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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 35-year-old man presents with sudden severe loin-to-groin pain and microscopic haematuria. What is the most likely diagnosis?

    Answer: Ureteric colic from a renal stone

    Colicky loin-to-groin pain with haematuria is the classic presentation of a ureteric calculus.

  2. A 60-year-old woman presents with a unilateral, painless breast lump that is hard, irregular, and tethered to the skin. What is the most appropriate next investigation?

    Answer: Triple assessment (clinical, imaging, biopsy)

    Any suspicious breast lump should undergo triple assessment combining examination, imaging, and biopsy.

  3. A 16-year-old boy presents with sudden severe testicular pain, a high-riding testis, and absent cremasteric reflex. What is the most appropriate management?

    Answer: Urgent surgical exploration

    Testicular torsion is a surgical emergency requiring immediate exploration to salvage the testis.

  4. A 72-year-old man presents with a pulsatile abdominal mass, hypotension, and sudden severe abdominal pain. What is the most likely diagnosis?

    Answer: Ruptured abdominal aortic aneurysm

    A pulsatile mass with hypotension and pain indicates a ruptured abdominal aortic aneurysm.

  5. A 25-year-old woman presents with amenorrhoea, lower abdominal pain, and a positive pregnancy test. Transvaginal ultrasound shows an empty uterus. What is the most likely diagnosis?

    Answer: Ectopic pregnancy

    A positive pregnancy test with an empty uterus and pain strongly suggests ectopic pregnancy.

  6. A 48-year-old man presents with epigastric pain radiating to the back, vomiting, and a markedly raised serum lipase. What is the most likely diagnosis?

    Answer: Acute pancreatitis

    Epigastric pain radiating to the back with elevated lipase indicates acute pancreatitis.

  7. A 33-year-old woman presents with intermittent right upper quadrant pain after fatty meals and a positive Murphy's sign. What is the most appropriate first-line imaging?

    Answer: Abdominal ultrasound

    Ultrasound is the first-line investigation for suspected gallstones and cholecystitis.