Australian Medical Council Exam True Recall Questions Surgery (2005 to 2009) with Keys and Explanations

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Today in this post we will share True Recall Questions of Australian Medical Council Exam of Surgery (2005 to 2009) with Keys and Explanations.

Snake bite:
A middle-aged man is brought to your surgery with a history of being bitten by a black
snake. On examination there are scratch marks on the lower leg and no other symptoms.
What is your management?
a) Reassure and send him home
b) Excise wound
c) Administer antivenin immediately
d) Apply Tourniquet
e) Observation and antivenom if necessary
Ans: e.
Apply bandage immediately on the bite site firmly but not very firmly, extend 15 cm above
(JM p.1345).
Trauma:
Photograph 3: X-ray showing an open fracture of the fibula & tibia. A young man, after an
accident on his motorcycle, presented with 3 cm of bone protruding through the skin of
his leg. What is your next line of management?
a) Internal fixation of the fracture immediately
b) Skin closure of the wound immediately to prevent infection
c) Reduce the fracture and apply plaster of paris
d) Give tetanus toxoid IM & antibiotics iv
e) Debridement is only indicated when the wound is severely contaminated
Ans: D.

Endocrinology:
Photograph 5: Shows the head & neck of a female. There is a large swelling at the center
of the neck and no exophthalmos of the eyes. What is the most likely diagnosis? ***
a) Multinodular goiter
b) Ca thyroid
c) Sub acute thyroiditis
d) Thyroid cyst
e) Graves disease
Ans: Large diffuse non tender swelling: