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AMC MCQ exam Prep by Dr Jayse
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📈 Analytical overview of Telegram channel AMC MCQ exam Prep by Dr Jayse
Channel AMC MCQ exam Prep by Dr Jayse (@amcmcqprep) in the English language segment is an active participant. Currently, the community unites 10 485 subscribers, ranking 2 613 in the Medicine category and 316 in the Singapore region.
📊 Audience metrics and dynamics
Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 10 485 subscribers.
According to the latest data from 25 June, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by 15 over the last 30 days and by 4 over the last 24 hours, overall reach remains high.
- Verification status: Not verified
- Engagement rate (ER): The average audience engagement rate is 2.77%. Within the first 24 hours after publication, content typically collects 1.76% reactions from the total number of subscribers.
- Post reach: On average, each post receives 290 views. Within the first day, a publication typically gains 185 views.
- Reactions and interaction: The audience actively supports content: the average number of reactions per post is 2.
- Thematic interests: Content is focused on key topics such as statin, patient, mcq, symptom, examination.
📝 Description and content policy
The author describes the resource as a platform for expressing subjective opinions:
“Contact Dr Jayse @jayse89”
Thanks to the high frequency of updates (latest data received on 26 June, 2026), the channel maintains relevance and a high level of publication reach. Analytics show that the audience actively interacts with content, making it an important point of influence in the Medicine category.
10 485
Subscribers
+424 hours
+57 days
+1530 days
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| Date | Subscriber Growth | Mentions | Channels | |
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| 12 June | +17 | |||
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| 01 June | +6 |
Channel Posts
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| 2 | #June2026
Cardiac arrest with VF, what drug is to give after 2nd cycle of defibrillation?
A.Adrenaline
B.Amiodarone | 312 |
| 3 | #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 | 250 |
| 4 | #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 | 246 |
| 5 | #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 | 279 |
| 6 | #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 | 265 |
| 7 | ( 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 | 569 |
| 8 | 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. | 521 |
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| 19 | 🧠 SPINAL CORD SYNDROMES
Can You Localize the Lesion?
Mastering spinal cord syndromes is one of the fastest ways to localize neurological lesions in exams, OSCEs, and clinical practice.
⸻
1️⃣ Anterior Cord Syndrome 🔴
➊ Bilateral motor weakness below the lesion
➋ Loss of pain & temperature sensation
➌ Vibration and proprioception preserved
💡 Think: “Motor Out, Pain & Temp Out”
⸻
2️⃣ Brown-Séquard Syndrome 🔵
➊ Ipsilateral weakness + loss of vibration/proprioception
➋ Contralateral loss of pain & temperature
💡 Think: “Half & Half Syndrome”
⸻
3️⃣ Central Cord Syndrome 🟡
➊ Upper limbs affected more than lower limbs
➋ Bilateral pain & temperature loss
➌ Dorsal column functions preserved
💡 Think: “Cape Sign”
⸻
4️⃣ Posterior Cord Syndrome 🟢
➊ Loss of vibration, proprioception & fine touch
➋ Motor function preserved
➌ Sensory ataxia and positive Romberg sign
💡 Think: “Position Sense Lost”
⸻
🎯 Golden Rule
✅ Dorsal columns cross in the medulla
✅ Spinothalamic fibers cross within 1–2 segments of entry
⸻
📚 Quick Mnemonic
🔴 A = Anterior → Motor + Pain + Temp OUT
🔵 B = Brown-Séquard → Half & Half
🟡 C = Central → Cape Sign
🟢 P = Posterior → Proprioception Lost
⸻
💬 Which spinal cord syndrome do you find hardest to remember?
Aumedprep.com.au | 720 |
| 20 | 🫀 ECG Emergencies – High-Yield Summary
Recognize the Rhythm. Act Immediately
⸻
1️⃣ Pulseless Ventricular Tachycardia (VT) ⚡
➊ Wide-complex regular tachycardia
➋ No palpable pulse
➌ Shockable rhythm
💉 Management
• Immediate defibrillation
• CPR for 2 minutes
• Epinephrine 1 mg every 3–5 min
• Amiodarone 300 mg IV
💡 Pearl:
Treat exactly like VF.
⸻
2️⃣ Ventricular Fibrillation (VF) ❤️🔥
➊ Chaotic rhythm
➋ No organized QRS complexes
➌ No pulse
💉 Management
• Immediate defibrillation
• CPR
• Epinephrine
• Amiodarone
💡 Pearl:
Shock first, drugs second.
⸻
3️⃣ Asystole ⛔
➊ Flat-line ECG
➋ No pulse
➌ Non-shockable rhythm
💉 Management
• High-quality CPR
• Epinephrine every 3–5 min
• Search for H’s & T’s
⛔ Never defibrillate true asystole.
⸻
4️⃣ Pulseless Electrical Activity (PEA) 🔍
➊ Organized ECG activity
➋ No palpable pulse
➌ Non-shockable rhythm
💉 Management
• Immediate CPR
• Epinephrine
• Treat reversible causes
💡 Pearl:
PEA = Electrical activity without mechanical contraction.
⸻
5️⃣ Torsades de Pointes 🌀
➊ Polymorphic VT
➋ Prolonged QT interval
➌ Twisting QRS complexes
💉 Management
• Magnesium sulfate 2 g IV
• Correct K⁺ and Mg²⁺
• Stop QT-prolonging drugs
• Defibrillate if pulseless
💡 Pearl:
Think prolonged QT.
⸻
6️⃣ STEMI 🚑
➊ ST elevation in contiguous leads
➋ Acute coronary occlusion
➌ Time = Muscle
💉 Management
• Aspirin immediately
• Activate cath lab
• Primary PCI preferred
• DAPT + anticoagulation
💡 Pearl:
Door-to-balloon ≤ 90 min.
⸻
7️⃣ SVT (AVNRT / AVRT) 🔄
➊ Narrow regular tachycardia
➋ Rate 150–250 bpm
➌ AV node dependent
💉 Management
• Modified Valsalva
• Adenosine 6 mg IV
• Repeat 12 mg if needed
⛔ Avoid adenosine in irregular wide-complex tachycardia.
⸻
8️⃣ Atrial Fibrillation with RVR ❤️
➊ Irregularly irregular rhythm
➋ No distinct P waves
➌ Rapid ventricular response
💉 Management
• Rate control (β-blocker / diltiazem)
• Anticoagulation assessment
• Cardioversion if unstable
💡 Pearl:
Control rate first.
⸻
📚aumedprep.com.au | 537 |
