Dear doctors, for AMC part 1 exam preparation Recalls or past papers are most imtergral part .
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AMC exam latest recalls
1. FEB 2022 RECALLS p1
Shahriar’s medical Academy
Shahriar's Medical Academy AMC course
2. 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
Shahriar's Medical Academy AMC course
3. 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
Shahriar's Medical Academy AMC course
7. Questions
2. Liver cyst given. Liver enzymes raised. What to do next ?
shahriar amc
a. Antibiotics
b. Aspiration
c. Usg
Shahriar's Medical Academy AMC course
8. Answer
2. Liver cyst given. Liver enzymes raised. What to do next ?
shahriar amc
a. Antibiotics
b. Aspiration
c. Usg
Shahriar's Medical Academy AMC course
9. Questions 3. Farmer with lung and
liver symptoms. Organism
asked
a. Echinococcus
b. Simple liver cyst
Shahriar's Medical Academy AMC course
10. Answer 3. Farmer with lung and
liver symptoms. Organism
asked
a. Echinococcus- correct
b. Simple liver cyst
Shahriar's Medical Academy AMC course
19. Questions
7. #renal
A ckd patient with deranged EUCR elevated potassium .Appropriate
management?
A dialysis
B calcium gluconate
C salbutamol
EUCr
Electrolyte , Urea , Creatinine
Shahriar's Medical Academy AMC course
20. Answer
• 7. #renal
• A ckd patient with deranged EUCR( means too high) elevated
potassium .Appropriate management?
• A dialysis
• B calcium gluconate
• C salbutamol
Shahriar's Medical Academy AMC course
23. Question often tested as ECG as well
Extra note
Shahriar's Medical Academy AMC course
24. Questions
8. Melanoma. 0.6mm removed and clear margin. Advise?
a. Sentinel node biopsy
b. Axillary clearance
c. Examination(something)
Shahriar's Medical Academy AMC course
25. Answer
8. Melanoma. 0.6mm removed and clear margin. Advise?
a. Sentinel node biopsy
b. Axillary clearance
c. Examination(something)
Shahriar's Medical Academy AMC course
30. Questions
• 10. One with gynaecomastia= ranitidine,also have scrotal mass.
Cause of gynaecomastia?
• a. Leydig cell tumor
• b. Teratoma
• c. Ranitidine
Shahriar's Medical Academy AMC course
31. Questions
• 10. One with gynaecomastia= ranitidine,also have scrotal mass.
Cause of gynaecomastia?
• a. Leydig cell tumor
• b. Teratoma
• c. Ranitidine
Shahriar's Medical Academy AMC course
32. ans a
• Leydig cell tumors,
although often benign,
are prone to cause
gynecomastia because
they secrete estradiol.
Shahriar's Medical Academy AMC course
33. Questions
• 11. Asthma kid salbutamol given, respiratory distress. Next?
• a. Repeat salbutamol
• b. Some more options
Shahriar's Medical Academy AMC course
34. Answer
• 11. Asthma kid salbutamol given, respiratory distress. Next?
• a. Repeat salbutamol
• b. Some more options
• double the dose first
Shahriar's Medical Academy AMC course
37. Answer
• 12. Lung ct- 10mm mass.
Shahriar's Medical Academy AMC course
38. 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
Shahriar's Medical Academy AMC course
39. Reference go to farmer health Australia
Shahriar's Medical Academy AMC course
https://farmerhealth.org.au/agrisafe-clinics
40. 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
Shahriar's Medical Academy AMC course
41. Questions
• 14. Diabetic ulcer, allergic to penicillin, debridement done. Next
• a. Clindamycin
• b. Ticarcillin/clavunate
• C. Clarithromycin
Shahriar's Medical Academy AMC course
42. Ans of Questions
14. Diabetic ulcer, allergic to penicillin, debridement done. Next
a. Clindamycin
b. Ticarcillin/clavunate
C. Clarithromycin
Shahriar's Medical Academy AMC course
43. Answer
• Ans clindamycin
Shahriar's Medical Academy AMC course
Extra note
Reference
https://www.nice.org.uk/guidance/ng19/resources/diabetic-
foot-problems-prevention-and-management-pdf-
1837279828933
Mx of diabetic foot
56. 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
Shahriar's Medical Academy AMC course
57. Questions
• 19. Child sexual abuse scenario:
• a.refer to child sexual consult
Shahriar's Medical Academy AMC course
58. Answer
• 19. Child sexual abuse scenario:
• a.refer to child sexual consult
Shahriar's Medical Academy AMC course
59. Questions
• 20. kidney stone, give CT scan, asking mx?
• a. Nitroprusside to reduce HTN first
• B. add thiazide diuretics
• C.CCB
Shahriar's Medical Academy AMC course
62. Answer
• 20. kidney stone, give CT scan, asking mx?
• a. Nitroprusside to reduce HTN first
Shahriar's Medical Academy AMC course
63. Just learn about these topics its an
incomplete question
• renal stone mx
• medbullets
Shahriar's Medical Academy AMC course
64. Questions
• 21. History of HTN, now vision loss, asking cause
A.CRAO
B.Retainal detachment
Shahriar's Medical Academy AMC course
65. 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 ****
Shahriar's Medical Academy AMC course
66. Cause of sudden vision loss ref John murtagh
Shahriar's Medical Academy AMC course
67. Questions
• 22. ITP scenario, asking treatment.
Shahriar's Medical Academy AMC course
68. Answer
• 22. ITP scenario, asking treatment.
Shahriar's Medical Academy AMC course
72. 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.
Shahriar's Medical Academy AMC course
73. 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.
Shahriar's Medical Academy AMC course
77. what is drift and shift?
Shahriar's Medical Academy AMC course
78. • antigenic drift and covid vaccine
• https://www.sciencedirect.com/science/article/pii/S1074761
321005082
Shahriar's Medical Academy AMC course
79. Questions
28. Preterm labour, 24 weeks, how you diagnose
• A. Fetal fibronectin
• B. Ultrasound
• C. Cervical length
Shahriar's Medical Academy AMC course
81. Questions
• 29. Old man repeats everything 3times, he thinks if he didn’t his niece
will die, initial Advice?
• A. SSRI
• B.Conservative
Shahriar's Medical Academy AMC course
82. 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
Shahriar's Medical Academy AMC course
83. 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
Shahriar's Medical Academy AMC course
84. 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
Shahriar's Medical Academy AMC course
85. Answer is C
• Harm to herself
Shahriar's Medical Academy AMC course
86. 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
Shahriar's Medical Academy AMC course
87. 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
Shahriar's Medical Academy AMC course
92. Questions
• young girl presents with USG showing ovarian cyst 6cm, intramural,
• A. Cystadenoma
• B. Endometrioma
• C. dermoid
Shahriar's Medical Academy AMC course
93. Answer
• Answer is A
• Dx: Cystadenoma
Shahriar's Medical Academy AMC course
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
94. Shahriar's Medical Academy AMC course
USG is more
reliable in
correctly
diagnosing the
degree of
septation,
which is a
predominant
feature of both
cystadenomas
and
cystadenocarcin
omas.
95. Question
• A picture based question
• Neurofibromatosis with one large head with café au lait spot
Shahriar's Medical Academy AMC course
97. 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
Shahriar's Medical Academy AMC course
98. 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
Shahriar's Medical Academy AMC course
99. 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
Shahriar's Medical Academy AMC course
101. Questions
39 weeks, placental abruption, no fetal heart sound. Next?
• A. ultrasound
• B. Amniotomy
Shahriar's Medical Academy AMC course
102. Answer
39 weeks, placental abruption, no fetal heart sound. Next?
• A. ultrasound
• B. Amniotomy
• Reference JM
Shahriar's Medical Academy AMC course
108. Questions
• Women on paroxitiene,well controlled .now wants to conceive
• A)Cease paroxetine
• B)Increase dose of paroxetine
• C)Cease and start escitalopram
• D)Continue same dose
Shahriar's Medical Academy AMC course
109. Answer
• Women on paroxitiene,well controlled .now wants to conceive
• A)Cease paroxetine-correct
• B)Increase dose of paroxetine
• C)Cease and start escitalopram
• D)Continue same dose
Shahriar's Medical Academy AMC course
Paroxetine may cause adverse outcomes in the neonate when used during pregnancy and should be
discontinued in women who are pregnant or trying to become pregnant.
110. Paroxetine in pregnancy
• Most studies show that SSRIs aren't associated with birth defects.
However, paroxetine (Paxil) might be associated with a small
increased risk of a fetal heart defect and is generally discouraged
during pregnancy. Serotonin and norepinephrine reuptake inhibitors
(SNRIs)
• https://pubmed.ncbi.nlm.nih.gov/17187388/
Shahriar's Medical Academy AMC course
111. Questions
• Young nurse with chronic hepatitis B.Suddenly breaks this news to doctor.Next
action by doctor?
• A)Inform APHRA
• B)makes sure that she has to tell every patient that she is Hep B positive
• C)She can continue her job
• D)Restrict her from performing her duties to patients
Shahriar's Medical Academy AMC course
112. Questions
• Young nurse with chronic hepatitis B Suddenly breaks this news to doctor.Next
action by doctor?
• A)Inform APHRA
• B)makes sure that she has to tell every patient that she is Hep B positive
• C)She can continue her job- correct
• D)Restrict her from performing her duties to patients
Shahriar's Medical Academy AMC course
114. Questions
• 40 Years old pt c/o severe chest pain after m -RNA covid vaccine
ECG NL most likely, high troponin level. What is the probable
diagnosis ? Shahriaramc
A. MI
B. Pulmonary embolism
C. Myocarditis
Shahriar's Medical Academy AMC course
115. Answer
• 40 Years old pt c/o severe chest pain after m -RNA covid vaccine
ECG NL most likely, high troponin level. What is the probable
diagnosis ?
A. MI
B. Pulmonary embolism
C. Myocarditis
Shahriar's Medical Academy AMC course
116. Concerning features that may require further
investigation:
• Significant chest pain (new onset and unexplained) – it can be difficult for children
to localize chest pain
• tachycardia or tachypnoea
• dyspnea (new onset and unexplained)
• palpitations (new onset and unexplained)
• dizziness or syncope (new onset and unexplained)
• general clinical concern
Shahriar's Medical Academy AMC course
Post covid myocarditis common
117. Reference
• 50% patient with vaccine related myocarditis have increased
troponin level
Shahriar's Medical Academy AMC course
https://www.gov.uk/government/publications/myocarditis-and-pericarditis-
after-covid-19-vaccination/myocarditis-and-pericarditis-after-covid-19-
vaccination-guidance-for-healthcare-professionals
SMA nutshell
Post covid common complication
❑ Myocarditis
❑ Pancreatitis
119. Shahriar's Medical Academy AMC course
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