AMC Clinical Exam Prep by Dr Jayse

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