AMC exam latest recalls

FEB 2022 RECALLS p1
Shahriar’s medical Academy
Shahriar's Medical Academy AMC course

1.Questions
#dermatology
.Photograph 1: Shows a skin lesion on the forearm. Slightly raised, red
plaque, slightly scaly. What is the diagnosis?
a)Lichen Planus
b) Discoid eczema
c) Squamous cell carcinoma
d) Psoriasis
e) Contact Dermatits

1.Answer
#dermatology
.Photograph 1: Shows a skin lesion on the forearm. Slightly raised, red
plaque, slightly scaly. What is the diagnosis?
a)Lichen Planus
b) Discoid eczema
c) Squamous cell carcinoma
d) Psoriasis
e) Contact Dermatits

Psoriasis for AMC

Learn Rx of
Psoriasis
from JM

Questions
2. Liver cyst given. Liver enzymes raised. What to do next ?
shahriar amc
a. Antibiotics
b. Aspiration
c. Usg

Answer
2. Liver cyst given. Liver enzymes raised. What to do next ?
shahriar amc
a. Antibiotics
b. Aspiration
c. Usg

Questions 3. Farmer with lung and
liver symptoms. Organism
asked
a. Echinococcus
b. Simple liver cyst

Answer 3. Farmer with lung and
liver symptoms. Organism
asked
a. Echinococcus- correct
b. Simple liver cyst

Hydatid Cyst special by SMA

Questions
• 4. ecg- one with AF.

Answer
• 4. 2 ecg- one with AF.

Summary
arrhythmia
Reference
JM

Questions
6. UTI in one week old neonate . Next step of management ?
a. Usg
b. Iv antibiotics

Answer
6. UTI in one wk old. Next step of management ?
a. Usg
b. Iv antibiotics

VUR note SMA

RCH GUIDELINE

Questions
7. #renal
A ckd patient with deranged EUCR elevated potassium .Appropriate
management?
A dialysis
B calcium gluconate
C salbutamol
EUCr
Electrolyte , Urea , Creatinine

Answer
• 7. #renal
• A ckd patient with deranged EUCR( means too high) elevated
potassium .Appropriate management?
• A dialysis
• B calcium gluconate
• C salbutamol

Hyperkalamia Management ref JM

Hyperkalamia Mx from MTB

Question often tested as ECG as well
Extra note

Questions
8. Melanoma. 0.6mm removed and clear margin. Advise?
a. Sentinel node biopsy
b. Axillary clearance
c. Examination(something)

Answer
8. Melanoma. 0.6mm removed and clear margin. Advise?
a. Sentinel node biopsy
b. Axillary clearance
c. Examination(something)

answer c

Extra for exam

Questions
9.

Questions
• 10. One with gynaecomastia= ranitidine,also have scrotal mass.
Cause of gynaecomastia?
• a. Leydig cell tumor
• b. Teratoma
• c. Ranitidine

ans a
• Leydig cell tumors,
although often benign,
are prone to cause
gynecomastia because
they secrete estradiol.

Questions
• 11. Asthma kid salbutamol given, respiratory distress. Next?
• a. Repeat salbutamol
• b. Some more options

Answer
• 11. Asthma kid salbutamol given, respiratory distress. Next?
• a. Repeat salbutamol
• b. Some more options
• double the dose first

Questions
• 12. Lung ct- 10mm mass.

Answer
• 12. Lung ct- 10mm mass.

Questions
• 13.A 38yr wheat farmer came to the Gp for consultation for
minor injury ,came after 15 years , you take opportunity to screen
A. Cholesterol
B. Pesticide hazard prevention
C. Alcohol
D. depression

Reference go to farmer health Australia
https://farmerhealth.org.au/agrisafe-clinics

Answer
• 13. A 38yr wheat farmer came to the Gp for consultation for minor
injury ,came after 15 years , you take opportunity to screen?
A. Cholesterol
B. Pesticide hazard prevention
C. Alcohol
D. depression

Questions
• 14. Diabetic ulcer, allergic to penicillin, debridement done. Next
• a. Clindamycin
• b. Ticarcillin/clavunate
• C. Clarithromycin

Ans of Questions
14. Diabetic ulcer, allergic to penicillin, debridement done. Next
a. Clindamycin
b. Ticarcillin/clavunate
C. Clarithromycin

Answer
• Ans clindamycin
Extra note
Reference
https://www.nice.org.uk/guidance/ng19/resources/diabetic-
foot-problems-prevention-and-management-pdf-
1837279828933
Mx of diabetic foot

Questions
• 15. Tourette tics. Treatment?

Answer
• 15. Tourette tics. Treatment?
Incomplete recall
explaination given in the next page

Reference kaplan

Questions
• 16. Most reliable method- metaanalysis

Incomplete recall just learn the reference
Systematic review with metaanalysis best

Questions
• 17. Pseudoobstruction

Answer
• 17. Pseudoobstruction
Check out class video for explanation

medbullets
• ogilvie syndrome

Old age + nursing home+ Dialated colon==
high chances intestinal pseudo-obstruction
• Pseudoobstruction

Questions
• 18. Schizophrenia

Answer
• 18. Schizophrenia
Recaller only manage to remember the topic better we learn the
relvant

Nutshell schizophrenia
Learn Positive neg symtoms / types /mx/dd

Schizophrenia Nutshell
• Dx
• Dx other 4 diseases ( delusion / paranoid personality / schizo /idea of
reference
• Mx
• Antipsychotic drugs + sid effects
• Risk factors ( Monozygotic / dygotic / both parents )
• Types

Questions
• 19. Child sexual abuse scenario:
• a.refer to child sexual consult

Answer
• 19. Child sexual abuse scenario:
• a.refer to child sexual consult

Questions
• 20. kidney stone, give CT scan, asking mx?
• a. Nitroprusside to reduce HTN first
• B. add thiazide diuretics
• C.CCB

Renal stone continues

Answer
• 20. kidney stone, give CT scan, asking mx?
• a. Nitroprusside to reduce HTN first

Just learn about these topics its an
incomplete question
• renal stone mx
• medbullets

Questions
• 21. History of HTN, now vision loss, asking cause
A.CRAO
B.Retainal detachment

Answer
• 21. History of HTN, now vision loss, (fundoscopy may not be
unavailable), asking cause?
ANS is CRAO
key words →
Sudden vision loss , Pre existing HTN
In main exam fundoscopy expected
Its not retinal detachment as no curtain
coming down/ any trauma ****

Cause of sudden vision loss ref John murtagh

Questions
• 22. ITP scenario, asking treatment.

Answer
• 22. ITP scenario, asking treatment.

reference

New topic of 2022 ortho
Q) Iliotibial band syndrome

• orthobullets

Questions
• 23. Septic arthritis in GP setting, ask what to do after joint
aspiration.
• a. I choose admit to ED( not mention using antibiotics)23.

Answer
• 23. Septic arthritis in GP setting, ask what to do after joint
aspiration.
• a. I choose admit to ED( not mention using antibiotics)23.

jm 7edition

Questions
• 27. Antigenic drift

Answer
• 27. Antigenic drift

what is drift and shift?

• antigenic drift and covid vaccine
• https://www.sciencedirect.com/science/article/pii/S1074761
321005082

Questions
28. Preterm labour, 24 weeks, how you diagnose
• A. Fetal fibronectin
• B. Ultrasound
• C. Cervical length

Answer
• ans fibronectin

Questions
• 29. Old man repeats everything 3times, he thinks if he didn’t his niece
will die, initial Advice?
• A. SSRI
• B.Conservative

Answer
• 29. Old man repeats everything 3times, he thinks if he didn’t his niece
will die, Advice?
• A. SSRI –Best
• B. Conservative - initial CBT

Questions
Young girl with false belief that I will meet my god by swimming
through Pacific Ocean.Which thing is compulsory for her admission to
hospital
• a. Ideas of reference
• b. Fixed belief
• c. Harm to herself

Answer is C
• Harm to herself

Questions
• Old pt. with prostate CA, Gleason histopathology-7, DRE shows
prostate not palpable, PSA-3.7, Mx?
• A. surveillance
• B. CT
• C. Prostate surgery

Answer
• Old pt. with prostate CA, Gleason histopathology-7, DRE shows
prostate not palpable, PSA-3.7, Mx?
• A. surveillance
• B. CT
• C. Prostate surgery

reference RACGP

Questions
• C. difficle diarrhea after appendectomy, antibiotic given, diarrhea
cause
• A. C. difficle

Answer
• C. difficle diarrhea after appendectomy, antibiotic given, diarrhea
cause
• A. C. difficle

racgp

Questions
• young girl presents with USG showing ovarian cyst 6cm, intramural,
• A. Cystadenoma
• B. Endometrioma
• C. dermoid

Answer
• Answer is A
• Dx: Cystadenoma
Although many cystadenomas are asymptomatic, symptoms can
include abdominal pain, anorexia, nausea, and abdominal distention. The
diagnosis is usually suspected by a combination of cross-sectional imaging (CT
or MRI) and ultrasound.
https://www.sciencedirect.com/topics/medicine-and-dentistry/cystadenoma

USG is more
reliable in
correctly
diagnosing the
degree of
septation,
which is a
predominant
feature of both
cystadenomas
and
cystadenocarcin
omas.

Question
• A picture based question
• Neurofibromatosis with one large head with café au lait spot

JM 7TH 162 page

Question
• Which one of the following is not indication for surgical repair of
abdominal aortic aneurysm?
• A. AAA more than 5cm in male
• B. AAA more than 5cm in female
• C. AAA growth more than 1cm/yr
• D. AAA with back pain
• E. AAA with distal thromboembolism

Question
• Which one of the following is not indication for surgical repair of
abdominal aortic aneurysm?
• A. AAA more than 5cm in male-correct
• B. AAA more than 5cm in female
• C. AAA growth more than 1cm/yr
• D. AAA with back pain
• E. AAA with distal thromboembolism

Reference
• The indications for repair of abdominal aortic aneurysm (AAA) are
discussed in detail elsewhere and include symptomatic aneurysm of
any size (eg, abdominal, back or flank pain, evidence of embolization,
frank rupture), asymptomatic aneurysm ≥5.5 cm in men and >5.0 cm
in women [3,4], rapidly expanding AAA, AAA
Reference upto date
https://www.uptodate.com/contents/open-surgical-repair-of-abdominal-aortic-
aneurysm#:~:text=The%20indications%20for%20repair%20of,%5D%2C%20rapidly%20expanding%20AAA%2C%20AAA

medbullets

Questions
39 weeks, placental abruption, no fetal heart sound. Next?
• A. ultrasound
• B. Amniotomy

Answer
39 weeks, placental abruption, no fetal heart sound. Next?
• A. ultrasound
• B. Amniotomy
• Reference JM

Abruptio Placenta SMA

Placeta pravia vs abruptio placeta

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