AMC (Respiratory) Sample Questions Set-1

Categories: AMC (Australian Medical Council Computer Adaptive Test Examination)

Question: A 30 years old woman with increasing dyspnea, dry cough over a few months with painful lumpy skin lesions on legs and shins. On examination, there are red, painful, lumpy lesions in leg and bilateral ankle swelling. ACE level increased. Which of the following is the best next step to get a diagnosis?

A. CT scan chest

B. Skin biopsy

C. Blood culture

D. Aspiration

E. ANA

Answer: (b)

 

Question: 22-Old woman 75 years is admitted to the hospital following a community acquired pneumonia. She received antibiotics and was recovering. On the 4th she suddenly develops rigors, high grade fever, bibasal crackles was mentioned only on examination. What is the most likely diagnosis?

A. Hospital acquired pneumonia

B. IV cannula related bacteraemia

C. Empyema

D. Pulmonary embolism

Answer: (c)

 

Question: MVA scenario for a patient come to ER with # ribs from 2nd to 7th rib asking what to do after analgesic and resuscitation:

A. plaster around the chest

B. sandbags around the chest for 3 fixation

C. thoracotomy and catheter tube placement

D. intubation with +ve pressure ventilation than thoracostomy tube

E. conserve

Answer: (d)

 

Question: Patient with COPD was admitted for 3 days in hospital. Bronchodilator was given 8 hourly, ipratropium bromide, and oral prednisolone. Sputum was of thick yellow color. Despite the treatment, he still has severe respiratory distress but he is alert. Arterial blood gas examination are as follow:

pH - 7.35 (7.36-7.44)

PCO2 - 50 (30-45)

PO2 - 80 (80-100)

HCO3 - 35 (22-26)

What is the next appropriate step?

a. CPAP

b. bronchodilator 4 hourly

c. change antibiotic

d. change to IV hydrocortisone

Answer: (a)

 

Question: 38 years old man with renal transplant 9 months (exact) back, presented with Neck stiffness and meningitis sign start 3 days ago, nothing mentioned about respiratory symptoms, no fever. On chest x-ray there is well defined round opacity in “middle right lung” . What is the cause?

A. Aspergillus

B. TB

C. Pneumocystis Pneumonia

D. Lymphoma

E. Nocardiosis

Answer: (a)

 

Question: MVA patient with fractured ribs, wide mediastinum and hoarseness of voice. No Bp or pulse mentioned. What to do?

A. Laryngoscope

B. Intubation and PPMV

C. CT chest angio

Answer: (c)

 

Question: Lung abscess scenario with middle lobe opacity with air fluid level. After starting antibiotics, what is most appropriate next?

a. transpleural drainage

b. chest tube drainage under water seal

Answer: (a)

Remember that these questions are for  practice purposesonly and may not reflect the exact  formator content of the AMC (Respiratoryexamination.

It is  advised to study a wide range of medical  information  andclinical abilities in order to get ready for the AMC CAT  exam.  Reviewingmedical texts, taking review  classes,  and exercising with practise tests can all behelpful.  It's  also a good idea to become familiar with thelayout  and  structureof the exam to get a better idea of what to expect and when.

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