By V. C. Marshall, A. Lindesay Clark, A. J. Buzzard, P. Devitt, D. Gillies, R. Glass, F. Hume, B. McGrath, R. J. Pepperell, B. Yeo
The Australian scientific Council (AMC) has ready this ebook to aid overseas-trained medical professionals who're getting ready for the AMC AMCQ exam. This booklet might be a precious advisor and self-assessment software to help in sitting for this examination. It additionally illustrates the best-practice ideas for a variety of health conditions present in the Australian group. All scientific scholars will locate this e-book a useful relief as an instructional source in education for his or her medical checks, as may still postgraduate trainees getting ready for larger levels around the spectrum of common and expert perform. The questions are consultant of curricula of clinical colleges at universities throughout Australia.
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Extra info for Annotated Multiple Choice Questions: Australian Medical Council
Initial assessment should involve a cardiovascular review, IV access, full blood count and cross-match for 4 units of blood. Continuous CTG should be in place and antenatal steroids should be commenced as while the patient bleeds the fetuses are at risk. If delivery is imminent, the steroids will not have enough time to affect fetal lung maturity. It is imperative that you involve the consultant obstetrician, anaesthetist, paediatricians and senior midwife as early as possible. Answers (B) and (C) confirm that the doctor has not grasped the seriousness of the situation.
Her pregnancy has been straightforward and she has good fetal movements. Liver function tests reveal an alanine transaminase (ALT) of 64 IU/L and bile acids of 30 µmol/L. You suspect that she might have developed obstetric cholestasis. Which of the following bits of advice is true? A. B. C. D. E. She could have intermittent monitoring in labour Ultrasound and CTG surveillance help prevent stillbirth Poor outcomes can be predicted by bile acid levels Ursodeoxycholic acid (UDCA) helps prevent stillbirth Meconium stained liquor is more common in labour 12 Section 1: Antenatal care and maternal medicine 23.
Stillbirth E. Preterm delivery 29. Antenatal care (4) A 44-year-old women who is 18 weeks pregnant presents to your clinic with a 2-day history of a viral illness. She is extremely anxious and is in floods of tears. She recently had some soft cheese in a restaurant and after an internet search she is convinced she has a particular infection. What infection is she concerned about? Toxoplasmosis B. Cytomegalovirus (CMV) C. Listeria monocytogenes D. Hepatitis E E. Parvovirus B 19 30. Rashes in pregnancy A 26-year-old woman is 37 weeks pregnant and consults you about a rash that started on her abdomen and has now spread all over her body.
Annotated Multiple Choice Questions: Australian Medical Council by V. C. Marshall, A. Lindesay Clark, A. J. Buzzard, P. Devitt, D. Gillies, R. Glass, F. Hume, B. McGrath, R. J. Pepperell, B. Yeo