All free cases

30% of the AMC MCQ

Adult health: Medicine: free AMC Part 1 practice questions

Cardiology, respiratory, gastroenterology, endocrinology, neurology and infectious disease in adults.

15 free cases here, covering Cardiology, Dermatology, Endocrinology, Gastroenterology, Haematology, Neurology, Respiratory, Rheumatology. Every one has a worked explanation and a reason each wrong option is wrong. No account, no card.

Suspected melanoma: how to biopsy
Dermatology

Suspected melanoma: how to biopsy

Got it wrong

Changing pigmented lesion with ABCDE features: the correct biopsy technique.

Iron deficiency anaemia in an older man: investigate the bowel
Haematology

Iron deficiency anaemia in an older man: investigate the bowel

Got it wrong

Iron deficiency and weight loss in a 66-year-old man: the must-do investigation.

Acute monoarthritis: gout or septic arthritis?
Rheumatology

Acute monoarthritis: gout or septic arthritis?

Got it wrong

Febrile man with a hot first MTP joint: the essential step before treating.

Transient ischaemic attack: urgent investigation
Neurology

Transient ischaemic attack: urgent investigation

Got it wrong

Resolved arm weakness and dysphasia, ABCD2 six: what must happen next?

Acute ischaemic stroke: thrombolysis within 4.5 hours
Neurology

Acute ischaemic stroke: thrombolysis within 4.5 hours

Got it wrong

Hemiparesis and neglect at 2.5 hours with clear CT: the immediate treatment.

Graves disease in the first trimester of pregnancy
Endocrinology

Graves disease in the first trimester of pregnancy

Got it wrong

Thyrotoxicosis with positive TRAb at 8 weeks: choose the safe antithyroid drug.

Diagnosing type 2 diabetes from an incidental HbA1c
Endocrinology

Diagnosing type 2 diabetes from an incidental HbA1c

Got it wrong

Asymptomatic man with HbA1c 6.7%: confirm the diagnosis or start treatment?

Helicobacter pylori: test and treat in primary care
Gastroenterology

Helicobacter pylori: test and treat in primary care

Got it wrong

Young patient with uncomplicated dyspepsia: choose the first H. pylori test.

Suspected pulmonary embolism: choosing the right test
Respiratory

Suspected pulmonary embolism: choosing the right test

Got it wrong

Pleuritic pain and haemoptysis after a long flight: pick the diagnostic test.

COPD exacerbation with hypercapnic respiratory failure
Respiratory

COPD exacerbation with hypercapnic respiratory failure

Got it wrong

COPD exacerbation acidotic and tiring after initial treatment: choose ventilation support.

Acute severe asthma not responding to nebulisers
Respiratory

Acute severe asthma not responding to nebulisers

Got it wrong

Silent chest and rising CO2 despite nebulisers: the most urgent next intervention.

ACE inhibitor cough: switching to an ARB
Cardiology

ACE inhibitor cough: switching to an ARB

Got it wrong

Dry cough on ramipril, normal chest workup: the correct medication change.

Iron deficiency in heart failure with reduced ejection fraction
Cardiology

Iron deficiency in heart failure with reduced ejection fraction

Got it wrong

Symptomatic HFrEF on full therapy with low ferritin: what single drug helps next?

Rural STEMI: fibrinolysis when PCI is too far away
Cardiology

Rural STEMI: fibrinolysis when PCI is too far away

Got it wrong

STEMI in a rural clinic with PCI more than two hours away: choose reperfusion.

Atrial fibrillation: choosing anticoagulation by CHA2DS2-VASc
Cardiology

Atrial fibrillation: choosing anticoagulation by CHA2DS2-VASc

Got it wrong

New atrial fibrillation, CHA2DS2-VASc 3: pick the right long-term stroke prevention.

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The other blueprint groups

The six groups the AMC Part 1 blueprint is built from, with the share of the exam each one carries.

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