AMC book of MCQs

Question 1

Risk of strangulation is highest in which hernia

Answer 1

Femoral Hernia

Question 2

Differential to a femoral hernia

Answer 2

Femoral lymph node swelling

Question 3

A 38-year-old builder had acute back pain which subsided over 24 hours. He now
complains of increasing numbness and tingling in both legs and poor bladder and
bowel control. Which one of the following should be the first step in management?

Answer 3

MRI
could be cauda equina

Question 4

Mangement of Gas gangrene

Answer 4

Adequate and early wound debridement with removal of devitalised tissue

Question 5

Plummer Vinson Syndrome

Answer 5

Triad of Dysphagia, ID-Anemia , Esophageal webs

Also present is glossitis and Cheilosis

Question 6

Normal range of Serum osmolality

Answer 6

300

Question 7

Age of menarche in Australia

Answer 7

10-16

Question 8

First sign of puberty in females

Answer 8

Enlargement of breast buds

Question 9

Which is the most usual mode of transmission of hepatitis C in Australia?

Answer 9

IV drug use

Question 10

The most appropriate surveillance test to screen for the likely future development of malignant hepatoma (hepatocellular carcinoma, HCC) in a patient with Hepatitis C-related cirrhosis is:

Answer 10

AFP

Question 11

Preferred Diagnostic for Pulmonary Embolism

Answer 11

CTPA

Question 12

Test for congenital dislocation of the hip

Answer 12

Positive findings are the reduction of the dislocated femoral head into the acetabulum with an audible and palpable ‘jerk’ or ‘clunk’ (Ortolani ‘sign of the jerk’)

Question 13

When is ergometrine administered

Answer 13

Ergometrine should achieve a profound uterine contraction, after the uterus has been ‘rubbed up’ manually in an attempt to expel any intrauterine clot which would consume clotting factors and allow further bleeding because of inadequate uterine contraction.

Question 14

Treatment for Urothelial Tumor

Answer 14

Nephroureterectomy

Question 15

Spinal Nerves involved in Abnormal Moro reflex

Answer 15

C5 and C6 through the erb point

Question 16

Most important risk factor for colorectal carcinoma is

Answer 16

Family history

Question 17

Glasses used in Myopia

Answer 17

Concave

Question 18

Young female with hypertension and hyperkalemia

Answer 18

Primary Hyperaldosteronism

Question 19

Divisions of Sciatic nerve

Answer 19

Tibial and peroneal

Question 20

Signs of Fibular nerve damage

Answer 20

presentation of the common fibular nerve injury is a “foot drop”. It ranges from the weakness of the dorsiflexion and toe extension to the complete paralysis and inability to dorsiflex and evert the foot.
The main sensory symptom is the loss of sensation in the dorsum of the foot and the first dorsal webspace.

Question 21

Causes of Foot drop

Answer 21

1. Weak tibialis anterior
2. Common peroneal nerve palsy
3. Sciatic nerve palsy
4. Prolapsed Disc (L5)
5. MND- anterior horn cell
6. Bilateral foot drop from Spinal or brain lesion

Question 22

Signs of sciatic nerve lesion

Answer 22

weak knee flexion, lose ankle jerk, lose plantarflexion of foot as well as dorsiflexion, eversion, inversion, there is more widespread sensory loss L5

Question 23

Signs of L5 radiculopathy

Answer 23

Loss of inversion and eversion

Question 24

numbness and weakness in the little and ring fingers of the left hand, along with weakness of abduction of the little finger

Answer 24

Ulnar nerve

Question 25

Signs of median nerve palsy

Answer 25

Weakness in Thumb opposition and pinching weak wrist flexion and pronation

Question 26

man falls on his outstretched right arm, with subsequent severe shoulder pain and limited movement, especially when attempting to elevate his arm over the head.

Answer 26

Dislocated glenohumeral joint.

Question 27

most common causes of hypertension and chronic renal impairment in young adults.

Answer 27

Reflex nephropathy

Question 28

initial managment for paradoxical respiration following trauma

Answer 28

Institute positive-pressure ventilation via an endotracheal tube.

Question 29

Main cause of dysmenorrhea in teenagers

Answer 29

Endometrial prostaglandin release

Question 30

Side effects of tamoxifen in breast cancer

Answer 30

endometrial polyp formation, subendometrial oedema and, rarely, endometrial carcinoma.

Question 31

inability to abduct the arm more than about 40° in the presence of an actively contracting deltoid muscle

Answer 31

Rupture of supraspinatus tendon.

Question 32

most common cause of rectal bleeding in childhood,

Answer 32

Anal Fissure

Question 33

Type of insomnia in depression

Answer 33

Middle insomnia - waking up during the night and then having trouble getting back to sleep and, if successful, having broken sleep thereafter

Question 34

Common Symptoms of Giardiasis

Answer 34

diarrhoea, stomach cramps, bloating, nausea, loose and pale greasy stools, fatigue, and weight loss

Question 35

multiple acquired subserosal gas cysts occur in the small and large bowel, usually secondary to obstructive airways disease and emphysema.

Answer 35

pneumatosis cystoides intestinalis

Question 36

months of gradually progressive weakness of the right upper and lower limbs associated with ictal seizures, headache and papilloedema suggest

Answer 36

Frontal meningioma

Question 37

MMSE score of Alzheimer's

Answer 37

Above 26

Question 38

causes pain localised diffusely and deeply around the joint, which is worse on prolonged standing or walking or with the effort of lifting.

Answer 38

Osteoarthritis of the hip

Question 39

A 65-year-old patient presents with severe abdominal pain, shock, moderate abdominal rigidity, and intense lower back pain.

Answer 39

Leaking Aortic Aneurism

Question 40

Findings of Presbycusis

Answer 40

AC> BC in both year Weber test lateralization to better year Old age

Question 41

Neck swelling that moves with swallowing

Answer 41

Thyroglossal duct cyst

Question 42

Treatment for Scrotal varicocele

Answer 42

Ligation of the vein via a retroperitoneal approach in the iliac fossa ameliorates symptoms and signs successfully.

Question 43

fetal movements are still not being felt 24 hours after a normal cardiotocograph {CTG), what is the management

Answer 43

Induction of labour

Question 44

Paul Bunnel test is for

Answer 44

Infectious mononucleasis

Question 45

key lab findings in obstructing stone in the (common) bile duct

Answer 45

Conjugated hyperbilirubinemia, bilirubin in the urine, no urinary urobilinogen.

Question 46

DOC for Community acquired lobar pneumonia

Answer 46

benzylpenicillin intravenously

Question 47

Management of septic abortion

Answer 47

1. Culture 2. antibiotics 3. curettage in that order

Question 48

Canon a wave is seen in

Answer 48

complete heart block

Question 49

when does pueperal psychosis occur

Answer 49

2 weeks after delivery 20% chance of reoccurrence