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7 cards from real AMC MCQ practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A 70-year-old woman on warfarin presents with an INR of 8.0 but no bleeding. What is the most appropriate management?

    Answer: Withhold warfarin and give oral vitamin K

    For a high INR without bleeding, withholding warfarin and giving low-dose oral vitamin K is appropriate.

  2. A 28-year-old pregnant woman at 30 weeks presents with a blood pressure of 160/110 and proteinuria. What is the diagnosis?

    Answer: Pre-eclampsia

    New-onset hypertension with proteinuria after 20 weeks defines pre-eclampsia.

  3. A 50-year-old man has sudden onset of a painful, swollen, red first metatarsophalangeal joint. Joint aspiration shows negatively birefringent needle-shaped crystals. What is the diagnosis?

    Answer: Gout

    Negatively birefringent needle-shaped crystals confirm monosodium urate deposition, i.e. gout.

  4. A 3-year-old child swallows a button battery seen lodged in the oesophagus on X-ray. What is the most appropriate management?

    Answer: Urgent endoscopic removal

    An oesophageal button battery requires urgent endoscopic removal to prevent caustic mucosal injury.

  5. A 40-year-old woman presents with fatigue, constipation, dry skin, and cold intolerance. Her TSH is elevated and free T4 is low. What is the diagnosis?

    Answer: Primary hypothyroidism

    A high TSH with low free T4 indicates primary hypothyroidism.

  6. A 19-year-old presents with a non-blanching purpuric rash, fever, neck stiffness, and photophobia. What is the most urgent first action?

    Answer: Administer IV/IM benzylpenicillin or ceftriaxone immediately

    Suspected meningococcal meningitis requires immediate parenteral antibiotics before further investigation.

  7. A 55-year-old man presents with painless obstructive jaundice, weight loss, and a palpable non-tender gallbladder. Which finding is described as Courvoisier's sign?

    Answer: Palpable non-tender gallbladder with jaundice

    Courvoisier's law states a palpable non-tender gallbladder with jaundice is unlikely to be due to gallstones, suggesting malignancy.