AMC MCQ Mplus Questions 2023 Update Test Review

AMC MCQ Mplus Questions 2023 Update Test Review Anti-thrombin deficiency - associated with the highest risk of VTE Time for reperfusion therapy (PCI or thrombolytic) - within the first 12 hours of symptoms onset (ideal golden hour 60 minutes) Volkmann contracture (five Ps: pain, pallor, pulsness, parastesia and paralysis) - Earliest complication of Colles fracture 2 vaccines for HIV shouldn't have - BCG, Yellow fever HIV PEP 1 st line - Truvada and Raltegravir HIV PIP time frame - Up to 72 post-exposure URTI+cervical lymphadenopathy - Infectious mononucleosis until proven otherwise Human herpes virus 4 (HH4)/EBV - Infectious mononucleosis pathogen Human herpes virus 8 (HH8) - Kaposi sarcoma pathogen CD4 counts 1500-700 in AIDS - No infection in AIDS (CD4 counts) CD4 counts 500-200 in AIDS - Hairy leucoplakia and thrush herpes in AIDS (CD4 counts) CD4 counts 200-100 in AIDS - P.jiroveci in AIDS (CD4) CD4 counts <50 in AIDS - Leucoencephalitis CMV (CD4) Painful single ulcer+painful LNS - Chancroid (Hemophilius Ducrei - you do cry with Ducrei) Painful single ulcer+painless LNS - Chancre (Syphilis) T >38.5+neutrophils <0.5 *10^9 - Neutropenic sepsis (most common - chemotherapy, then, BM transplantant or Hodgkin lymphoma) 1st line Piperacillin+Tazobactam (Tazocin) then Meropenem+/-vancomycin then IV antifungal - Neutropenic sepsis treatment Active TB+non-productive cough investigation - Bronchoalveolar lavage bronchoscopoy/Gastric lavage Latent TB/Screening for contacts - Mantoux test History of travel to Africa +dark urine only - Schistosomiasis Haematobium History of travel to Africa +Hepatomegaly only - Schistosomiasis Mansoni For malaria prophylaxis in pregnancy - Mefloquine Eradication of latent hypnoxoites/prevent relapses in malaria - Primaquine Antimalarials that are safe in pregnancy - Chloroquine and proguanil High fever+relative bradycardia+severe headache_crouching position - Fagen Sign/Typhoid fever Immunocompromised+HSV exposure - VZ ab testing regardless of history of chickenpox PEP all human bites - 7 days of oral co-amoxiclav or metronidazole+Macrolide (if penicciline allergic) Hep B, C or HIV serology timeframe after exposure - 6 weeks, 12 weeks and 24 weeks Synonyms of Inf Mononucleosis - Glandular fever or Kissing disease Synonyms of Monospot test - Heterophile ab test or Paul Bunnel test Antidepressant that is safe in breastfeeding - Sertraline in pregnancy 0.3% if the donor is HIV+ve - 3% if the donor is Hep.C ab+ve - 30% if the donor is HBsAg+ve - Rates of transmission following inoculation of blood through a hollow bore needle A child with chickenpox is not contagious when - Once the rash has crusted over and 5 days have passed from the onset of the rash PURPLE (Ramsey-Hunt) - Pain, Red Rash, Palsy (VII), Loss of hearing, Exception RASH (Ramsey-Hunt) - Rapid Antiviral Steroid Highlight (eye care) Most common renal cause of AKI - ATN (acute tubular necrosis) - prolonged ischemic event for example... Continues...