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WorksheetsAustralian Medical Council Quiz
Total questions: 30
Worksheet time: 15mins
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?
Chest X-ray
12-lead ECG
Echocardiogram
Troponin I
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?
Migraine
Subarachnoid haemorrhage
Hypertensive emergency
Tension headache
Which of the following is the recommended first-line treatment for an acute asthma attack in a 10-year-old child?
Oral corticosteroids
Inhaled salbutamol
Intravenous aminophylline
Inhaled ipratropium
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?
Serum TSH
Serum calcium
Serum cortisol
Serum prolactin
A 70-year-old man presents with sudden onset of right-sided weakness and slurred speech. What is the most appropriate initial imaging?
MRI brain
CT brain without contrast
Carotid Doppler ultrasound
Chest X-ray
Which of the following is a common side effect of ACE inhibitors?
Hyperkalaemia
Hypokalaemia
Hypercalcaemia
Hypocalcaemia
A 22-year-old woman presents with dysuria and increased urinary frequency. Urinalysis shows positive nitrites and leukocytes. What is the most likely diagnosis?
Pyelonephritis
Cystitis
Urethritis
Vaginitis
Which of the following vaccines is recommended for all pregnant women in Australia during each pregnancy?
Influenza vaccine
Measles, mumps, rubella (MMR) vaccine
Human papillomavirus (HPV) vaccine
Varicella vaccine
A 45-year-old man presents with jaundice, dark urine, and pale stools. Which of the following is the most likely cause?
Haemolytic anaemia
Obstructive jaundice
Gilbert’s syndrome
Hepatic encephalopathy
Which of the following is the most appropriate management for a simple febrile seizure in a 2-year-old child?
Start anticonvulsant therapy
Reassure parents and observe
Order a CT brain scan
Admit to intensive care
A 30-year-old woman presents with a butterfly-shaped rash on her face, joint pain, and photosensitivity. What is the most likely diagnosis?
Rheumatoid arthritis
Systemic lupus erythematosus
Psoriasis
Dermatomyositis
Which of the following is the most common cause of community-acquired pneumonia in adults in Australia?
Streptococcus pneumoniae
Mycoplasma pneumoniae
Haemophilus influenzae
Legionella pneumophila
A 50-year-old man with a history of chronic alcohol use presents with confusion, ataxia, and ophthalmoplegia. What is the most likely diagnosis?
Korsakoff’s syndrome
Wernicke’s encephalopathy
Delirium tremens
Hepatic encephalopathy
Which of the following is the best initial management for a patient with anaphylaxis?
Intravenous hydrocortisone
Intramuscular adrenaline
Oral antihistamines
Intravenous fluids
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?
Asthma
Chronic obstructive pulmonary disease (COPD)
Bronchiectasis
Pulmonary embolism
Which of the following is the most appropriate test to screen for colorectal cancer in asymptomatic adults aged 50–74 years in Australia?
Colonoscopy
Faecal occult blood test (FOBT)
Abdominal ultrasound
CT colonography
A 28-year-old woman presents with lower abdominal pain, fever, and cervical motion tenderness. What is the most likely diagnosis?
Ectopic pregnancy
Pelvic inflammatory disease
Ovarian cyst rupture
Appendicitis
Which of the following is the most common cause of hyperthyroidism in young women?
Toxic multinodular goitre
Graves’ disease
Thyroid adenoma
Thyroiditis
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?
Acute cholecystitis
Acute pancreatitis
Peptic ulcer disease
Gastroenteritis
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?
Amoxicillin
Nitrofurantoin
Ciprofloxacin
Doxycycline
A 55-year-old woman presents with a painless breast lump. What is the most appropriate next step in management?
Reassure and review in 6 months
Triple assessment (clinical examination, imaging, biopsy)
Start antibiotics
Fine needle aspiration only
Which of the following is the most common cause of iron deficiency anaemia in adult men in Australia?
Dietary deficiency
Chronic blood loss from the gastrointestinal tract
Malabsorption
Haemolysis
A 30-year-old man presents with fever, night sweats, and painless lymphadenopathy. What is the most likely diagnosis?
Hodgkin lymphoma
Infectious mononucleosis
Tuberculosis
Sarcoidosis
Which of the following is the most appropriate fluid for initial resuscitation in a patient with hypovolaemic shock?
5% dextrose
0.9% sodium chloride (normal saline)
4% albumin
Ringer’s lactate
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?
Hypothyroidism
Hyperthyroidism
Addison’s disease
Cushing’s syndrome
Which of the following is the most common cause of acute renal failure in hospitalised patients?
Pre-renal (hypovolaemia)
Post-renal (obstruction)
Intrinsic renal (glomerulonephritis)
Drug-induced nephropathy
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?
Retinal detachment
Central retinal artery occlusion
Central retinal vein occlusion
Acute angle-closure glaucoma
Which of the following is the most appropriate management for a displaced mid-shaft fracture of the femur in an adult?
Plaster cast
Traction
Open reduction and internal fixation
Splinting
A 32-year-old woman presents with a history of recurrent mouth ulcers, genital ulcers, and uveitis. What is the most likely diagnosis?
Behçet’s disease
Crohn’s disease
Herpes simplex infection
Systemic lupus erythematosus
Which of the following is the most appropriate initial management for a patient with diabetic ketoacidosis?
Intravenous insulin and fluid resuscitation
Oral hypoglycaemics
Subcutaneous insulin only
Intravenous antibiotics
