Fornix AMC, Hyderabad (2026)

14/03/2026

Answer: The OCP and a condom The combined oral contraceptive pill (OCP) is a highly effective method for preventing pregnancy but does not protect against sexually transmitted infections (STIs).
For better protection, using condoms along with OCP is recommended, as this dual method prevents pregnancy and reduces STI risk.
An IUCD may not be ideal in certain high-risk individuals due to STI concerns. Spermicide alone has lower effectiveness, and relying only on condoms can reduce reliability if not used consistently.
Key Point: OCP is effective for contraception, but combining it with condoms provides safer overall protection.

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09/03/2026

Medical Abbreviations Decoded 🩺📚

Confused by medical shorthand?
Here are some common ones every medical student should know 👇

Dx – Diagnosis
Sx – Surgery
Tx – Treatment
Hx – Medical History
Fx – Fracture
Rx – Prescription
Bx – Biopsy
Px – Prognosis
ABx – Antibiotics

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07/03/2026

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02/03/2026

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27/02/2026

Ans: Bilateral cataract surgery
EXPLANATION: Bilateral cataract surgery is the definitive treatment for visually significant cataracts. Cataract surgery involves removing the opacified lens and replacing it with an artificial intraocular lens, which can significantly improve the patient’s vision and quality of life.

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25/02/2026

Ans: Worsening depressive symptoms or emergence of suicidal ideation

EXPLANATION: During the initial weeks of SSRI therapy, there is a risk of worsening depressive symptoms or emergence of suicidal ideation, particularly in younger patients. Close monitoring of the patient’s mood and any changes in depressive symptoms or suicidal thoughts is crucial to ensure patient safety and to adjust treatment as needed. This aspect should be prioritised when monitoring this patient during the initial weeks of SSRI therapy.

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23/02/2026

Answer: Clomiphenecitrate
EXPLANATION: In women with PCOS-related infertility, management depends on factors like age, BMI, and duration of infertility. The first-line treatment is clomiphene citrate, which induces ovulation and has good pregnancy success rates.
Metformin is especially helpful in women with insulin resistance or higher BMI and may be used alone or along with clomiphene. If oral medications fail, gonadotropins can be used, but they carry a higher risk of multiple pregnancy.
If medical therapy is unsuccessful, laparoscopic ovarian drilling may be considered. IVF is usually reserved for resistant cases or when additional infertility factors are present.

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22/02/2026

Ans: Topical corticosteroids
EXPLANATION: Lichen planus is a T-cell-mediated inflammatory condition affecting the skin and mucous membranes. It is characterised by CD8+ T-cells targeting basal keratinocytes, resulting in apoptosis and the classic clinical presentation of violaceous, polygonal, flat-topped papules. Topical corticosteroids are the first-line treatment for lichen planus. They help to reduce inflammation and alleviate pruritus. Moderate- to high-potency corticosteroids are typically used, depending on the severity of the condition and the location of the lesions. Topical corticosteroids work by suppressing the local immune response and decreasing the release of pro-inflammatory cytokines, thereby reducing the intensity of the inflammatory reaction.

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21/02/2026

Answer: Pelvic floor muscle exercise
EXPLANATION: In stress urinary incontinence without pelvic organ prolapse, the first-line management is Pelvic Floor Muscle Exercises (PFME). These exercises strengthen pelvic support and reduce urine leakage during activities like coughing or sneezing.
Urodynamic studies are not routinely required unless the diagnosis is unclear or surgery is being planned.
Surgery is reserved for cases that do not respond to conservative treatment.
Bladder training is mainly useful for urge incontinence, not stress incontinence.
Lifestyle modifications can support treatment but do not replace pelvic floor exercises.

AMC Question of the Day 🧠
Can you identify the most appropriate next step in managing stress urinary incontinence in a 75-year-old patient without pelvic organ prolapse?
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19/02/2026

Answer: Ask about their in*******se timings
EXPLANATION: For couples who have been trying to conceive for less than a year and have normal initial test results, the next best step is to review their sexual timing rather than start advanced investigations. Conception chances are highest when in*******se occurs during the fertile window around ovulation, so educating the couple about cycle tracking and optimal timing can significantly improve success. Since infertility is defined as failure to conceive after 12 months of regular, unprotected in*******se, invasive tests or treatments like IVF are not indicated at this stage.

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18/02/2026

Answer: Cervical Screening test as well as liquid base cytology
EXPLANATION: Post-coital and intermenstrual bleeding are red-flag symptoms for possible cervical pathology, including precancerous changes or cervical cancer, and require urgent evaluation. Because the patient has never been screened, she needs a cervical screening test with HPV testing and cytology, followed by prompt referral to a gynecologist for colposcopy and possible biopsy. This is not a routine screening situation but a diagnostic work-up driven by symptoms.

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16/02/2026

Ans: Ceftriaxone
EXPLANATION: In suspected cases of bacterial meningitis, the choice of empirical antibiotic therapy depends on the patient’s age, risk factors and local resistance patterns. The most common bacterial pathogens for young adults are Streptococcus pneumoniae and Neisseria meningitidis. Ceftriaxone (a third-generation cephalosporin with broad-spectrum coverage, including N. meningitidis) is the most appropriate initial empirical antibiotic therapy for this patient. Once culture results become available, the treatment can be tailored to the specific pathogen and its antibiotic susceptibilities.

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