November 2020

Recalls
Shahriar's Medical Academy
Tutor : DR.Shahriar Ahmed sujoy
 Our Aim
Finishing 1 year recalls

Nov 2019 upto Nov 2020 Plus feb , March 2020

ABOUT ME
About ME .
My Name is Dr.Shahriar Ahmed sujoy
Currently CEO ,Founder & Chief teacher of SMA

I like to welcome you all to our class

About ME little more .

Apart from SMA founder and Chief teacher

I am a Career counselor, Youtuber , Research expert educational for health
UK and ofcourse a Broad certified doctor in Australia. I have already clear
my AMC.Apart from AMC have passed FCPS, Diploma chest UK and few
more certified degrees. This is my 10th year in the teaching field with 8
years of international teaching experience.
Also i am part of lots of educationn development program.

I Again, Thanks for attending course & choosing SMA

About Dr.Tonmoy Dhar

Dr.Tonmoy is currently working as Medical office in United hospital and

passed AMC .And He is in teaching since last 3 years with Shahriar's
Medical Academy . His best part he is an outstanding human being

He will be with you guys till this AMC journey ends .

 We will provide
E books , Solved files , Over view of topics to ready from JM , Live class , Recording

Files are organized as per you can see with reference

You will receive it through google drive
Class time
8.30 pm- 11.30 pm Sydney time
3.30 -6.30 pm Bangladesh
3- 6 pm India
Other countries plz Adjust
Our next class
Mon 11 Jan
Topic: Nov 2020 class 2

AMC Batch 37 Same group

Zoom link will be provided

We provide class in in fb group 30 min before the class starts

Mute your microphone during
class

TO make class smooth mute your microphone

We will give you chance to ask question in between Break
To attend class

Seat in a table and chair and use laptop

Plz dont use mobile device unless emergency

CLick on zoom link provided in the group

Make sure by next class your admission and dues

are clear .
Good luck
TEAM SMA
QUESTION 01
17 yrs. old previously healthy boy presented with 1-day Hx of vomiting, lethargy,
impaired consciousness. On examination severe dehydration. Labs given RBS-22
mmol/l, PH=7.1, HCO3= 8, K+=5.6, and some more. Next immediate management?
a.
Normal saline
b.
Ca Gluconate
c.
NaHCO3
d.
Ca Resoniuming
 Any Guess?

Use zoom chat

box
 ANS OF
QUESTION 01
17 yrs. old previously healthy boy presented with 1-day Hx of vomiting, lethargy,
impaired consciousness. On examination severe dehydration. Labs given RBS-22
mmol/l, PH=7.1, HCO3= 8, K+=5.6, and some more. Next immediate management?
a.
Normal saline
b.
Ca Gluconate
c.
NaHCO3
d.
Ca Resoniuming
Reference John murtagh 7th edition
Question 02
Question 02
HIgh Blood pressure in
the biggest risk
 RISKS
MI- Hyperlipidaemia
Stroke - HTN
PVD- Smoking
AD- HTN
Many more
QUESTION 03
Patient with tangentiality, asking about what he most likely has
A.
Dissociation
B.
Depersonalization
C.
Depression
D.
Disorganized behavior
Question 04

Patient
depression and anxiety. You prescribe sertraline 50
present with symptoms of

mg. after two months during review pat say he has only mild improvement.
Management?
a.
Increase sertraline dose
b.
Continue same dose for another 8 weeks
c.
Change to another drug
d.
Add benzodiazepine
Ans of Question 04

PATIENT
DEPRESSION AND ANXIETY. YOU PRESCRIBE SERTRALINE 50
PRESENT WITH SYMPTOMS OF

MG. AFTER TWO MONTHS DURING REVIEW PATIENT SAY HE HAS ONLY MILD
IMPROVEMENT.
MANAGEMENT?
A.
INCREASE SERTRALINE DOSE
B.
CONTINUE SAME DOSE FOR ANOTHER 8 WEEKS
C.
CHANGE TO ANOTHER DRUG
D.
ADD BENZODIAZEPINE
page 182
Question 05

BMI
chart given. A 12-y sking about his weight
ear-old child with BMI 25. A

interpretation from chart. (it was between 95th and 97th percentile.
a.
Underweight
b.
Overweight.
c.
Obese
d.
Morbid obese
e.
Normal
Question 05

BMI
chart given. A 12-y sking about his weight
ear-old child with BMI 25. A

interpretation from chart. (it was between 95th and 97th percentile.
a.
Underweight
b.
Overweight.
c.
Obese
d.
Morbid obese
e.
Normal
Growth Chart

DO you want me to
tell more about
growth chart
QUESTION
06
42 d women. Comes with infertility for 14 months. Never pregnant before.
yrs. ol

Pelvic USS was normal. BMI high. Asking next step?

a.
Partner sperm analysis
b.
Ovum donation
c.
laparoscopy
D.
Ovulation induction
QUESTION
06
42 d women. Comes with infertility for 14 months. Never pregnant before.
yrs. ol

Pelvic USS was normal. BMI high. Asking next step?

a.
Partner sperm analysis
b.
Ovum donation
c.
laparoscopy
D.
Ovulation induction
Reference JM

JM
h Edition: Page 1253-54
6t
 Lets take a Nap
1 min

Tell me about your favourite holiday

destination
Fever + jaundice after 3 days coming back from thailand
Question 07
A 43yo woman a year ago had done breast USS reported as cystic lesion without
suspicious lesions. Now came with increasing size of lump since few months and
biopsy report as malignant. She was angry and ask why they didn’t do biopsy
last year to know its malignancy, what to do?
a.
Tell her it was a simple cyst and there has been no indication of bx last year.
b.
Tell her I can’t answer that until I consult a specialist in that field.
c.
The malignancy is probably not related to the cyst.
Ans of Question 07
A 43yo woman a year ago had done breast USS reported as cystic lesion without
suspicious lesions. Now came with increasing size of lump since few months and
biopsy report as malignant. She was angry and ask why they didn’t do biopsy
last year to know its malignancy, what to do?
a.
Tell her it was a simple cyst and there has been no indication of bx last year.
b.
Tell her I can’t answer that until I consult a specialist in that field.
c.
The malignancy is probably not related to the cyst.
Reference AMC surgery book by Dr.shahriar

Dr.shahriar copyright
Question 08

A young girl picking her eyebrows because she feels tense if she doesn’t do it, dx?
a.
OCD
B.
Impulse control disorder
Question 08

A young girl picking her eyebrows because she feels tense if she doesn’t do it, dx?
a.
OCD
B.
Impulse control disorder

Reference Kaplan psychiatry + Psychiatry AMC book by Dr tonmoy

 No root in alopecia
Trichotilomania vs Alopecia
vs OCD

Trichotilomania
Question 09

8-year-old child with dizziness. Hemodynamically

stable. ventricular tachycardia ECG. Tx?
a. Adenosine
b. Amiodarone
c. Valsalvamaneuver
d.DC cardioversion
Ans of Question 09

8-year-old child with dizziness. Hemodynamically

stable. ventricular tachycardia ECG. Tx?
a. Adenosine
b. Amiodarone
c. Valsalvamaneuver
d.DC cardioversion
823 page
More info about SVT,VT , WPW ,
Question 10

31 yr old lady. Has two children and underwent filshie clip sterilization on both
sides. Having regular cycles with heavy periods. Most appropriate management?
a. Levenogestral IUD
b. Hysterectomy
c. Artery embolisation
Question 10

31 yr old lady. Has two children and underwent filshie clip sterilization on both
sides. Having regular cycles with heavy periods. Most appropriate management?
a. Levenogestral IUD
b. Hysterectomy
c. Artery embolisation
 Contraceptive
The file will be uploaded
 Question
A 40 year male Patient
11 treated with sertraline
disorder
with major depressive

for 4 months without any

improvement? Next?
a. Dothiepin
b.Venlafaxine
c.Na valproate
d.Lithium
 Question
A 40 year male Patient
11 treated with sertraline
disorder
with major depressive

for 4 months without any

improvement? Next?
a. Dothiepin
b.Venlafaxine
c.Na valproate
d.Lithium
 Dothepin
Dothiepin belongs to a class of medications known
as Tricyclic antidepressants (TCA). It is used to treat
symptoms of depression (low mood) such as:
Feeling sad. Feeling hopeless or worthless.

3C
Mostly 2nd line

Mneomonics
Antidepressant by SMA
 Question 12
70 de of difficulty in speaking and
year-old patient came complaining of episo

heaviness o the right side of the body few days back, which resolved
spontaneously in 30 mins. What is the most appropriate investigation?
a.ECG
b.CT brain
c. Carotiddoppler
d.ECHO
e.MRI
 ANs of Question 12
70 de of difficulty in speaking and
year-old patient came complaining of episo

heaviness o the right side of the body few days back, which resolved
spontaneously in 30 mins. What is the most appropriate investigation?
a.ECG
b.CT brain
c. Carotiddoppler
d.ECHO
e.MRI
 Oxford Medicine
Neurology section

Learn more about dizziness and vertigo

 TIA
transient
Ischaemic
attack

reference John murtagh 7th edition

Question 13
#surgery
A 60 years male
testicular swelling, on examination both testes were
separately palbaple and non tender, swelling and
redness over the penis, what is the most likely
diagnosis?
a torsion
b.edidodymoorchitis
c. strangulated encarcerated hernia
d. hydrocele
Ans of Question 13
#surgery
A 60 years male
testicular swelling, on examination both testes were
separately palbaple and non tender, swelling and
redness over the penis, what is the most likely
diagnosis?
a torsion
b.edidodymoorchitis
c. strangulated encarcerated hernia
d. hydrocele
Reference JM testicular pain chapter
Testicular lump / Pain

Must read JM
Male health section
 Question 14
Q. A 52 y/o female has 1y amenorrhea, 2 years ago pap
smear was normal but 4 years ago pap smearwas cervical
wart, she has had sexual contact after 1 year, during sex,
she had not any discomfort orpain. After that she
developed 24 hour vaginal bleeding. Cause?
shahriarAMC
a. vaginal atrophy
b. cancer cervix
c. cancer endometrium
d. relapse of condyloma
e. menstrual cycle
 Ans of Question 14
Q. A 52 y/o female has 1y amenorrhea, 2 years ago pap
smear was normal but 4 years ago pap smearwas cervical
wart, she has had sexual contact after 1 year, during sex,
she had not any discomfort orpain. After that she
developed 24 hour vaginal bleeding. Cause?
shahriarAMC
a. vaginal atrophy
b. cancer cervix
c. cancer endometrium
d. relapse of condyloma
e. menstrual cycle
 Due to follicular activity

Lets discuss about bleeding

 Question 15

A sex worker came for a sexual health check up. What will you ask to guide
management-
A.
Number of partners
B.
Injecting drug use
C.
Sex of partners
D. Use
of condom
 Question 15

A sex worker came for a sexual health check up. What will you ask to guide
management-
A.
Number of partners
B.
Injecting drug use
C.
Sex of partners
D. Use
of condom
 THanks for attending

Thank you all

Wrap up the
meeting.
Any inquiries
Take your time.
Study well
Stay safe
Keep supporting SMA