#aug2026
What fine-motor skill is expected in a 3-year-old child? Answer: Using safety scissors to cut out a circle.
What is the approximate risk of schizophrenia when both parents have schizophrenia? Answer: Approximately 40–46%.
A woman has postpartum haemorrhage with a firm, well-contracted uterus and a vaginal tear. What should you do? Answer: Perform a thorough cervical and vaginal examination and repair the trauma.
A pregnant woman has recurrent symptomatic gallstones. What is the appropriate management? Answer: Laparoscopic cholecystectomy should be considered.
A patient has chronic cough, fever, weight loss and an abnormal chest X-ray suggestive of TB. What investigation should be performed? Answer: Sputum testing for mycobacterial culture and NAAT/PCR.
What is appropriate VTE prevention for a low-risk patient undergoing short laparoscopic surgery with early mobilisation? Answer: Early mobilisation and hydration; pharmacological prophylaxis may not be required.
A child has a displaced supracondylar fracture with a cold, pale, pulseless hand. What is the next step? Answer: Urgent orthopaedic management with immediate reduction and restoration of circulation.
What is an appropriate medication for acute hypomania in bipolar disorder? Answer: Quetiapine.
A 3-year-old has episodic abdominal pain, vomiting and blood/mucus in the stool. What is the best initial imaging investigation? Answer: Abdominal ultrasound.
How should confirmed asymptomatic bacteriuria in pregnancy be managed? Answer: Treat with an appropriate antibiotic based on urine culture and sensitivities.
What is the most important preventive measure for altitude sickness? Answer: Gradual ascent.
What treatment should be considered after an osteoporotic fragility fracture? Answer: Anti-resorptive therapy such as a bisphosphonate, after appropriate assessment.
What is the treatment for an acute haemarthrosis in a patient with severe haemophilia A? Answer: Factor VIII replacement.
What is the initial management of a concerning CTG suggesting fetal compromise? Answer: Intrauterine resuscitation and expedited delivery if fetal compromise persists or is severe.
What is first-line psychological treatment for OCD? Answer: Cognitive behavioural therapy with exposure and response prevention.
What is the most likely diagnosis of a tender subareolar breast lump in a pubertal boy? Answer: Physiological pubertal gynaecomastia.
What is the diagnosis when a patient has a persistent fixed delusion without other prominent psychotic symptoms? Answer: Delusional disorder.
What is initial treatment for mild plaque psoriasis? Answer: Topical therapy, such as topical corticosteroids.
What is first-line management for mild atopic dermatitis in a child? Answer: Regular emollients/moisturisers.
A patient taking warfarin develops a significant rectus sheath haematoma. What is the initial management? Answer: Withhold anticoagulation and reverse it if clinically significant bleeding is present.
What is initial management of uncomplicated constipation in an infant after starting solids? Answer: Dietary measures including adequate fluids and fibre; use an appropriate laxative if needed.
A 6-year-old Aboriginal child has an incomplete vaccination history. What should be done? Answer: Follow the Australian catch-up immunisation schedule without restarting the vaccination course.
Does a positive IGRA confirm active tuberculosis? Answer: No.
What is first-line management for mild primary Raynaud phenomenon? Answer: Avoid cold exposure and keep the extremities warm.
Which finding strongly suggests secondary Raynaud phenomenon? Answer: Digital ulcers or ischaemic changes.
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