AMC MCQ exam Prep by Dr Jayse

New promo valid for 4 more subscribers Sign up now and get 2 FREE SESSIONS!!! Struggling to find the right study resources? This changes everything. 🔥 ONLY $50 AUD – Get exam-ready faster with: ✔️ High-yield QBank (focus on what actually matters) for 1 month ✔️ Multiple mock exams to sharpen your performance ✔️ Complete notes access for quick revision BONUS: 2 FREE live session classes 💡 Stop wasting time. Start studying smarter. Spots are limited – Sign up NOW: aumedprep.com.au

Crash course for July and August CANDIDATES 10 sessions with doctor working in aussie 2 sets of mock exam 1 month access to qbank with notes access Private group Free EXAM MONTH RECALL Please message @jayse89 for more details

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

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New promo valid for 4 more subscribers Sign up now and get 2 FREE SESSIONS!!! Struggling to find the right study resources? This changes everything. 🔥 ONLY $50 AUD – Get exam-ready faster with: ✔️ High-yield QBank (focus on what actually matters) for 1 month ✔️ Multiple mock exams to sharpen your performance ✔️ Complete notes access for quick revision BONUS: 2 FREE live session classes 💡 Stop wasting time. Start studying smarter. Spots are limited – Sign up NOW: aumedprep.com.au

#June2026 Cardiac arrest with VF, what drug is to give after 2nd cycle of defibrillation? A.Adrenaline B.Amiodarone

#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

#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

#June2026 #Ethics A man is hostile and beats up his wife, and drinks alcohol. To make a diagnosis of personality disorder, which previous significant history is most relevant A. Childhood sexual abuse B. Cruelty to animals during late childhood C. Falling school grades D. Alcohol abuse E. Hitting his wife twice in the last 2 weeks

#June2026 #obstetrics A pregnant lady in her 20 or something weeks POG, no underlying comorbidities, is vegetarian by diet, vitals normal, labs, HbsAg, negative, HIV negative, rubella IgG positive, Hb-90, MCV-73. Asking what to check next ? Vit B12 and Folate TFT High vegetarian diet Hb electrophoresis

( Q. ) Stem about high calcium and parathroid hormone, asking investigation for diagnosis? a)sesamibi scan ( Q. ) About a man on dialysis, the is AV fistula , cant remember the entire stem a)AV outflow thrombosis b) AV inflow thrombosis ( Q. ) Elderly man who had a stroke and recently had a knew surgery and discharged a day after but finding it difficult to mobilize...asking what to do? a)physio b)hydro c)nerve conduction ( Q. ) About intermittent bleeding internal haemorrhoids above the dentate a)haemorrhoidectomy b)fibre c)rubber band ligation ( Q. ) About woman who has swelling in the groin months ago, but acute developed abdominal main...asking what investigation to diagnose? a)uss b)ct c)x-ray ( Q. ) Pt in the front seat of MVA, how ever pt is stable but scans show splenic haemorrhage a)Intensive observation ( Q. ) Woman presented with epigastric pain, fever and jaundice...there were plenty gallstones on uss...duct was 10mm dilated but stone not visualised...what is appropriate next step a)ercp b)mrcp ( Q. ) child who does not play with others. Gets angry when separated from his toys.is doing okay in school a)Autism spectrum disorder b)Avoidant c)adhd ( Q. ) About the suicidal girl that tries to strangle herself with the cuff Continuous observation and psychiatric assessment ( Q. ) Elderly man came in for prescription and asks if its worth it...what in his history will help in diagnosis Cognitive assessment (e.g., MMSE) ( Q. ) the elerly unkempt woman who has a 30yr old fiance over the phone and adopted a kid...came to refill drugs..surpriced it is 4 months long over due....what in her history will help you make diagnosis Mental State Examination ( Q. ) Know alcoholic, says he drinks cheap beer, threatening to jump in front of a vehicle...what is initial test a)blood alcohol level ( Q. ) Emergency doctor who insists he has been infected with mrsa even when tests say otherwise, he wears ppe everywhere except in the bathroom..what is dx a)illness anxiety disorder b)ocd ( Q. ) About child who has recurrent ear infection ...asking most appropriate investigation to reach diagnosis a)Ear swap mcs b)CT ( Q. ) The question about elderly woman who hit her hand and injured her wrist...investigation X-ray wrist ( Q. ) The woman with ear defect...hearing musical sounds a)Hearing loss ( Q. ) the picture of dacrocystits was given...same with the 210 and asked for management? a)I & drainage ( Q. ) They asked the same ARR question - 2% 2% ( Q. ) The question about the HIV positive husband who asked you not to tell the wife a) Refer to infectious dz ( Q. ) About the elderly man with so many co morbidities but has a DNR order a)supportive care b)transfusion ( Q. ) About the elderly man with a DNR with vaginal bleeding but difficult to examine a)examination under anaesthesia ( Q. ) About P value significance of < 0.5 Significant ( Q. ) About the psychiatric who came for goodwill letter for his drink driving in court and he has been drinking in and out of consultations a)Do not give letter b)report to ahpra ( Q. ) Father who's daughter had head trauma refusing admission a)counsel father on the risks ( Q. ) Driver comes in for drug refill but complains of two episodes of chest heaviness and refuses Ecg a)report to drivers licencing authority ( Q. ) Fresh blood per rectum a) Meckels diverticulum ( Q. ) Cow milk allergy a) Nappy gets diarrhea ( Q. ) Questions on placenta previs managment a) Stabilization and assessment of fetal/maternal well-being ( Q. ) Vaginal discharge there bacterial vaginosis - no investigations for first time a) Nil investigations/Start treatment ( Q. ) After giving epipen what will u do next a) Oxygen 12l via non rebreather mask ( Q. ) Pt with mild hypertension, whe casts, 3 cysts in right kidney nd 2 cysts in left kidney a) ADPKD ( Q. ) Question on cholangitis nd cholecysttis - next step a) ERCP b) MRCP ( Q. ) Question on opiod dependence a) Methadone ( Q. ) Paroitud tumor involoving facial nerve - dx a) CT scan ( Q. ) Question on absolute risk ratio, father bring child neglected a) Child protection services

What is the most likely diagnosis? A. Autosomal Dominant Polycystic Kidney Disease (ADPKD) B. Acute Interstitial Nephritis (AIN) secondary to Proton Pump Inhibitors C. Acute Tubular Necrosis (ATN) from amoxicillin toxicity D. Post-Infectious Glomerulonephritis (PIGN) E. Benign essential renal cystic disease Correct Answer: B. Acute Interstitial Nephritis (AIN) secondary to Proton Pump Inhibitors Explanation: Proton pump inhibitors (omeprazole) are one of the most common causes of drug-induced AIN. It can present weeks to months after starting the drug, characterized by a progressive drop in renal function, sterile pyuria, and WBC casts. The simple cysts noted on ultrasound are common incidental findings in a 56-year-old and do not meet the criteria for ADPKD. ## Surgery & Gastroenterology Q12. Grading and Management of Internal Haemorrhoids A 46-year-old female complains of a persistent, painless swelling at her anal margin that prolapses continuously during defecation but reduces spontaneously into the anal canal afterward. Visual inspection confirms internal hemorrhoids located above the dentate line. She has already optimized her dietary fiber and fluid intake without symptomatic relief. What is the most appropriate next step in management? A. Rubber Band Ligation (RBL) B. Further escalation of dietary fiber and daily laxatives C. Urgent surgical Haemorrhoidectomy D. Topical application of glyceryl trinitrate (GTN) 0.2% ointment E. Sclerotherapy using hypertonic saline injections Correct Answer: A. Rubber Band Ligation (RBL) Explanation: Hemorrhoids that prolapse but reduce spontaneously are classified as Grade II internal hemorrhoids. For patients with Grade II internal hemorrhoids located safely above the dentate line who fail conservative lifestyle measures, office-based Rubber Band Ligation (RBL) is the most effective next intervention. Q13. Acute Management of a Non-Bleeding Duodenal Ulcer An 74-year-old male presents with a self-limiting episode of hematemesis. He undergoes an urgent upper gastrointestinal endoscopy, which reveals a 1.5 cm clean-based, non-bleeding duodenal ulcer (Forrest Class III). There is no active bleeding, no visible vessel, and no adherent clot. What is the most appropriate initial treatment strategy? A. Immediate endoscopic mechanical clipping of the ulcer bed B. High-dose Proton Pump Inhibitor (PPI) therapy and outpatient monitoring C. Urgent surgical duodenotomy and ulcer plication D. Injection of epinephrine into the four quadrants around the ulcer E. Intravenous octreotide infusion for 72 hours Correct Answer: B. High-dose Proton Pump Inhibitor (PPI) therapy and outpatient monitoring Explanation: A clean-based, non-bleeding duodenal ulcer has a very low risk ($<5\%$) of re-bleeding. Endoscopic interventions (such as mechanical clipping or epinephrine injection) are not indicated for Forrest Class III ulcers. Management consists of standard high-dose acid suppression with a Proton Pump Inhibitor (PPI) and eradication of underlying causes like H. pylori or NSAIDs. ## Otolaryngology (ENT) & Breast Surgery Q14. Airway Loss in a Deep Neck Space Infection A 22-year-old female with a severe peritonsillar abscess (quinsy) was admitted to the emergency department, given intravenous benzylpenicillin, and scheduled for an ENT review. Over the last hour, she has rapidly deteriorated, developing severe inspiratory stridor, drooling of saliva, and intercostal recession. What is the most critical next management step? A. Urgent Endotracheal Intubation B. Immediate bedside Incision and Drainage (I&D) of the abscess C. Administration of a dose of intravenous Dexamethasone D. Urgent transfer to the operating theater for a tracheostomy E. Nebulized adrenaline and observation in a high-dependency unit Correct Answer: A. Urgent Endotracheal Intubation Explanation: The development of acute stridor, drooling, and respiratory distress indicates impending upper airway occlusion.

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New promo valid for 2 more subscribers Sign up now and get 2 FREE SESSIONS!!! Struggling to find the right study resources? This changes everything. 🔥 ONLY $50 AUD – Get exam-ready faster with: ✔️ High-yield QBank (focus on what actually matters) for 1 month ✔️ Multiple mock exams to sharpen your performance ✔️ Complete notes access for quick revision BONUS: 2 FREE live session classes 💡 Stop wasting time. Start studying smarter. Spots are limited – Sign up NOW: aumedprep.com.au