A 49 yrs old Gentleman Recently diagnosed with T2DM. You as his GP initiated Diet therapy until he sees the Dietician .Which of the following is true
1.High Protein diet improves glycemic control
2.Low Carbohydrate diet improves glycemic control
3.High Fibre diet improves glycemic control
4.A formalised dietary program is more likely to produce long term sustained effects
5.Sucrose should not be included in the diabetic diet .
I wanted to clarify few doubts regarding residency in Australia. I did my MBBS from All India Institute of Medical Sciences (AIIMS), New Delhi and I am currently an intern there. I had read about the Standard pathway for entering into residency at Australia and understood about the AMC MCQ as well as clinical exam and then one year of supervised training job before getting registered with the Medical Board. I have a few queries regarding thks process.
- How are the applicants allotted seats for the one year training programme? (On the basis of AMC scores or some kind of interview?)
- After the training period, one applies for residency- So, on what basis does the applicant get residency (which stream and which university) Is it based on AMC scores or interview or recommendations from the supervisors during training period?
- Can someone give the AMC MCQ exam and after passing it, obtain a seat for training programme and while undergoing it, give the clinical exam?
Dupuytrens contracture and normal blood glucose next step
- Physiotherapy – after surgery or in mild cases
- Remove flexor retina column – it’s palmar fascia not the flexor retinaculum
- Steroid injection in tendon
5yr old baby brought to you by the mother with crusted patches on face. Otherwise well. The
mother had used iodine antiseptic with no improvement. Whats the treatment?
a) Bactroban
b) Erythromycin
c) Beclomethasone
d) Acyclovir cream…
32 yrs old woman presenting to you with painful distal aspect of her finger after having non-specific symptoms like low-grade fever ,malaise for 1/52 followed by pain+burning of the finger
O/E Small grouped vesicles on the erythematous base noted.what should be AVOIDED in this condition.
1.Perform Incision and drainage to prevent bacterial infection
2.Antiviral agent- Acyclovir
3.Dry dressing over the lesion to prevent transmission
4.Antibiotics if there is evidence of bacterial superinfection.
5.Splint the finger .elevation and analgesics
43 yrs old lady presented to local ED with Sudden onset of Severe headache following a School reunion party in which she drank heavily on saturday . Then on sunday early morning she woke up with above symptoms .Severe headache with radiation to the back of the Neck . you manged her with IV Fluids +Pain relief and she feels fine and wanted to go back home .o/e BP 160/90,No neck stiffness ,no neuro deficit,no temperature or other red flags signs.
What is you Next step
1.Discahrge her with Pandeine forte and Review GP Monday
2. Discahrge her with no GP review .
3.advise her to have lots of Fluids as she drank heavily the previous day in the party.
4.Arrange Urgent CT Head
5.MRI out patient Department (non-urgent)
Young male presented in Emergency department with aggressive behaviour,high temperature and high Blood Pressure. He was shouting .His friends reported him of having amphetamines.What is the greatest risk for this patient?
Cardiovascular risk
Acute psychosis
Suicide
Drug abuse
Panic attack
A raised level of calcium in blood (hypercalcemia)
A May occur when parathyroid activity decreases
B May occur when the plasma protein level falls
C May occur in chronic renal failure
D Increases the risk of stone formation in the urinary tract
E Causes increased excitability of nerve and muscle.
70 year old lady who came for examination. No symptoms . Exam normal
HB 10 MCV 71 MCHC 21
A)CA stomach
B)CA endometrium
C)CA breast
D)Dietary
Menstrual cycle is controlled by
(1) oestrogen and progesterone of ovary
(2) FSH of pituitary
(3) FSH and LH of pituitary
(4) oxytocin hormone
A 15 week old child presents because she seems tired and lacking in spontaneity, is not thriving well
and is constipated. On examination, the child has sluggish movements, dry pale skin and a large
tongue. The most likely diagnosis is:
a) Down syndrome
b) Prader-Willi syndrome
c) Hypothyroidism
d) Cerebral palsy
e) Turner’s syndrome
8/12 months old baby (born at term 3.6kg) presenting with intermittent diarrhoea ,irritability,poor weight gain for last 3/12.She was breast fed upto 4 1/2 months then solids introduced at 5 months.o/e pale looking,abdominal distension+,mild wasting around the buttock area. Labs Hb9,wcc9,plates 430,Na 137,k5.3 eGFR Normal,calcium 1.9,Albu 35 ,sweat test negative.Growth Chart Given below , most likely diagnosis and treatment,
- Viral Gastroenteritis-IV Fluid therapy
2.Giardiasis -Elixor Metronidazole therapy
3.Cystic Fibrosis-Antibiotics +pancreatic enzyme replacement +multi- team approach
4.Coeliac Disease (Jejunal biopsy)- Gluten free diet
5.Enterogenic E.Coli induced Diarrhoea-Antibiotics
Pt with attack of MI, u started heparin and 12 hrs later abdominal sweeling developed, u
suspect hematoma, what to do
A. Stop heparin
B. Reassure
C. Stop heparin and give aspirin
D. Give FFP
E. Give platelet
22 yrs old Obese Girl presents with irregular menstrual periods for last 3 years . Intermenstrual periods lasting from few days to many months .Also she is troubled by hair growth on her face too .Menarche 13 yrs.no significant medical illness,no regular medications.She smokes 20 cigarettes/day.You order Trans vaginal USS to study the Ovaries,AND Hormonal assay,Picture is Given below, which is the hormonal analysis you expect the most.
1.FSH Slightly Elevated
2. LH Reduced
3.TSH Elevated markedly
4.LH Elevated more than twice the FSH levels
5.Testosterone markedly reduced .
A woman’s risk for developing breast cancer is greatest with:
A Family history of breast cancer and a history of taking hormone replacement therapy
B Early age at menarche and late age of first parity
C A family history of breast cancer and a history of benign breast disease
D A BRCA1 or BRCA2 mutation.
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A lady on lithium well controlled previously now poor compliance drug levels low ,and
hypomania
What to give
Lithium
Carbamezapine
Depot
Sodium valproate
Olanzapine