AMC MCQ exam Prep by Dr Jayse
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📈 Telegram 频道 AMC MCQ exam Prep by Dr Jayse 的分析概览
频道 AMC MCQ exam Prep by Dr Jayse (@amcmcqprep) 英语 语言赛道中的 是活跃参与者。目前社区聚集了 10 457 名订阅者，在 医学 类别中位列第 2 604，并在 新加坡 地区排名第 318 位。
📊 受众指标与增长动态
自 невідомо 创建以来，项目保持高速增长，吸引了 10 457 名订阅者。
根据 25 七月, 2026 的最新数据，频道保持稳定运转。过去 30 天订阅人数变化为 -26，过去 24 小时变化为 0，整体触达仍然可观。
- 认证状态： 未认证
- 互动率 (ER)： 平均受众互动率为 12.70%。内容发布后 24 小时内通常能获得 2.64% 的反应，占订阅者总量。
- 帖子覆盖： 每篇帖子平均可获得 1 328 次浏览，首日通常累积 276 次浏览。
- 互动与反馈： 受众积极参与，单帖平均反应数为 5。
- 主题关注点： 内容集中在 statin, patient, mcq, symptom, examination 等核心主题上。
📝 描述与内容策略
作者将该频道定位为表达主观观点的平台：
“Contact Dr Jayse @jayse89”
凭借高频更新（最新数据采集于 26 七月, 2026），频道始终保持新鲜度与高覆盖。分析显示受众积极互动，使其成为 医学 类别中的关键影响点。
10 457
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无数据24 小时
-147 天
-2630 天
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频道帖子
| 2 | 🩸 Nephritic Syndrome
⸻
1️⃣ Definition
Nephritic syndrome is caused by inflammation of the glomeruli, resulting in hematuria, hypertension and impaired kidney function.
⸻
2️⃣ Clinical Features
✔️ Hematuria (often cola-colored urine)
✔️ Hypertension due to salt and water retention
✔️ Mild (subnephrotic) proteinuria
✔️ Mild peripheral or periorbital edema
✔️ Reduced GFR with rising urea and creatinine
⸻
3️⃣ Urinalysis
Typical findings include:
• Hematuria
• RBC casts (highly suggestive)
• Subnephrotic proteinuria (<3.5 g/day)
• WBC casts may occasionally be present
⸻
4️⃣ Common Causes
• Post-streptococcal glomerulonephritis
• IgA nephropathy
• Lupus nephritis
• ANCA-associated vasculitis
• Anti-GBM (Goodpasture) disease
• Membranoproliferative glomerulonephritis
⸻
5️⃣ Diagnosis
Investigations include:
• Urinalysis and urine protein quantification
• U&Es, eGFR and serum creatinine
• Complement levels (C3/C4)
• ANA, ANCA, Anti-GBM antibodies
• Renal biopsy when indicated
⸻
6️⃣ Management
• Control blood pressure and fluid overload
• Treat the underlying cause
• Immunosuppressive therapy when appropriate
• Dialysis if severe AKI or life-threatening complications develop
⸻
📖 Get our high-yield Nephrology & Urology book now:
🌐 aumedprep.com.au
#Nephrology | 234 |
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| 6 | ) reporting to aphra about colleague drinking alcohol during consultation
a) report to aphra
( Q. ) A man cane for review of his hiv status where the value was 250,what should his husband do?
a) HIV prorplylasis
b) Avoid analgesia sex.
c) use condom
( Q. ) Patient on denosumab for osteoporosis for the last 2 years clinical deterioration, tsh 0.01, t4, T3 normal but asymptomatic. What to do?
a) Carbimazole
b) propranolol
c) switch to zolendronic acid- patient is already on denosumab
d) radioiodine iodine
( Q. ) patient with left arm and leg weakness carotid both side is 60% tx
a) Endarterectomy
b) Warfarin
c) Clopidogrel
( Q. ) 10year old kid Diagnosed as migraine family history of migrain Managed with ibuprofen Long term management
a) sumatriptan
b) migraine diary
c) Propanalol
d) Diet
( Q. ) Melanoama near lower eye lid
a) Refer
b) Excise
c) Review
( Q. ) Perimetry ques
a) Perimetry assessment
( Q. ) patient while discharged from hospital already on serotonin and tramadol now psychiatric wants duloxetin Wat to do
a) Write all
b) Explain risk of Serotonin Syndrome
c) Dulexotin and tramadol
d) Another opiod
( Q. ) An elderly patient died in nursing home: Prostrate cancer 2 days back sepsis high fever low bp Yesterday consious fall with scalp bleeding But not willing for treatment Died morning written as the cause of death?
a) Sepsis secondary to pneumonia
b) Prostate cancer
c) Cardiac arrest
d) Head injury
e) Death certificate should not be completed
( Q. ) An intern accidentally sustains a needle-stick injury while performing cannulation on a patient admitted with pneumonia. The intern already informed the supervisor. The patient appears clinically well otherwise. Next most appropriate step:
a) Report the incident
b) Perform serology testing of the patient for blood-borne viruses
c) Perform serology for the intern now and again after 6 weeks
d) Give post-exposure prophylaxis (PEP)
e) Assess the patient for high-risk factors for viral transmission
( Q. ) 1 dark red blood with nappy stained with blood last night.on diary products growth along centile.mild eczema
a) Intusussception
b) Meckels
c) Cow milk protein
( Q. ) 2.same hyponatremia in chils with na 129
a) 0.9% NaCl maintenance
( Q. ) 2. Same hypoglycemia question
a) IV 10% dextrose
( Q. ) Lung nodule 10 mm no symptoms what to do?
a) CT surveillance
( Q. ) Recyrrent calccium stones..long term management?I remember potassium citrate in option?
a) potassium citrate
( Q. ) Pericarditis ecg finding?
a) Diffuse ST elevation
( Q. ) How to exclude malaria
a) Thick and thin films
( Q. ) Pneumothorax in child hyperesonant?
a) Lateral x-ray
( Q. ) Same tied knot picture and asking ctg changes?
a) Decelerations
( Q. ) Pregnant patient past history of dvt now dvt prophylaxis in this pregnancy?
a) Enoxaparin (LMWH)
( Q. ) meconium stained liquor with no contractions same question
a) Induce with oxytocin
( Q. ) Post coital bleeding investigation?
a) CST (Co-test)
( Q. ) single question on stats same as yesterday to find ARR with antibiotic and non antibiotic exposed.
a) ARR
( Q. ) Driver with heaviness refusing ecg what to donnext?
a) Notify licensing authority
( Q. ) Lymphangioma same emdici picture
a) Lymphangioma
( Q. ) Orbital cellulitis
a) CT scan orbits and sinuses
( Q. ) Ent same hering musical noises but no option of sound syndrome
a) Hearing loss
Q. One child had low bp , high temp , don’t remember the whole stem
antibiotics
Q. Child with severe dehydration , capillary refill time more than 2 , sodium 129
2/3 maintenance 0.9% NS plus dextrose
0.9 ns bolus
3:% NS
Q. 4 year old child,6puff sal given, not improving
give sal again after 20 mint
oral pred
ipratropium
Q. 18 month old , after coming from child play , difficultly breathing wheeze
Bronchoscopy
Xray
Usg
Q. child vomits after every feed but still at 50th percentile
teach mother proper technique
give a bottle of milk before sleep
reassurance
Q. child with testicular swelling like hydrocele but non reducible
outpt surgical refereal | 252 |
| 7 | #contraception
A 30-year-old postpartum mother presents at 6 weeks postpartum. She has a history of Factor V Leiden syndrome and has decided not to breastfeed. What is the most suitable contraception option for her?
A) Progestogen-only pill (POP)
b( Levonorgestrel intrauterine device (IUD)
C) Combined oral contraceptive pill (COCP)
D) Contraceptive implant
E) Copper IUD | 483 |
| 8 |  没有文字... | 517 |
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| 10 | ❤️ Acute Heart Failure: Clinical Approach
⸻
1️⃣ Definition
· Acute heart failure is a rapid onset or worsening of heart function leading to pulmonary and/or systemic congestion.
· It can develop as new onset (de novo) or acute decompensation of chronic heart failure.
⸻
2️⃣ Types
➊ Hypertensive Acute Heart Failure
• Caused by a sudden rise in afterload from elevated blood pressure, leading to fluid redistribution into the lungs.
➋ Cardiogenic Pulmonary Edema
• Due to pump failure from reduced cardiac output and fluid accumulation in lungs.
• Causes include acute MI, severe LV dysfunction, valvular disease.
⸻
3️⃣ Diagnosis
➊ Clinical Assessment:
• Dyspnea, orthopnea, elevated JVP, S3 gallop, rales, peripheral edema.
➋ Investigations:
• BNP/NT-proBNP: Elevated in AHF
• ECG: Ischemia, arrhythmia
• CXR: Pulmonary congestion, cardiomegaly, Kerley B lines
• Echocardiogram: LVEF, valve function, wall motion
• Labs: Troponin, renal function, LFTs, electrolytes, ABG
⸻
4️⃣ Causes – CHAMP
➊ C – Coronary syndrome (MI)
➋ H – Hypertensive emergency
➌ A – Arrhythmias (e.g., atrial fibrillation with RVR, VT)
➍ M – Mechanical complications (e.g., papillary muscle rupture, acute MR, tamponade)
➎ P – Pulmonary embolism
⸻
5️⃣ Management
➊ Oxygen therapy (aim SpO₂ > 94%) ± non-invasive ventilation (CPAP/BiPAP)
➋ IV loop diuretics (e.g., furosemide) to reduce volume overload
➌ IV GTN if BP > 110 mmHg to reduce preload and afterload
➍ Inotropes (e.g., dobutamine) if hypotensive or cardiogenic shock
➎ Correct underlying CHAMP cause
➏ Monitor: Vitals, urine output, daily weight, renal function, electrolytes
⸻
Aumedprep.com.au | 1 487 |
| 11 | 🦴 RHEUMATOID ARTHRITIS (RA)
Rheumatoid arthritis is a chronic autoimmune inflammatory arthritis that primarily affects the small joints of the hands and feet. Early diagnosis and treatment are essential to prevent irreversible joint damage and disability.
🔑 Classic Clinical Features
1️⃣ Symmetrical pain and swelling of the MCP and PIP joints
2️⃣ Morning stiffness lasting more than 60 minutes
3️⃣ Warm, tender, swollen joints
4️⃣ Reduced grip strength
5️⃣ Fatigue, malaise, and weight loss
6️⃣ Progressive joint deformities if untreated (ulnar deviation, swan-neck and boutonnière deformities)
🩺 Examination Findings
• Tender, boggy synovitis
• Symmetrical joint involvement
• Reduced range of motion
• Rheumatoid nodules (advanced disease)
• Hand deformities in long-standing RA
🔍 Investigations
• Rheumatoid factor (RF)
• Anti-CCP antibodies (most specific)
• ESR and CRP
• FBC (anaemia of chronic disease)
• X-rays of hands and feet
• Musculoskeletal ultrasound or MRI for early synovitis
💉 Management
1️⃣ Refer early to Rheumatology.
2️⃣ Start DMARDs as soon as possible (usually Methotrexate).
3️⃣ Short-course corticosteroids may be used as bridge therapy.
4️⃣ NSAIDs for symptom relief when appropriate.
5️⃣ Biologic therapies (e.g. TNF inhibitors, IL-6 inhibitors, JAK inhibitors) for refractory disease.
6️⃣ Physiotherapy, occupational therapy, regular exercise, and smoking cessation.
⚠️ Complications
• Joint destruction and deformity
• Tendon rupture
• Cervical spine instability
• Osteoporosis
• Interstitial lung disease
• Cardiovascular disease
💡 High-Yield Pearl
Symmetrical small-joint arthritis + morning stiffness lasting >1 hour = Think Rheumatoid Arthritis.
Early treatment within the “window of opportunity” significantly reduces long-term joint damage and improves quality of life.
📚 Save this post and master Rheumatology with our high-yield Musculoskeletal Notes!
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| 12 | Highly tested list of musculoskeletal conditions with buzzwords 🔥
1. Osgood-Schlatter disease — Adolescent athlete, anterior knee pain, tenderness over tibial tuberosity, repetitive jumping/running.
2. Plantar fasciitis — Heel pain with first steps in the morning, improves with walking.
3. Achilles tendinopathy — Posterior heel pain, runners, pain with dorsiflexion.
4. Achilles tendon rupture — Sudden “pop,” inability to plantarflex, positive Thompson test.
5. Patellofemoral pain syndrome — Anterior knee pain, worse with stairs or prolonged sitting.
6. Patellar tendinopathy — Inferior patellar pain after repetitive jumping.
7. Iliotibial band syndrome — Lateral knee pain in runners/cyclists.
8. Pes anserine bursitis — Medial knee pain, obesity, osteoarthritis.
9. Prepatellar bursitis — Kneeling history, anterior knee swelling.
10. Olecranon bursitis — Posterior elbow swelling.
11. Lateral epicondylitis — Pain with wrist extension.
12. Medial epicondylitis — Pain with wrist flexion.
13. De Quervain tenosynovitis — Thumb pain, postpartum, positive Finkelstein test.
14. Trigger finger — Finger locking/catching.
15. Carpal tunnel syndrome — Night paresthesias, thenar atrophy, Phalen/Tinel positive.
16. Cubital tunnel syndrome — Numbness of 4th/5th fingers.
17. Dupuytren contracture — Flexion contracture of 4th/5th fingers, diabetes, alcohol use.
18. Adhesive capsulitis — Painful loss of active and passive ROM, diabetes.
19. Rotator cuff tear — Weak abduction, positive drop-arm test.
20. Shoulder impingement syndrome — Positive Neer and Hawkins tests.
21. Biceps tendinitis — Anterior shoulder pain, positive Speed test.
22. Greater trochanteric pain syndrome — Lateral hip pain, tender greater trochanter.
23. Piriformis syndrome — Buttock pain radiating down leg, worse with sitting.
24. Medial tibial stress syndrome — Diffuse shin pain in runners.
25. Stress fracture — Athlete, focal bony tenderness, early X-rays may be normal.
26. Compartment syndrome — Pain out of proportion, pain with passive stretch, tense compartment.
27. Fibromyalgia — Diffuse pain, fatigue, normal inflammatory markers.
28. Myofascial pain syndrome — Localized muscle pain with palpable trigger points.
29. Rhabdomyolysis — Muscle pain, dark urine, markedly elevated CK.
30. Polymyalgia rheumatica — Age >50, morning stiffness, high ESR, dramatic response to steroids.
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| 14 | Crash course for July and August CANDIDATES
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2 sets of mock exam
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Private group
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| 15 | Cystic fibrosis- failure to thrive and recurrent resp infections
Q. Boy with passage of blood tinged urine since 3 2days. Had similar episodes 3 to 4 months resolved spontaneously. Now no active pharyngitis. Inv Urine PCR- normal Serum Alb and protein also normal.
Ig A nephropathy
PSGN
HUS
Hemorrhagic cystitis
Q. 10year old migrane several attacks in past 1 year. Now settled with ibuprofen and antisemitic. What next
migrane diary
sumtriptan as needed
Q. Around 36WOG mother came with rupture of membranes since 8 hours. CTG normal. HCV Ig G+ve HCV RNA negative.What to do next
Oxytocin
C section
N other options can't remember
Q. One pic with curdy white discharge. Patient complains of it h. No foul smelling discharge. What next
No inv (marked this as its Candida and curdy white)
High vaginally swab
Endocervical Naat
Gram stain
HCV PCR
Q. The same knotted umbilical cord
Q. 80 year old with severe dementia in aged care facility with4 cm irregular ulcer on labia
lichen sclerosis
assault
vaginal scc
candida
Q. Boy infant having large head circumference more than 95 percentile. Father has same issue.
Familial Macrocephay
Fragile X
Q. Young girl presented with petechia all over the body with gangere vitals unstable
Dic
Itp
Q. Child with anemia, spherocytes on blood film, no jaundice , was unwell a few says back but is better now.cause for his presentation asked
Parvovirus
Adenovirus
Q. meckel diverticulum repeated
Q. child presents with bleeding , mother has HHT . inheritance pattern asked
AD
AR
X linked
Q. hypoglycemia in child 1.9 bgl repeat
Q. 3 years old girl with stage 3 breast development ,no axillary or pubic hair, cause asked
idiopathic central
adrenal adenoma
ovarian tumour
congenital adrenal hyperplasia
Q. lady know hepatitis c did not get treated after being tested positive ,now presents in her last trimester of pregnancy hcv rna negative. Fetal head palpable 4/5 in abdomen. Members ruptures, no contractions . mx asked
fetal scalp electrode
oxytocin
c-section
Q. pregnant women ctg was abnormal fetus delivered and fetal cord shown in the picture:true knot asked what was most probable the abnormality in the ctg
decelerations
increased variability
Q. bacterial vaginosis repeat
Q. canididiasis repeat
Q. 6 weeks, mild distress on feeding, clear chest: what to do
CXR
Cardio review
reassurance*
Q. pregnant with tremors TSH0.1 normal T3 & T4 what to give:
carbimazole
propranolol
others
Q. * pt on COCP (30) with HMB and want to concieve after 12-18 months:
stop COCP and put LNG IUD
increase progesterone
increase estrogen
Q. A child came with unilateral eye swelling, retro orbital pain, his closed can not move, myosis, with discharge coming, he has maxillary tenderness, ear examination bilateral drum dull, what's best investigation?
Eye swab
head CT
don't remember other options
Q. An infant 6 months, breastfeed, healthy, wake up at night crying and sleep after breastfeeding and cuddling, the grandmother advised the mother to start solid food, or give bottle feeding, asking for advice.??
Start with rice cereal meal at evening.
Don't start solid food
Give bottle feed at night.
Continue breast feeding.
Q. A child few months with picture of hydrocele, what's further plan???
Follow up after 6 months
Aspiration
Surgery
Q. Almost all I remember are repeated questions. pregnant lady had a car. Accident she was front seater, no vaginal bleeding, hypotension, tender abdomen higher level uterus, diagnosis?
Placentae abruptio
Q. patient with bilateral global headache on both sides, with vomiting and mild fever. Mom has similar symptoms. What to check?
ECG
MRI Brain
Lumbar Puncture
CRP
Q. Young girl presents with mother, has had 4 menses since menarche started 12 months. Menses has been irregular since menarche. Exam normal. What to do
Reassure
FSH
USG
Testosterone
Q. Child with facial swelling and edema. Had mild acute upper respiratory tract infection after 2-3 weeks ago. Urinalysis 1+ blood, 3+ protein. Examination showed abdominal distension, pedal and facial edema. Vitals given but can’t remember. Diagnosis | 1 098 |
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| 18 | #June2026
Cardiac arrest with VF, what drug is to give after 2nd cycle of defibrillation?
A.Adrenaline
B.Amiodarone | 1 253 |
| 19 | #June2026
#psychiatry
A 26-year-old woman with difficult-to-treat bipolar disorder is planning to conceive. She has been stable for 6 months on lithium and quetiapine. What is the best course of action?
A. Switch lithium to valproate
B. Explain to the patient and continue lithium
C. Switch lithium to lamotrigine
D. Give antipsychotics
E. Stop all medication during pregnancy | 1 056 |
| 20 | #June2026
#Biostatistics A new drug reduces prostate cancer by 25%. The incidence of prostate cancer in the population is 8 per 100. How many people need to be treated to prevent one case of prostate cancer?
A. 10
B. 50
C. 100
D. 200 | 902 |
