Welcome to Season 2 of AMC Clinical Deep Dive!

When paediatric cough interferes with sleep, honey is a powerhouse non-drug intervention backed by NHMRC Level 1 evidence. This episode explores why honey is preferred over OTC medications for children older than 12 months, as it reduces cough frequency more effectively than no treatment or placebos. Learn the exact bedtime dose (0.5–2 teaspoons) and the critical safety contraindication: never give honey to infants younger than 12 months due to the fatal risk of botulism. We cover how to counsel parents on mucus clearance and protecting dental health from prolonged use.

Keywords: #AMCClinicalExam #PaediatricURTI #HoneyforCough #OSCEManagement #IMGAustralia #BotulismPrevention #PaediatricNocturnalCough

----------------------------------------------------------------------

Pro Tip: In your OSCE, if a parent asks for a cough suppressant for a toddler, always check the child's age first. Explicitly stating that you are recommending honey because it is "less risky than OTC medications" and has "NHMRC Level 1 evidence" demonstrates the high-level safety and evidence-based knowledge examiners expect.

Also, visit the Sore Throat topic below:

S1E77 - Paediatric Fever and Sore Throat

👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: URTI Clinical Skills Navigator

🎧 Episodes in ⁠⁠⁠⁠Season 1⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

This episode explores incremental physical activity, an intervention with moderate-grade evidence designed to reverse deconditioning and improve functional quality of life. Learn the OSCE-essential protocol: establishing a sustainable baseline and increasing duration by 10–20% every 1–2 weeks, provided symptoms remain transient. We dive into critical safety checks, specifically Post-Exertional Malaise (PEM), which can be delayed for up to 3 days. Discover why a collaborative, trusting approach and supervision by an accredited exercise physiologist are vital for a safe, high-scoring management plan.

Keywords: #AMCClinicalExam #ChronicFatigueSyndrome #CFS/ME #GradedExerciseTherapy(GET) #OSCE #IMGAustralia #Post-ExertionalMalaise(PEM) #IncrementalPhysicalActivity #Exercise Physiologist

----------------------------------------------------------------------

Pro Tip: In the OSCE, explicitly warn the patient that Post-Exertional Malaise (PEM) can be delayed for up to 3 days. This specific safety detail—along with mentioning that you will only increase activity by 10–20% every 1–2 weeks—demonstrates the high-level clinical caution and evidence-based knowledge required to pass the management domain.

👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Chronic Fatigue Syndrome Exam Pre: Your Australian Guide

🎧 Episodes in ⁠⁠⁠⁠Season 1⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

With 85% of pregnant patients affected, morning sickness is a high-yield OSCE topic. This episode reveals why ginger (with or without Vitamin B6) is the gold standard of non-drug interventions, offering efficacy similar to metoclopramide. We cover the SOMANZ-recommended 250mg TDS-QID ginger dose and the critical safety signs of Vitamin B6-induced peripheral neuropathy you must mention. Master the "bedside cracker" strategy and fluid management to show you are a safe, evidence-based clinician ready for Australian practice. Perfect your management plan today!

Keywords: #AMCClinicalExam #NauseaandVomitinginPregnancy(NVP) #GingerandVitaminB6 #OSCEManagement #IMGAustralia #MorningSicknessRemedy #PeripheralNeuropathy

----------------------------------------------------------------------

Pro Tip: In your OSCE, it is essential to include a safety check for Vitamin B6. Advise the patient that if they experience symptoms such as "tingling, numbness, or walking difficulties," they must immediately stop taking the supplement and seek medical advice, as these can be signs of peripheral neuropathy. This demonstrates a high level of safety awareness to the examiner. Furthermore, explicitly citing the SOMANZ guidelines and their recommended maximum dose of 1000 mg per day of standardised ginger extract (delivered as 250 mg TDS-QID) will ensure your management plan appears highly professional and evidence-based.

Also, visit the Pregnancy Nausea topic below:

S1E144 - Hyperemesis Gravidarum in Early Pregnancy

👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: NVP & HG Clinical Exam Guide

🎧 Episodes in ⁠⁠⁠Season 1⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

While mild regurgitation is common, serious reflux can cause pain and poor growth. This episode breaks down the NHMRC Level 1 stepped-care approach: start with smaller, frequent feeds before trialling feed thickeners (rice/corn starch) or alginates (Gaviscon Infant). Learn how alginates can reduce daily vomiting episodes from 8.5 to 3. We cover critical safety protocols: avoid thickeners in premature babies due to the risk of necrotising enterocolitis, and recognise that onset after 6 months suggests a different diagnosis. Perfect your management plan for this high-yield pediatric OSCE!

Keywords: #AMCClinicalExam #InfantReflux #GORDManagement #FeedThickeners #GavisconInfant #OSCEPaediatrics #IMGAustralia #SteppedCare

----------------------------------------------------------------------

Pro Tip: In your OSCE, emphasise the 1–2-week trial for alginates and suggest stopping it monthly to see if the problem has resolved. Mentioning that "silent reflux" is an unlikely cause of crying demonstrates the high-level diagnostic nuance examiners look for in the "Management" domain.

Also, visit the Infant topic below:

S1Special06 - The Paediatric Consultation_Chanllenges and Considerations

S1E127 - Vigorous Vomiting in a Baby

S1E5 - Counselling After Sudden Infant Death Syndrome

S1E2 - Infant Feeding Guidance for Expectant Mothers

👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Infant Reflux: Your Australian Exam Companion

🎧 Episodes in ⁠⁠Season 1⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

Exercise isn’t just an "add-on"—it is as powerful as medication for improving motor symptoms, functional mobility, and quality of life in Parkinson's Disease. This episode reveals Cochrane-backed strategies for the OSCE, from dance and balance training to aqua-based training, which have a significant beneficial effect on Quality of Life. We break down the "gold standard" dose: 30–60 minutes, 3 times per week in supervised group settings. Learn to navigate safety concerns, prevent falls, and tailor plans to patient preferences for a high-scoring, evidence-based management plan!

Keywords: #AMCClinicalExam #Parkinson’sDisease #ExerciseforParkinson’s #OSCEManagement #IMGAustralia #Aqua-basedtraining #Motorsymptoms #UPDRS

----------------------------------------------------------------------

Pro Tip: In your OSCE, emphasise that exercise is equivalent to medication in its effect size for motor symptoms. Specifically mentioning aqua-based training for quality of life and supervised group settings for safety will show the examiner you are applying the latest Cochrane evidence!

Also visit,

S1E33 - Tremor in a 40-Year-Old Man

👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Mastering Parkinson's for the Australian Clinical Exam

🎧 Episodes in ⁠⁠Season 1⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

Exercise is a powerhouse intervention, improving glycaemic control even without weight loss. This episode explores the NHMRC Level 1 evidence showing that aerobic exercise can reduce HbA1C by 0.73%—a result comparable to Metformin. We break down the gold-standard prescription: 150 minutes of supervised, structured exercise per week. Crucially, we cover safety checks for silent macrovascular disease, proliferative retinopathy, and delayed hypoglycemia risks. Learn to utilise Medicare’s EPC plan for 13 funded sessions to demonstrate expert Australian management!

Keywords: #AMCClinicalExam #Type2Diabetes #ExercisePrescription #HbA1C #OSCE #IMGAustralia #MedicareEPC #FootCare

----------------------------------------------------------------------

Pro Tip: In your OSCE, explicitly mention that you are prescribing supervised, structured training rather than just "walking more." Highlighting the EPC Medicare rebates and the 150-minute weekly target signals to the examiner that you understand both the clinical evidence and the practical Australian healthcare framework.

Also visit the 'Diabetes' topic below:

S1E14 - Diabetes and Pregnancy: Pre-Pregnancy Advice

S1E20 - Alex's Type 1 Diabetes Care

S1E73 - Urinary Frequency and Mature-Onset Diabetes Mellitus

S1E97 - Gestational Diabetes Management

S1E110 - Fundus Greater Than Dates in Pregnancy

👀 If this clinical-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: IMG's Guide to Type 2 Diabetes

🎧 Episodes in ⁠Season 1⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

Exercise programs are a core intervention for increasing walking time and distance in patients with intermittent claudication. This episode explores the NHMRC Level I evidence behind the specific walk–rest cycle: walking at an intensity that elicits severe pain (4/5 level) before resting to resume. Learn the progression from 30 to 60 minutes, 3–5 days per week. Crucially, we cover critical safety checks, including mandatory cardiovascular risk screening and the importance of proper footwear to prevent ulcers and infections. Master the patient reassurance strategy: "ischaemic pain does not damage muscles".

Keywords: #AMCClinicalExam #PeripheralArterialDisease #IntermittentClaudication #OSCEManagement #IMGAustralia #WalkingProgram

----------------------------------------------------------------------

Pro Tip: In your OSCE, specifically mention that the patient should walk until the claudication pain is severe (level 4 out of 5) before resting. This specific detail, along with the mention of CV risk screening, demonstrates the high-level safety and clinical knowledge examiners are seeking.

Also visit

S2E12 - Compression Therapy for Venous Leg Ulcers

S1E148 - Varicose Vein Assessment

👀 If this Clinical-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Mastering PAD

🎧 Episodes in ⁠Season 1⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

Exercise for depression is a high-yield non-drug intervention backed by NHMRC Level 1 evidence. This episode breaks down the OSCE-ready prescription: 30-40 minutes of supervised group exercise, 3x/week for at least 9 weeks. Discover why a mix of aerobic and resistance training is superior to solo activity. We cover critical safety checks, like mandatory cardiovascular risk assessments, and why exercise is not a sole treatment for severe depression. Learn to navigate Medicare rebates for exercise physiologists and overcome motivation hurdles with a graded approach!

Keywords: #AMCClinicalExam #DepressionManagement #ExercisePrescription #OSCE #IMGAustralia #MentalHealth.

----------------------------------------------------------------------

Pro Tip: In the OSCE, explicitly state that you are recommending supervised group exercise of moderate intensity (where the patient is breathless but can still talk). This level of detail shows the examiner you are applying specific evidence-based guidelines from RACGP HANDI!

Also visit the 'Depression' topic below:

S2E7 - Mastering Bibliotherapy for Depression

S1E109 - Postnatal Depression and Exhaustion

S1E131 - Unpacking Depression and Alcohol Abuse in A 45-Year-Old Man

👀 If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Depression: IMG Exam Guide

🎧 Episodes in Season 1 (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive!

Ankle injuries account for 25% of all sporting injuries; stop the recurrence cycle with proprioception and neuromuscular training. This episode dives into the NHMRC Level 2 evidence-based 8-week home program. Learn to counsel patients (ages 12–70) on performing these 30-minute sessions three times weekly to re-establish protective reflexes. We cover the "Ankle" app for adherence and why finishing 75% of the program is the "magic number" for clinical success. Master the transition from acute pain to sport-ready stability to ace your management plan!

Keywords: #AMCClinicalExam #RecurrentAnkleSprain #ProprioceptionTraining #NeuromuscularExercise #OSCEManagement #IMGAustralia #AnkleApp----------------------------------------------------------------------

Pro Tip: In your OSCE, specifically mention "proprioception training" and the "8-week program". Recommending a balance board or the Ankle app demonstrates that you are familiar with current Australian intervention tools, which is a major scoring booster for the management domain!

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100533

👉 Episodes in Season 1 (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning.

Use the filters to locate discussions relevant to your study or clinical training.

🎧 ⁠⁠⁠⁠Access the library⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive!

Exercise is recommended as a core treatment in knee OA management regardless of patient age or disease severity. This episode breaks down the NHMRC Level 1 evidence supporting a combination of strength, aerobic, and flexibility training to improve pain and physical function. Learn the specific FITT prescription: 30 minutes of moderate-intensity aerobic exercise (working "somewhat hard") on most days and resistance training ≥ 3 times weekly. We cover critical safety checks: confirming footwear, using chair support, and advising patients to revise their regimen if pain remains elevated for more than 2 hours post-exercise1.... Mention EPC Medicare referrals to deliver a perfect, professional management plan!

Keywords: #AMCClinicalExam #KneeOsteoarthritis #OSCEManagement #IMGAustralia #EPCProgram #ExercisePrescription #KneeOASafety

Pro Tip: In the OSCE, never just suggest "walking." Specifically mention the NHMRC Level 1 triad of strength, aerobic, and flexibility exercises, and demonstrate safety by asking the patient about their footwear. These specific details are what separate a "pass" from a "superior" performance!

Also visit: S2E4 - Aquatic Exercise for Osteoarthritis Screening and Evidence

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100530

👉 Episodes in Season 1 (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning.

Use the filters to locate discussions relevant to your study or clinical training.

🎧 ⁠⁠⁠Access the library⁠⁠⁠.