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  2. AMC MCQ (Australia) — Clinical Sciences
  3. Adult Internal Medicine
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AMC MCQ (Australia) — Clinical Sciences

Clinical sciences revision for the AMC MCQ examination, written for international medical graduates working towards AHPRA registration in Australia. Covers adult internal medicine, surgery and trauma, obstetrics and gynaecology, paediatrics, psychiatry, and population and Indigenous health in the Australian context.

Medicine
PShared by Priya Nair
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Adult Internal Medicine

Core medical presentations, the investigations that separate them and the patterns of biochemistry an examiner expects you to read at a glance.

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Content

40 total questions

MCQ: 10
Fill-in: 8
Flashcards: 12
Pair match: 10
Adult Internal Medicine – Flashcards
Flashcards

Card #1

Acute coronary syndrome — the three diagnoses

Card #2

Type 1 versus type 2 respiratory failure

Card #3

The anion gap

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Adult Internal Medicine – MCQ
Multiple Choice Questions
  1. 1. A 58-year-old woman has pleuritic chest pain and breathlessness. She is haemodynamically stable, has a high clinical probability of pulmonary embolism, and normal renal function. Which investigation is most appropriate?

    • CT pulmonary angiogram
    • D-dimer, to exclude the diagnosis
    • Chest X-ray alone
    • Transthoracic echocardiogram
  2. 2. Which arterial blood gas pattern defines type 2 respiratory failure?

    • A low PaO2 with a raised PaCO2
    • A low PaO2 with a low PaCO2
    • A normal PaO2 with a raised PaCO2
    • A low PaO2 with a normal PaCO2
  3. 3. The earliest ECG change typically seen in hyperkalaemia is:

    • Tall, peaked T waves
    • Prominent U waves
    • ST depression with T wave inversion
    • A prolonged QT interval
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Adult Internal Medicine – Fill-in-the-blank
Fill in the Blank
  1. 1. Type 2 respiratory failure is hypoxaemia accompanied by a raised ___ , reflecting alveolar hypoventilation.

    Answer:PaCO2also: PaCO₂, pCO2, CO2, carbon dioxide

    Hint: the gas that accumulates when ventilation fails

  2. 2. The anion gap is calculated as sodium minus the sum of chloride and ___ .

    Answer:bicarbonatealso: HCO3, HCO3-, HCO₃⁻

    Hint: the measured buffer anion

  3. 3. In primary adrenal insufficiency the sodium is low and the potassium is ___ .

    Answer:highalso: raised, elevated, increased

    Hint: the opposite of low

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Adult Internal Medicine – Pair match
Pair Match
STEMI↔Ischaemic symptoms with ST elevation or new LBBB and a troponin rise
Unstable angina↔Ischaemic symptoms at rest with a normal troponin
Type 1 respiratory failure↔Hypoxaemia with a normal or low PaCO2
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