How to Prepare for AMC MCQ EXAM?

There is no single answer to this question. However, you can prepare for AMC MCQ Exam very well if you follow steps given below.

STEP 1: Read through the Handbook of Multiple Choice Questions word by word.

STEP 2: Read the important topic in John Murtagh General Practice Latest Edition.

STEP 3: Revise both Hand Book of Multiple Choice Questions and John Murtagh together.

Step 4: Practice the multiple questions from some good website such as AMC QBANK (www.amcqbank.com).

Step 5: Do a combined revision of all material you have gone through by spending minimum time on each topic.

Now you are ready for AMC MCQ Exam-just trust in yourself, be positive and try to relax (although hard in this situation).

Neisseria Gonorrhea

N. Gonorrhoea causes infection of urethra in men and can result in penile discharge and a burning sensation when passing urine.

In females it can cause vaginal discharge, pain on urination and bleeding between periods, often after having sex. If left untreated, it can cause pelvic inflammatory disease.

The best test to investigate this infection is by doing PCR on urethral swab or vaginal swab.

A single injection of ceftriaxone (250 mg) cures the majority of uncomplicated gonococcal urogenital, anorectal, and pharyngeal infections.

After 5-10 days after, treatment, a repeat test for gonorrhoea is performed and patient is advised not to have sexual activity until the repeat testing is negative.

Treatment of Chlamydia infection:

Genital chlamydia occurs in both men and women, though up to 25% of infected men and 70% of infected women may not have any symptoms, and may not know they have the infection.

Chlamydia can cause urethritis, vaginal discharge, pelvic inflammatory disease and infertility if left untreated.

The best treatment for chlamydia infection is Azithromycin 1 gram single dose. The partner should also be tested and treated.

The alternate treatment is doxycycline 100mg twice a day for 7 days.

The patient should be advised not to have any sexual activity for at least 7 days after completing the treatment.

Mechanism of action of moxonidine

It is centrally acting agonist at I1 imidazoline receptors and alpha2 adrenoreceptors, it reduces BP by reducing sympathetic tone.

Indications
Hypertension

Precautions:

- History of angioedema.
- Intermittent claudication, Raynaud’s phenomenon, Parkinson’s disease, epilepsy, glaucoma, depression—not studied.
Cardiac.

Contraindications:

- Contraindicated in heart failure (has been associated with increased mortality).
- Contraindicated in bradycardia (<50 beats/minute), sick sinus syndrome, second- or third-degree atrioventricular block or malignant arrhythmias.
- Coronary heart disease may be exacerbated by moxonidine.

Diagnostic Criteria of Behçet’s Disease

Recurrent oral ulceration plus two of the following:

    - Recurrent genital ulceration
    - Eye lesions
    - Skin lesions
    - Pathergy test

The ulcers are usually painful, are shallow or deep with a central yellowish necrotic base, appear singly or in crops, and are located anywhere in the oral cavity.

Skin involvement is observed in 80% of patients and includes folliculitis, erythema nodosum, an acne-like exanthem, and, infrequently, vasculitis, Sweet’s syndrome, and pyoderma gangrenosum.

Acute interstitial nephritis triad

The patient usually presents with acute renal failure and the “hypersensitivity triad” of rash, fever, and eosinophilia. Treatment is largely supportive, with management of fluid electrolyte balance and fluid retention.

Corticosteroid therapy may be given to increase the rate and extent of renal functional recovery.
Prognosis is good, although most patients have some residual renal impairment.