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Australian Medical Council Quiz

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

A 25-year-old man presents to the emergency department with sudden onset severe chest pain radiating to his left arm. He is diaphoretic and anxious. What is the most appropriate initial investigation?

a)

Chest X-ray

b)

12-lead ECG

c)

Echocardiogram

d)

Troponin I

2.

A 60-year-old woman with a history of hypertension presents with a severe headache and visual disturbances. Her blood pressure is 220/120 mmHg. What is the most likely diagnosis?

a)

Migraine

b)

Subarachnoid haemorrhage

c)

Hypertensive emergency

d)

Tension headache

3.

Which of the following is the recommended first-line treatment for an acute asthma attack in a 10-year-old child?

a)

Oral corticosteroids

b)

Inhaled salbutamol

c)

Intravenous aminophylline

d)

Inhaled ipratropium

4.

A 35-year-old woman presents with fatigue, weight gain, and cold intolerance. On examination, her thyroid is enlarged. Which investigation is most useful to confirm the diagnosis?

a)

Serum TSH

b)

Serum calcium

c)

Serum cortisol

d)

Serum prolactin

5.

A 70-year-old man presents with sudden onset of right-sided weakness and slurred speech. What is the most appropriate initial imaging?

a)

MRI brain

b)

CT brain without contrast

c)

Carotid Doppler ultrasound

d)

Chest X-ray

6.

Which of the following is a common side effect of ACE inhibitors?

a)

Hyperkalaemia

b)

Hypokalaemia

c)

Hypercalcaemia

d)

Hypocalcaemia

7.

A 22-year-old woman presents with dysuria and increased urinary frequency. Urinalysis shows positive nitrites and leukocytes. What is the most likely diagnosis?

a)

Pyelonephritis

b)

Cystitis

c)

Urethritis

d)

Vaginitis

8.

Which of the following vaccines is recommended for all pregnant women in Australia during each pregnancy?

a)

Influenza vaccine

b)

Measles, mumps, rubella (MMR) vaccine

c)

Human papillomavirus (HPV) vaccine

d)

Varicella vaccine

9.

A 45-year-old man presents with jaundice, dark urine, and pale stools. Which of the following is the most likely cause?

a)

Haemolytic anaemia

b)

Obstructive jaundice

c)

Gilbert’s syndrome

d)

Hepatic encephalopathy

10.

Which of the following is the most appropriate management for a simple febrile seizure in a 2-year-old child?

a)

Start anticonvulsant therapy

b)

Reassure parents and observe

c)

Order a CT brain scan

d)

Admit to intensive care

11.

A 30-year-old woman presents with a butterfly-shaped rash on her face, joint pain, and photosensitivity. What is the most likely diagnosis?

a)

Rheumatoid arthritis

b)

Systemic lupus erythematosus

c)

Psoriasis

d)

Dermatomyositis

12.

Which of the following is the most common cause of community-acquired pneumonia in adults in Australia?

a)

Streptococcus pneumoniae

b)

Mycoplasma pneumoniae

c)

Haemophilus influenzae

d)

Legionella pneumophila

13.

A 50-year-old man with a history of chronic alcohol use presents with confusion, ataxia, and ophthalmoplegia. What is the most likely diagnosis?

a)

Korsakoff’s syndrome

b)

Wernicke’s encephalopathy

c)

Delirium tremens

d)

Hepatic encephalopathy

14.

Which of the following is the best initial management for a patient with anaphylaxis?

a)

Intravenous hydrocortisone

b)

Intramuscular adrenaline

c)

Oral antihistamines

d)

Intravenous fluids

15.

A 65-year-old man presents with progressive shortness of breath and a chronic productive cough. He has a 40 pack-year smoking history. What is the most likely diagnosis?

a)

Asthma

b)

Chronic obstructive pulmonary disease (COPD)

c)

Bronchiectasis

d)

Pulmonary embolism

16.

Which of the following is the most appropriate test to screen for colorectal cancer in asymptomatic adults aged 50–74 years in Australia?

a)

Colonoscopy

b)

Faecal occult blood test (FOBT)

c)

Abdominal ultrasound

d)

CT colonography

17.

A 28-year-old woman presents with lower abdominal pain, fever, and cervical motion tenderness. What is the most likely diagnosis?

a)

Ectopic pregnancy

b)

Pelvic inflammatory disease

c)

Ovarian cyst rupture

d)

Appendicitis

18.

Which of the following is the most common cause of hyperthyroidism in young women?

a)

Toxic multinodular goitre

b)

Graves’ disease

c)

Thyroid adenoma

d)

Thyroiditis

19.

A 40-year-old man presents with severe epigastric pain radiating to the back, nausea, and vomiting. His serum amylase is elevated. What is the most likely diagnosis?

a)

Acute cholecystitis

b)

Acute pancreatitis

c)

Peptic ulcer disease

d)

Gastroenteritis

20.

Which of the following is the most appropriate antibiotic for the initial treatment of uncomplicated urinary tract infection in a non-pregnant woman in Australia?

a)

Amoxicillin

b)

Nitrofurantoin

c)

Ciprofloxacin

d)

Doxycycline

21.

A 55-year-old woman presents with a painless breast lump. What is the most appropriate next step in management?

a)

Reassure and review in 6 months

b)

Triple assessment (clinical examination, imaging, biopsy)

c)

Start antibiotics

d)

Fine needle aspiration only

22.

Which of the following is the most common cause of iron deficiency anaemia in adult men in Australia?

a)

Dietary deficiency

b)

Chronic blood loss from the gastrointestinal tract

c)

Malabsorption

d)

Haemolysis

23.

A 30-year-old man presents with fever, night sweats, and painless lymphadenopathy. What is the most likely diagnosis?

a)

Hodgkin lymphoma

b)

Infectious mononucleosis

c)

Tuberculosis

d)

Sarcoidosis

24.

Which of the following is the most appropriate fluid for initial resuscitation in a patient with hypovolaemic shock?

a)

5% dextrose

b)

0.9% sodium chloride (normal saline)

c)

4% albumin

d)

Ringer’s lactate

25.

A 45-year-old woman presents with palpitations, sweating, and tremor. Her TSH is suppressed and T4 is elevated. What is the most likely diagnosis?

a)

Hypothyroidism

b)

Hyperthyroidism

c)

Addison’s disease

d)

Cushing’s syndrome

26.

Which of the following is the most common cause of acute renal failure in hospitalised patients?

a)

Pre-renal (hypovolaemia)

b)

Post-renal (obstruction)

c)

Intrinsic renal (glomerulonephritis)

d)

Drug-induced nephropathy

27.

A 65-year-old man presents with sudden, painless loss of vision in his right eye. Fundoscopy shows a cherry-red spot at the macula. What is the most likely diagnosis?

a)

Retinal detachment

b)

Central retinal artery occlusion

c)

Central retinal vein occlusion

d)

Acute angle-closure glaucoma

28.

Which of the following is the most appropriate management for a displaced mid-shaft fracture of the femur in an adult?

a)

Plaster cast

b)

Traction

c)

Open reduction and internal fixation

d)

Splinting

29.

A 32-year-old woman presents with a history of recurrent mouth ulcers, genital ulcers, and uveitis. What is the most likely diagnosis?

a)

Behçet’s disease

b)

Crohn’s disease

c)

Herpes simplex infection

d)

Systemic lupus erythematosus

30.

Which of the following is the most appropriate initial management for a patient with diabetic ketoacidosis?

a)

Intravenous insulin and fluid resuscitation

b)

Oral hypoglycaemics

c)

Subcutaneous insulin only

d)

Intravenous antibiotics