Structured clinical reasoning Time management Confidence in roleplay scenarios If you’re actively looking for a roleplay partner to identify where you’re making mistakes — that’s exactly the right mindset. LIMITED SPOTS 3-4 people at a time for session!!! Online clinical course catered for face to face examination 10 session 12 session 18 session 30 sessio ~ high yield questions ~ at least 6 cases per day ~ role play and feedback ~ complete summary of similar exam questions ~ private group for discussion 3-4 people per session Content will be Role play based on the real questions and feedback with discussion around topic Access to the notes with drive 5 subjects medicine surgery Paeds mental health & O&G 3 days per week Please message @jayse89 for more details

16 JUNE 2026 📌 PAEDIATRICS 1️⃣ Breath Holding Spells – Counselling & management 2️⃣ Psychogenic Cough – 12-year-old girl with chronic cough 3️⃣ Nappy Rash – Diagnosis + counselling 📌 PHYSICAL EXAMINATION (PE) STATIONS 4️⃣ Hand Examination – Scaphoid Fracture (+ Differential Diagnosis) 5️⃣ Respiratory Examination – 57-year-old smoker with SOB & cough 6️⃣ Knee Examination – 20-year-old hockey player (+ Differential Diagnosis) 📌 OBSTETRICS & GYNAECOLOGY 7️⃣ 37 Weeks Pregnancy – Reduced fetal movements (“Baby less kicking since morning”) 8️⃣ Cervical Screening Counselling 9️⃣ Late Pregnancy Epigastric Pain & Nausea – 37 weeks pregnant, symptoms after eating at night, requesting delivery Likely Dx: GORD in pregnancy ⚠️ Important DDX to Exclude: Preeclampsia/HELLP, cholecystitis, pancreatitis, gastritis 📌 PSYCHIATRY 🔟 Delirium Video Station – Summarise findings + Mental State Examination (MSE) 1️⃣1️⃣ Bereavement / Adjustment Issue – 19-year-old struggling with stepmother after father remarried 6 months ago; mother died 2 years earlier Task: Explore grief process and explain bereavement 📌 EMERGENCY / DRUG CHART 1️⃣2️⃣ Drug Chart Writing – Severe ureteric colic pain management 📌 MEDICINE / DIAGNOSTIC REASONING 1️⃣3️⃣ 57-year-old Female – Nausea, tiredness, unwell + fever for 3 days after travel to Malaysia Important Differential Diagnoses (AMC Approach) 🔹 Dengue Fever (high yield with SE Asia travel) 🔹 Malaria (must exclude in fever after travel) 🔹 Typhoid Fever 🔹 COVID / Influenza / Viral illness 🔹 Traveller’s gastroenteritis / infection 🔹 Hepatitis A/E (if jaundice/GI symptoms) 🔹 UTI / Sepsis source 🔹 Leptospirosis 📍 AMC Key Point: Fever after overseas travel = Always rule out malaria early. 📌 ETHICS / COMMUNICATION 1️⃣4️⃣ Advance Care Directive (ICU Case) – Patient with respiratory failure in ICU; son signed directive and wants to know what further can be done Likely Focus ✅ Capacity & substitute decision maker ✅ Understanding Advance Care Directive ✅ Goals of care discussion ✅ Supportive / palliative care options ✅ Clarifying ceiling of treatment & patient wishes 📌 PREVENTIVE MEDICINE / COUNSELLING 1️⃣5️⃣ Cardiovascular (CVS) Risk Assessment – 57-year-old female, BMI 35, brother had heart attack Task: ✅ Perform CVS risk assessment ✅ Explain modifiable & non-modifiable risk factors Risk Factors to Explore 🔹 Age 🔹 Obesity (BMI 35) 🔹 Family history of premature heart disease 🔹 Smoking 🔹 Hypertension 🔹 Diabetes 🔹 High cholesterol 🔹 Sedentary lifestyle 🔹 Diet / alcohol 🔹 Stress 📌 DERMATOLOGY / INFECTIOUS DISEASE 1️⃣6️⃣ Itchy Rash Case – 22-year-old law student living in hostel with friends; itching hands + papular/vesicular rash with scalp involvement Likely Dx: Scabies (highly likely due to hostel/contact history) Differential Diagnoses 🔹 Contact dermatitis 🔹 Eczema 🔹 Fungal infection 🔹 Impetigo 🔹 Varicella (if systemic features)

23 JUNE 2026 1. MSE / Preventive Health • Patient came for regular injection. • Overweight. Task: Perform MSE • Summarise your findings to the examiner 2. 8 Weeks Pregnant + Vaginal Bleeding • Early pregnancy bleeding. Task: • Take history • Ask physical examination findings from examiner • Discuss investigations • Explain how diagnosis will be established Likely differentials: threatened miscarriage / ectopic / inevitable miscarriage. 3. Tremors • Tremor worse in left hand than right • Improves with alcohol • Family history of Parkinson’s disease Task: • Take history, differentiate tremor causes, explain diagnosis and management. Likely: Essential tremor 4. Constipation in Pregnancy • Pregnant lady • Taking iron tablets Task: • Take history • Ask physical examination findings • Manage condition Likely: iron-induced constipation. 5. Cervical Screening Results • HPV 18 positive • HSIL positive Task: • Focused history • Explain results • Discuss management Management: urgent colposcopy / specialist referral. 6. Epstein–Barr Virus Infection Task: • Explain investigations • Explain complications • Counsel patient and manage Likely infectious mononucleosis. 7. Rectal Bleeding • Physical examination findings provided on card Task: • Take history • Explain likely diagnosis 8. Pale Child + Fatigue • Mother concerned child looks pale and tired easily • Examination: splenomegaly Task: • Take history • Ask examination findings • Counsel further Likely haemolytic anaemia / thalassemia / hereditary spherocytosis. 9. Child with Penile Swelling • No discharge Task: • Take history • Manage accordingly Likely balanitis / phimosis / paraphimosis. 10. Palpitations • ECG normal • Positive history: excessive caffeine intake Task: • Explain ECG • Counsel and manage Likely benign palpitations due to caffeine. 11. Postpartum Psychiatric Case • Post-delivery • Tiredness and abnormal feelings Task: • Take history • Management Diagnosis: Postpartum psychosis 12. SIDS Counseling Task: • Counsel patient regarding SIDS 13. Glucosuria Case • No ketonuria • HbA1c provided • FBE provided • Overweight • Eats excessive takeaway food Task: • Explain investigations • Counsel accordingly Likely obesity / prediabetes / type 2 diabetes counseling. 14. Physical Examination Task: Perform breast examination 15. ENT Examination • Dummy otoscopy provided Task: • Ear examination • Hearing assessment Likely hearing loss station. 16. Physical Examination • Post-surgery patient • Previous surgery for intermittent claudication Task: Perform lower limb neurovascular examination

18 June 2026 Psychiatry Case 1: 67-year-old male – Wife concerned about possible Alzheimer disease (MMSE) Case 2: Post-appendectomy young male – Delirium with visual hallucinations Physical Examination Case 3: 37 weeks pregnant lady – Physical examination (Normal pregnancy) Case 4: 17-year-old with urinary retention – Abdominal examination + DRE (Prostatic lump) Case 5: Iron deficiency anemia patient post blood transfusion – Headache examination Paediatrics Case 6: Child with behavioral problems at school – ADHD Case 7: Newborn with green vomiting and delayed meconium – Intestinal obstruction Case 8: 21-month-old child not walking – Global developmental delay Case 9: Child with hemoptysis, born in India – Tuberculosis Medicine / Surgery Case 10: Breaking bad news – Thyroid papillary carcinoma Case 11: Upper abdominal colicky pain – Gallstones Case 12: Bilateral MCP joint pain – Rheumatoid arthritis Case 13: Rural GP phone consultation – Left eye problem (Periorbital cellulitis) Case 14: Elderly lady with burning sensation in both legs – Diabetic neuropathy / Peripheral neuropathy Case 15: 32-year-old lady – Contraception counselling (Breastfeeding)

16 JUNE 2026 📌 PAEDIATRICS 1️⃣ Breath Holding Spells – Counselling & management 2️⃣ Psychogenic Cough – 12-year-old girl with chronic cough 3️⃣ Nappy Rash – Diagnosis + counselling 📌 PHYSICAL EXAMINATION (PE) STATIONS 4️⃣ Hand Examination – Scaphoid Fracture (+ Differential Diagnosis) 5️⃣ Respiratory Examination – 57-year-old smoker with SOB & cough 6️⃣ Knee Examination – 20-year-old hockey player (+ Differential Diagnosis) 📌 OBSTETRICS & GYNAECOLOGY 7️⃣ 37 Weeks Pregnancy – Reduced fetal movements (“Baby less kicking since morning”) 8️⃣ Cervical Screening Counselling 9️⃣ Late Pregnancy Epigastric Pain & Nausea – 37 weeks pregnant, symptoms after eating at night, requesting delivery Likely Dx: GORD in pregnancy ⚠️ Important DDX to Exclude: Preeclampsia/HELLP, cholecystitis, pancreatitis, gastritis 📌 PSYCHIATRY 🔟 Delirium Video Station – Summarise findings + Mental State Examination (MSE) 1️⃣1️⃣ Bereavement / Adjustment Issue – 19-year-old struggling with stepmother after father remarried 6 months ago; mother died 2 years earlier Task: Explore grief process and explain bereavement 📌 EMERGENCY / DRUG CHART 1️⃣2️⃣ Drug Chart Writing – Severe ureteric colic pain management 📌 MEDICINE / DIAGNOSTIC REASONING 1️⃣3️⃣ 57-year-old Female – Nausea, tiredness, unwell + fever for 3 days after travel to Malaysia Important Differential Diagnoses (AMC Approach) 🔹 Dengue Fever (high yield with SE Asia travel) 🔹 Malaria (must exclude in fever after travel) 🔹 Typhoid Fever 🔹 COVID / Influenza / Viral illness 🔹 Traveller’s gastroenteritis / infection 🔹 Hepatitis A/E (if jaundice/GI symptoms) 🔹 UTI / Sepsis source 🔹 Leptospirosis 📍 AMC Key Point: Fever after overseas travel = Always rule out malaria early. 📌 ETHICS / COMMUNICATION 1️⃣4️⃣ Advance Care Directive (ICU Case) – Patient with respiratory failure in ICU; son signed directive and wants to know what further can be done Likely Focus ✅ Capacity & substitute decision maker ✅ Understanding Advance Care Directive ✅ Goals of care discussion ✅ Supportive / palliative care options ✅ Clarifying ceiling of treatment & patient wishes 📌 PREVENTIVE MEDICINE / COUNSELLING 1️⃣5️⃣ Cardiovascular (CVS) Risk Assessment – 57-year-old female, BMI 35, brother had heart attack Task: ✅ Perform CVS risk assessment ✅ Explain modifiable & non-modifiable risk factors Risk Factors to Explore 🔹 Age 🔹 Obesity (BMI 35) 🔹 Family history of premature heart disease 🔹 Smoking 🔹 Hypertension 🔹 Diabetes 🔹 High cholesterol 🔹 Sedentary lifestyle 🔹 Diet / alcohol 🔹 Stress 📌 DERMATOLOGY / INFECTIOUS DISEASE 1️⃣6️⃣ Itchy Rash Case – 22-year-old law student living in hostel with friends; itching hands + papular/vesicular rash with scalp involvement Likely Dx: Scabies (highly likely due to hostel/contact history) Differential Diagnoses 🔹 Contact dermatitis 🔹 Eczema 🔹 Fungal infection 🔹 Impetigo 🔹 Varicella (if systemic features)

4/4 MARCH 2026 candidates passed !!! Starting 4/5/2026 Struggling With Clinical Performance? You’re Not Alone. Many candidates say, “It’s probably a performance issue.” And often — they’re right. Clinical exams aren’t just about knowledge. They test: Communication under pressure Structured clinical reasoning Time management Confidence in roleplay scenarios If you’re actively looking for a roleplay partner to identify where you’re making mistakes — that’s exactly the right mindset. LIMITED SPOTS 3-4 people at a time for session!!! Online clinical course catered for face to face examination 10 session 12 session 18 session 30 sessio ~ high yield questions ~ at least 6 cases per day ~ role play and feedback ~ complete summary of similar exam questions ~ private group for discussion 3-4 people per session Content will be Role play based on the real questions and feedback with discussion around topic Access to the notes with drive 5 subjects medicine surgery Paeds mental health & O&G 3 days per week Please message @jayse89 for more details

🧠 Stroke – Recognize It FAST ⸻ 1️⃣ What is a Stroke? 🚨 ➊ Definition • Interruption of blood flow to the brain • OR rupture of a blood vessel ➋ Types • Ischemic → vessel blocked 🧱 • Hemorrhagic → vessel ruptured 💥 ➌ Key Concept • Early recognition = better outcomes ⸻ 2️⃣ FAST Mnemonic ⏱️ ➊ F – Face 🙂 • Ask patient to smile • One side droops ➋ A – Arm 💪 • Ask to raise both arms • One arm drifts down ➌ S – Speech 🗣️ • Slurred or abnormal speech • Difficulty repeating phrases ➍ T – Time 🚑 • Act immediately → call emergency services ⸻ 3️⃣ Additional Warning Signs ⚠️ ➊ Vision Changes 👁️ • Blurred, double vision, or loss of vision ➋ Balance Issues 🚶‍♂️ • Sudden loss of coordination ➌ Severe Headache 🤯 • Sudden onset (especially hemorrhagic stroke) ⸻ 4️⃣ Risk Factors ❤️ ➊ Hypertension (MOST IMPORTANT) 🔴 ➋ Metabolic & Lifestyle • Diabetes • Smoking • Hyperlipidemia ➌ Cardiac Causes • Atrial fibrillation • Previous stroke / TIA ⸻ 💡 Clinical Pearl ➤ “Time is Brain” — every minute delay = neuronal loss ⸻ 📚 Visit our website for our innovative neurology note aumedprep.com.au

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Hi guys If you’re interested in role play sessions with feedback and mock exam Please message us @jayse89