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IMPORTANT POINTS Australian Medical Council (AMC) EXAM

Discussion in 'AMC Exams' started by dr_raja143, Jun 27, 2010.

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    IMPORTANT POINTS Australian Medical Council (AMC) EXAM
    SOME IMPORTANT POINTS have 2 know

    GASTROENTEROLOGY

    Vitamin A Night blindness, conjunctival dryness, corneal keratinization

    Vitamin D Ricketts - kids, long bone bowing; Osteomalacia-adults, demineralization

    Vitamin ......

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    Lactose Intolerance Lactase deficiency, bloating & explosive diarrhea after milk; Ages 10-20

    Celiac Sprue Gluten sensitivity (wheat, rye, barley); amenorrhea 1st sx girls, Infants = FTT, abnormal stool, bloating, Adults = malabsorption, vit deficiency; X-ray - dilated loops of bowel with thin mucosal folds; most ......

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    Replacement & Ciprofloxacin

    Staph Enteritis Onset 3-6 hrs; "Church Picnic epidemic; N/V/D, HA, fever recovery w/in 24 hrs

    Salmonella Enteritis Undercooked Poultry; nausea & cramps => watery &/or bloody diarrhea; No antibiotics prolongs excretion of the organism

    Viral Enteritis Norwalk = yr round, ......

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    Insulinoma Insulin hypersecretion, hypoglycemic symptoms, Insulin levels still incr. after fasting
    Whipple Triad: confirms hypoglycemia as source of Sx 1. Hypoglycemia, 2. Relieved with carb ingestion 3. Sx occur while fasting

    VIPoma Makes Vasoactive peptide (VIP); Sx WDHA (watery diarrhea, hypokalemia, achlohydria; unexplained secretory diarrhea; ......

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    CARDIOVASCULAR
    Contraindications to BP meds Asthma/COPD = Bblockers, DM = Thiazides & Bblockers, Cardiac Failure = Bblockers & Ca Channel Blockers; Pregnancy = Thiazides & ACE

    Rheumatic Fever post strep infection, migratory arthritis, endocardits, subcutaneous nodules on extensor surface, chorea, erythema marginatum, incr. ......

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    Supraventricular Tachycardia Sudden attacks due to reentry rhythm, P on T on EKG; #1 AV Nodal Reentry #2 Wolff Parkinson White = reentry thru accessory muscle bundle, can cause V fib in a Pt with Afib; Torsades De Point is drug induced

    Left Sided Failure Dyspnea, Orthopnea, ......

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    RESPIRATORY
    Peritonsillar Abscess uvula away; Head tilted toward, Trismus (can't open mouth)Strep or Bacteroides

    Epiglottitis H.flu type B, Insp. Stridor, Dysphagia with drooling, Thumbprint sign on xray

    Larengitracheitis Croup; Paraflu #1, RSV, Flu, barking cough, stridor hoarse, r/o epiglottitis

    Acute Bronchitis non smokers ......

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    ENDOCRINOLOGY
    Hypothyroid Weight gain, Lethargy, Coarse hair & dry skin, irregular menses, cold intolerance, myxedema; Acquired = Hashimoto's; Congenital = cretinism, severe I deficiency = hoarse cry; resp distress, cyanosis, poor feeding, decr bone growth, ßT4 incr. TSH
    Wolff Chaikoff effect = inhibition of thyroid hormone ......

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    GENTOURINARY
    Neurogenic Bladder Bladder control requires: intact sensation(full) motor function (start void) Cerebral control (timing)
    Atonic, distended with overflow= acute spinal cord injury or sensory impaired
    Motor defect = sense full bladder but can't start emptying
    Autonomous = spinal cord injuries after acute; bladder ......

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    INFECTIOUS DISEASES & IMMUNOLOGY
    Fever most common cause immed post op = atelectasis; 3-5 days postop = infection; > 2 wks post op = PE or thrombophlebitis

    Fever of Unknown Origin > 100F for > 3 weeks despite active search for cause for > 1 ......

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