FEBRUARY 2020 AMC PAST RECALL - Compiled by MplusX QBank
FEBRUARY 2020 AMC PAST RECALL - Compiled by MplusX QBank
*Recalls provided by our fellow Feb candidates/subscribers. Big thanks to Anura, Ramesh, Priyanka, Hanh Nhan &
others for providing us with the list of recalls
Visit https://member.mplusx.com/ for more recalls & answers
1. Cervical cone biopsy done now patient has PID type s/s given metro + ampicillin now what to give?
/
m
a. Doxycycline
b. Azithromycin
c. Ceftriaxone
co
2. Patient with malodorous discharge vaginal green coloured cause??
a. Gardnerella
b. Chlamydia
x.
c. Neisseria
us
3. GTN pic chronic now what to do?
a. Total nail base resection
b. lateral side of nail base resection.
c. Antibiotics
pl
4. Hospital volunteer pricked by hep B + needle now what??
a. Hep b antigen
r.m
b. hep B antibodies
c. immunizations with vaccine n Ig
5. Pregnant women came into contact with chicken pox had chicken pox in childhood ????
be
6. MVA scenario u asked nurse to give 10 mg morphine she gave only 2 mg after giving morphine what
you do?
a. tell head nurse
em
7. Preg lady nodule in front of neck. TSH low but T3 n 4 normal what test to diagnose??
a. T3 t4 in 2 weeks.
//m
b. Antithyroglobulin’s
c. Usg of thyroid
8. Wife found husband on washroom floor he was not unconscious but now drowsy. Blood pressure,
s:
c. ECG
d. CT angiography
e. Holter
ht
/
m
10. Aboriginal grandma brings her child to clinic. He is disobedient, not listen to you and his mother is
alcohol addicted since age of 18. No mention of cognitive behaviour. Diagnose ?
co
a. Oppositional defiant
b.social anxiety.
11. 7 years old Child not going school. He has weird movement of arm. Arm touches his face then go
x.
above head then he bend down. Increase frequency that’s why don't go school others make fun of
him, Home tuition school teacher meeting. Diagnose ?
us
A. Tourette
B. Simple partial seizure
C. Complex tic
pl
12. Picture of red swollen hand man was doing gardening yesterday now has fever from last night.
Investigation
a. Usg
r.m
b. MRI
c. CT scan
d. admit n give I/v antibiotics
be
13. Swelling in front of ear no facial nerve involved its superficial parotid involvement only CT scan
shows solid nodule. Next ??
A. Parotidectomy
B. USG
em
C. FNAC
14. Ear red pic n facial palsy picture lady has vesicles now deviation of mouth. Investigation ?
a. Usg
b. CT
//m
c. Viral PCR
15. Appendicitis case u did resection and now found carcinoid 2 mm. Next ??
a. Right hemicolectomy
s:
b. Chemo
c. Radiotherapy
tp
16. Another GIT C.A duke C..3 lymph nodes involved you did surgery. What will help to increase his life
span for next 5 years ?
a. Chemo
ht
b. Radiotherapy
c. Do radio then reopen laparotomy
/
m
c. simple pneumothorax
18. Child given oxygen after birth Apgar not improving no murmur ?????????
co
19. Child 4 years now came for polio vaccine you only I/v now what ??????
20. Lady with 28 weeks pregnant booked for blood sugar monitoring not done yet previous all
x.
investigation was good and baby scan was good. Reason ?????
us
21. Man go to Thailand 6 month now lethargy fever lymphadenopathy no spleen liver. Diagnose ?? a.
EBV
b. HIV serology
c. Neisseria serology
pl
r.m
22. Sudden headache, CT normal .l.p normal. Polycystic kidney next??
a. CT angiography
23. Diabetic man with sudden warm red leg only pain no tenderness, In calf n foot, With loss of pulse
n sensation below knee. Diagnose ?
be
24. Man of Crohns disease, HB ok, low WBC and low neutrophil reason.?
a. Sulfasalazine
b. Azathioprine
c. Prednisolone
//m
25. Guys there was a case of elderly with thrombophlebitis in bilateral lower limbs, asking for
malignancy ?
a. Small cell lung ca
s:
b. Pancreas
c. Colon
d. Ovarian
tp
/
m
c. Sjogren
d. MCTD
e. Scleroderma
co
28 couple with husband with HIV he accept & he is having unprotected sex with his wife, and he said
he is not going say anything to his wife. What to do? His wife is your patient too.
a) Test the wife
x.
b) Notify to public health
c) Try to persuade him to tell his wife
us
d) Tell his wife
pl
B. Cerebral abscess
C. Stroke
r.m
30The question where we have to avoid contact sports
2. Rashes post Amox for tonsillitis .what to ro next
A.pred
B stop antibiotics
be
C osteoarthritis
33Someone had ACD- for end stage copd on home oxygen and her ACD is not for icu treatment or cpr.
Family wants full ICu intervention . Patients cognition intact . What to do with family
tp
/
m
36 Gastro - dysphagia investigation
37 3 lots of ecg
co
1.One with no ischemic changes - but unstable angina presentation
2. Hyperkalemia changes
3 .complete heart Block
x.
38 Cxr - lobar changes , Rt horizontal fissure opacity not responsive to antibiotics - yellowish sputum
Dx
us
a.sarcoidosis
B carcinoma of lung
C sarcoidosis
pl
39 Postpartum psychosis Mx:
A.SsRi
B. Lithium
r.m
40 Another ecg -AF rate of around 80 - stable BP, asking treatment ?
A. Warfarin
B. Rivaroxaban
be
C. Digoxin
D amiodarone
42CLL and AML. Most of the questions were asking treatment, didn't give diagnosis (two steps
questions). They describe the clinical picture with labs ( where they have normal values in brackets)
then they ask treatment
//m
43 Pregnant lady in MVA- shock state with hypotension and tender uterus
44 Psych
Schizophrenia vs schizoaffective disorder
s:
48 Stats was on relative risk calculation those who got antibiotics in relation to contaminated wound -
100 patients in each group 2 got contaminated wound in antibiotics and 4 got contaminated wound in
/
m
no antibiotics group
49 Refugee with 8 kg weight loss hx, hemoptysis and cxr with apical changes
co
Also has leg lesions
How to diagnose the condition
A Mantoux test
B sputum for AFB
x.
C biopsy of leg lesions
us
50 15% pneumothorax
Mx
a - aspiration.
B - underwater seal drainage
pl
C oxygen r.m
51 What to do in a 90 year old who doesn’t want aggressive medical treatment which you have
agreed to but daughter brought patient in for dyspnea which the elderly denies
A. Investigate dyspnea
B refer to ACD - advanced care directive
C . Start palliative care
be
56. CXR given, left sided clear, right sided looks like pneumonia?, pt producing yellow sputum x3day, not
improving with antibiotics, dx? →
• lobar pneumonia
s:
• aspirational pneumonia
• mesothelioma
• Ca lung
tp
57. old pt, ~50 pack year smoking, 3cm opacity on upper right of CXR, …, dx? →
• Ca
ht
58. parent bring kid cause he's not happy at school, he is stuttering (with actual quotes in stem), says he's
bullied because of it, only has 1 friend at school, when going back, he smiles completely, dx? →
Some other useful Facebook groups:
https://www.facebook.com/groups/494893117204080/
https://www.facebook.com/groups/554100778429595/
https://www.facebook.com/groups/13520545146/
Compiled by MplusX QBank*
*Recalls provided by our fellow Feb candidates/subscribers. Big thanks to Anura, Ramesh, Priyanka, Hanh Nhan &
others for providing us with the list of recalls
Visit https://member.mplusx.com/ for more recalls & answers
• stuttering
• Tourette
• ADHD
• Autistic
/
• Depression
m
59. autistic scenario, with language delay
co
60. pt to do mesh-hernia repair, which of the following is RF for relapse? →
• urinary retention, …
x.
61. pt on aspirin, metformin & ?NSAIDs, pH↓, PCO2-↓, PO2-N, cause? →
• metformin
us
• aspirin,
pl
63. woman come for AN care at 8wk gest, she wants non-invasive test for down $ with highest
sensitivity …?
r.m
• maternal serum
• maternal serum + nuchal translucency
• nuchal translucency
• ?TVUSG
be
• Amniocentesis
64. 26M, tractor injury, completed 4 course tetanus vaccine & multiple booster dose, last vaccine was 6
yr ago, deep ulcer with soil in wound (unclean), mx? →
em
• TIG
• DPTA
• IM procaine penicillin
• TIG + DPTA
• Nothing
//m
65. woman who wants abortion at early gestation (~8wk), you as a doctor don't want to provide it, do? →
• decline & …
• oblige as it’s duty
s:
66. woman h/o CS d/t breech first child, now 2nd child as NSVD, lochia becomes more scant, on day 5,
bright red discharge, fever, … cause? →
• RPOC
ht
• uterine atony
• uterine rupture
/
• pituitary microadenoma
m
• hypothalamus cause
• conn $
co
69. A case of premature menopause at 29ish age woman, sport player (or so I think)
70. post op pt, input 600 mL oral, 2000mL IV, urinary catheter inserted, output - 3.1L, mx? →
x.
• 4L of ???
• NS, 2L DS
us
• 2L NS + 2L D
• ?2L NS in 4/5 DS
71. Wife brings husband, he had lost job, saying inappropriate words to colleague, confused, angry, dx?
pl
→
• fronto-temporal dementia
• schizophrenia
r.m
72. eldery?, on day 3 of admission, acute confusion, no other specifics →
• alcohol withdrawal
73. Aboriginal, mourning of deceased mother, hears her voice calling, insomnia & loss of appetite, to
be
confirm dx? →
• timing of mourning
• disruption of work, …
em
74. young guy, afraid thinking that ppl are trying to kill his mother, this happened after car-accident,
3months ago, dx? →
• PTSD
• Schizophreniform
• Psychosis
//m
• call police
76. pt with ?DVT, now fever, red, swollen leg, don't remember about pulses, dx? →
tp
• cellulitis
• haematoma
ht
77. Pt with pain in buttock, reflex, tone↓ on both, h/o DM, HTN, last 3 months ago → all labs - normal,
FBS -7.5 dx? →
• peripheral neuropathy
Some other useful Facebook groups:
https://www.facebook.com/groups/494893117204080/
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https://www.facebook.com/groups/13520545146/
Compiled by MplusX QBank*
*Recalls provided by our fellow Feb candidates/subscribers. Big thanks to Anura, Ramesh, Priyanka, Hanh Nhan &
others for providing us with the list of recalls
Visit https://member.mplusx.com/ for more recalls & answers
• unstable DM, …
78. old multiple myeloma pt, with constipation & lethargy, blood tests were given - Ca 3.1,
BUN↑,Creatine↑, Hb was around 95 I think, mx? →
/
• po phosphate
m
• po calcitriol
• po nifedipine
co
• IV NS
• blood transfusion
79. pt after renal transplant on azathiopine, hot, swollen, tender on ulnar side of (I think toe, or maybe
x.
other digit), pic given (very white area around that site), dx? →
• CCP
us
• Gout
• RA
80. MVA, massive haemothorax, with flail chest, 1.8L drained, WoF indication for thoracotomy? →
• volume of blood loss
pl
• flail chest, … r.m
81.
Infected Not infected
With antibiotic 2 98
Without antibiotic 4 96
ARR?
be
• 2%
• 1%
• 33%
• 66%
em
82. 1wk old neonate, vomit ~4-5 days, bile-stained, features of dehydration+, irritable, do? →
• feed & observe
• laparotomy
//m
• venous electrolyte
• barium enema (yes not meal)
• other enema…
• J-roux en roulex
• life style modfication, …
tp
84. 40M, prep for GERD surgery, treated for DVT years ago, mx? →
• enoxaprin before surgery & continue until discharge
ht
85. acute appendicitis, during appendectomy, there's 2mm mucinoid scar/tumour?, mx? →
Some other useful Facebook groups:
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https://www.facebook.com/groups/554100778429595/
https://www.facebook.com/groups/13520545146/
Compiled by MplusX QBank*
*Recalls provided by our fellow Feb candidates/subscribers. Big thanks to Anura, Ramesh, Priyanka, Hanh Nhan &
others for providing us with the list of recalls
Visit https://member.mplusx.com/ for more recalls & answers
• ?reassure & follow up
• Chemo
• Radio
• hemisection, …
/
m
86. post op day-1 , oligouria after #FNOF, on aspirin, allopurinol, diclofenac, simastavin, slow vit-K,
frusemide, one more drug I don't remember, which 3 of these drugs likely cause the oligouria?
co
87. 3yo Sudanese kid, recently immigrated, deoxy vit D - 20 (normal is 50ish?), no symptoms given, mx?
• exposure to sun
• calcitriol
x.
• fish cod oil
us
88. Father informed about his 7yo girl, simulating (something coital?) at school, likely cause? →
• sexual abuse
• precocious puberty
• normal development
pl
89. Woman bilateral headache, esp in evening, on paracetamol & progestin only contraception, pain not
r.m
alleviated, nth given about (N&V, photophobia, lacrimation), mx? →
• stop POP
• stop paracetamol, …
• physiotherapy
• drainage
• Ab
em
91. 40ish hirsutism, E↑, testosterone↑ woman, to monitor the possible malignancy? →
• USG endometrial thickness
• USG ovary
• cervical swabs
• ?mammography
//m
93. UTI? Or some infection resistant to ampicillin, erythromycin & 1 more, what Ab to give? →
tp
• Trimethoprim
• Ceftriaxone
ht
94. 70+ woman, left buttock pain, left hip prosthetic replacement 20 yr ago, h/o some spinal
degenerative ds, OE-left leg rotated & shortened, (don’t remember mention of back pain) dx? →
• FNOF
Some other useful Facebook groups:
https://www.facebook.com/groups/494893117204080/
https://www.facebook.com/groups/554100778429595/
https://www.facebook.com/groups/13520545146/
Compiled by MplusX QBank*
*Recalls provided by our fellow Feb candidates/subscribers. Big thanks to Anura, Ramesh, Priyanka, Hanh Nhan &
others for providing us with the list of recalls
Visit https://member.mplusx.com/ for more recalls & answers
• pelvis fracture
• disc hernia
• periprosthetic #
• ?FNO periprosthetic (not sure abt this option)
/
m
95. ITP case
co
96. Cardiovascular risk chart plotting (chart given), non-smoker, 64M, 165/90, cholesterol -6, →
• 10-15%
• 16-19%
• 20-25%
x.
97. child with haemolytic anaemia (pallor + ), multiple immature spherocytes, direct coomb's test
us
positive, thrombocytosis, dx? →
• AIHA
• HS
• acute myelofibrous ds?
pl
• acute leukemia
• chronic granulocytic …
r.m
98. MVA, Xray neck given, C2 is # or something, pt saying he can't breath, mx? →
• ET tube
• Tracheostomy
• cricothyroidotomy?
be
• PPV
99. Soft(or cystic) parotid gland enlargement x ~2years, now solid & painful, dx? →
• FNAC
em
• Biopsy
• CT
100. pt with gall stones, mild ectric, CBD 8mm, fever+, dx? →
• cholangitis
//m
• cholecystitis
• choledocholithiasis
• empyematous cholecystitis
s:
• CXR, …
102. Pt on ED, 15% pneumothorax, (I don't remember any complaints given like dyspnoea or sth), mx? →
ht
• needle drainage
• tube
• CXR again tomorrow
Some other useful Facebook groups:
https://www.facebook.com/groups/494893117204080/
https://www.facebook.com/groups/554100778429595/
https://www.facebook.com/groups/13520545146/
Compiled by MplusX QBank*
*Recalls provided by our fellow Feb candidates/subscribers. Big thanks to Anura, Ramesh, Priyanka, Hanh Nhan &
others for providing us with the list of recalls
Visit https://member.mplusx.com/ for more recalls & answers
• no options like observe …
103. Child, MCV↓, frequent respiratory tract infection, IoC for dx? →
• serum ferritin
/
m
104. One case with ?18mm(not too sure) spleen palpable
co
105. HTN, DM, + other ds pt for regular checkup, no complaints, all seems normal, except - irregularly
irregular rhythm, HR-normal, mx? →
• Metoprolol
• Digoxin
x.
• Aspirin
• r**van
us
106. ECG given, seems like 1' HB, all normal except irregular pulse, HR-80, multiple diseases (HT, DM,…),
give? →
• Metoprolol
pl
• Digoxin
• Aspirin
• r**van
r.m
107. DVT like cases with chest tightness/discomfort, initial mx? →
• ECG
• CXR
be
108. Boy/Guy have to touch the ground & other gestures (doesn't sound like tick), says he can't stop it,
Mx? →
• exposure & response prevention
em
• habit reversal
109. 2 cases of IO (vomit, constipation ..) , both abdominal Xray given, options were →
• SBO
• LBO
//m
• Sigmoid volvulus
111. CT abdomen of pt on warfarin, looks like haematoma? (black area taking whole left side of
abdomen), with palpable mass, intense abdominal pain, do? →
ht
• stop warfarin
• laparotomy
• incision & drainage, …
Some other useful Facebook groups:
https://www.facebook.com/groups/494893117204080/
https://www.facebook.com/groups/554100778429595/
https://www.facebook.com/groups/13520545146/
Compiled by MplusX QBank*
*Recalls provided by our fellow Feb candidates/subscribers. Big thanks to Anura, Ramesh, Priyanka, Hanh Nhan &
others for providing us with the list of recalls
Visit https://member.mplusx.com/ for more recalls & answers
112. 40F, concerned about breast Ca, not h/o of relative with Ca or high risk, mx? →
• bi-annual mammo after 50
• bi-annual mammo after 40
/
• self-breast exam
m
• no option about mammo exam 2yrly after 50
co
113. 50+ white male, pic of reddish-ulcer(?) behind right ear, bleeds when scratched, pain+, (durating ~
2yr?) dx? →
• BCC
• SCC
x.
• Non-pigmented malenoma
us
114. young woman, with non-tender mass in breast, 1.5cm, (don't remember other points) do? →
• reassure & follow up
• USG 6month
• USG 3 month
pl
• Surgery or sth.. r.m
115. kid with wide gait, … → CMT, …
116. old man arrived with confusion, ... , OE-asterixism +, not much else is given, likely dx? →
• hepatic encephalopathy
• uremic encephalopathy
be
• Alzheimer, …
• RSV
• (couldn't rember if there was mycoplasma pneumonia or not)…
118. Old patient, after transurethral resection for BPH, biopsy founds <5% malignant cells, mx? →
• complete resection
//m
• radio
• chemo
• ?reassure & followup
s:
119. Old pt arrived to EM for ??(?impaired cognition) symptoms, h/o of chest pain, abd pain, other
complaints without finding any cause, dx? →
• somatic delusion d/o
tp
120. Pt on warfarin, INR 2.5 a few days ago, after given (???drug), dark urine, mx? →
• INR again, …
/
• other unrelevant options.
m
122. Man died, his parents/relative says he's organ donor, in addition to confirming the documents about
co
the donation, do? →
• inform coroner
• inform transplant team
• ask advice from hospital-lawyer, …
x.
123. 30+ female pt, had 3 episodes of major depression, how long to give antidepressant? →
us
• 1yr
• 2yr
• 5yr
• lifelong, …
pl
124. 1 case of traveller's (never seen before) case with lymphadenopathy +…, IoC? →
• EBV serology? (doesn’t look like EBV)
r.m
125. PCOS woman, unsuccessful trying to conceive → metformin
126. Child with Temporal lobe epilepsy case, automatism+, post-state-confusion+, mx? →
be
• Levetiracetam
• other old AEDs (phenytoin)
• no option of carbamazepine …
em
127. Temporary loss of vision on rt side, headache+, likely GCA case, (dx to confirm)? →
• temporal artery biopsy
• no option for ESR
128. Pt with h/o axillary excision d/t Ca breast or sth, Pic given - multiple deep red spots (think there's no
//m
• hirsutism
• parotitis
• (no denal caries or calloused knuckles)
ht
131. Pregnant woman in late gestation (36wk I think), BP 140/90, urine protein+, ketone+, her BP (some
weeks?) ago was normal (120/75), test to make dx? →
/
• A:C ratio, …
m
132. Burning pain in 1 side of face, other neurological symptoms +, dx? →
co
• herpes zoster encephalitis
• ~ differentials diseases …
133. Pt with ?HTN or sth, one kidney is 2.5cm larger than other one, further investigation? →
x.
• CT
• ascending urethrogram
us
• some renal USG
pl
• CT r.m
135. Sth like paronychia, mx? →
• nail avulsion
• complete nail bed removal
• partial nail bed removal
• ?resection
be
137. Sportsman, knee injury x2d, (there is h/o of ?repeated knee pain within a few weeks), locked in
flexion, mild swelling, (didn’t specify the site of pain) dx? →
• ACL tear
• collateral ligament tear
• medial meniscus tear
//m
• cardio-vascular-ds
• suicide
• ?malignancy, …
tp
140. Pharmacy want to test new Anxiolytic drugs, on placebo-controlled environment, what will happen to
placebo group? →
/
• they'll get the effect despite of placebo
m
• … prone to ↑risk something…
co
141. 70+ male, sudden hemiplegia, doc want to give the antibiotics, Pt understands the consequences of
not getting Ab still refuse the Ab (MMSE not given), his sons on phone calling to give Ab, do? →
• give Ab
• family meeting
x.
• ethical board or something
• no option about not giving antibiotic
us
142. child right scrotum inflammed for days (I think 2-4d), no fever, no tender, palpable testes, also
redness on(along?) the penis, dx? →
• epididymitis
pl
• testicular torsion
• hydrocele
• allergy
r.m
143. Child diagnosed as measle, in addition to school exclusion, do? →
• vaccinate family members
• check immunization status of classmates
be
• prophylactic Ab…
em
//m
s:
tp
ht