now make me 3 month schedule to complete questions in a realistic way 10hrs 7day break 1 day for every 2 weeks and make topper level strategic timetable with timimgs and topics i have given subjet weightage and question bank ss for Australian medical council exa,m iam just staRTUNG PREP
site:amc.org.au CAT MCQ examination 150 questions 3.5 hours AMC 2026
medical licensing examination preparation AND systematic review
| Area | Screenshot weighting | First-pass question target | Main focus |
|---|---|---|---|
| Adult medicine | 30% | 1,150 | Cardiology, respiratory, gastroenterology, endocrine, renal, neurology, infectious diseases, rheumatology |
| Surgery and acute care | 20% | 770 | General surgery, trauma, peri-operative care, orthopaedics, urology, vascular, emergency care |
| Obstetrics and gynaecology | 12.5% | 490 | Antenatal care, labour, emergencies, contraception, gynaecology |
| Paediatrics | 12.5% | 490 | Neonatology, growth, common illness, paediatric emergencies, immunisation |
| Psychiatry | 12.5% | 490 | Mood, psychosis, anxiety, substance use, suicide risk, capacity |
| Population health and ethics | 12.5% | 490 | Epidemiology, biostatistics, prevention, ethics, Indigenous health, legal principles |
| Basic sciences and cross-topic weak areas | - | 30 to 100 | Only where linked to an incorrect clinical question |
| Time | Task | Output |
|---|---|---|
| 7:00-7:45 | Flashcards and review of yesterday’s red questions | 20 to 30 old errors |
| 8:00-10:00 | Question Block 1: 25 new questions, timed, then full review | 25 new questions |
| 10:15-12:00 | Topic learning from errors | One high-yield topic sheet |
| 12:00-1:00 | Lunch and walk | No studying |
| 1:00-3:00 | Question Block 2: 25 new questions, timed, then full review | 25 new questions |
| 3:15-4:30 | Error-book update and targeted recall | 10 to 15 key learning points |
| 4:45-6:00 | Australian guideline/ethics/Indigenous health revision or weak-topic repair | One short topic |
| 6:00-7:30 | Dinner, exercise, rest | No studying |
| 7:30-8:30 | Mixed review: 15 to 20 previously wrong or marked questions | Retention and pattern recognition |
| Time | Task |
|---|---|
| 7:30-11:00 | 150-question mock, one sitting, no phone, no notes |
| 11:00-12:00 | Lunch and break |
| 12:00-4:00 | Review every incorrect and guessed item |
| 4:15-5:30 | Categorise errors: knowledge, misread, prioritisation, guideline, time pressure |
| 7:30-8:30 | Write only the 10 highest-yield errors into the AMC Error Book |
| Day | Main topic | Secondary task |
|---|---|---|
| 1 | Cardiology: ACS, chest pain, heart failure | ECG basics and immediate management |
| 2 | Cardiology: arrhythmias, valvular disease, hypertension | Anticoagulation principles |
| 3 | Respiratory: asthma, COPD, pneumonia | ABG basics |
| 4 | Respiratory: pulmonary embolism, TB, pleural disease | Respiratory emergencies |
| 5 | Endocrinology: diabetes, DKA/HHS, thyroid | Adrenal disorders |
| 6 | Renal medicine: AKI, CKD, electrolytes | Acid-base disorders |
| 7 | Gastroenterology: GI bleed, liver disease, pancreatitis | Fluid resuscitation |
| 8 | Neurology: stroke, seizure, headache | Localisation basics |
| 9 | Infectious diseases: sepsis, HIV, antimicrobials | Fever in immunocompromised patients |
| 10 | Rheumatology: RA, SLE, vasculitis, gout | Steroid complications |
| 11 | Psychiatry: depression, anxiety, suicide assessment | Capacity and risk assessment |
| 12 | Population health: study design, screening, sensitivity/specificity | Biostatistics calculations |
| 13 | Ethics and Indigenous health | Consent, confidentiality, mandatory reporting, cultural safety |
| 14 | Full break | Sleep, exercise, family, no guilt and no catch-up |
| Day | Main topic | Secondary task |
|---|---|---|
| 15 | Surgical assessment, fluids, electrolytes | Pre-operative evaluation |
| 16 | General surgery: acute abdomen | Appendicitis, cholecystitis, obstruction |
| 17 | GI surgery: upper/lower GI bleeding, colorectal disease | Post-operative complications |
| 18 | Trauma: primary survey, shock, chest trauma | ABCDE approach |
| 19 | Orthopaedics: fractures, septic joint, cauda equina | Compartment syndrome |
| 20 | Urology: renal colic, retention, haematuria, testicular torsion | Urosepsis |
| 21 | Vascular surgery: acute limb ischaemia, DVT, AAA | Anticoagulation |
| 22 | Burns, wound management, surgical infections | Necrotising infection |
| 23 | Anaesthesia/peri-operative care | Pain, nausea, DVT prophylaxis |
| 24 | Emergency medicine: altered consciousness, poisoning | Anaphylaxis |
| 25 | Emergency medicine: ACS, arrhythmias, acute dyspnoea | Resuscitation priorities |
| 26 | Mixed surgery and acute care weak areas | Red-question repeat |
| 27 | Mock 1: 150 mixed questions | Full review same day |
| 28 | Full break | No Q-bank |
| Day | Main topic | Secondary task |
|---|---|---|
| 29 | Antenatal care and screening | Hypertension in pregnancy |
| 30 | Labour: stages, CTG basics, induction | Instrumental delivery |
| 31 | Obstetric emergencies | PPH, shoulder dystocia, eclampsia, cord prolapse |
| 32 | Early pregnancy | Ectopic pregnancy, miscarriage, hyperemesis |
| 33 | Gynaecology: AUB, fibroids, endometriosis | PID and pelvic pain |
| 34 | Contraception, infertility, cervical screening | Gynaecological cancers |
| 35 | Mixed O&G question day | Repeat all red O&G questions |
| 36 | Neonatology: resuscitation, jaundice, sepsis | Prematurity |
| 37 | Paediatric growth, development, nutrition | Safeguarding and non-accidental injury |
| 38 | Paediatric respiratory illness | Bronchiolitis, asthma, croup |
| 39 | Paediatric gastroenterology and dehydration | Fluids and electrolyte correction |
| 40 | Paediatric infections and immunisation | Fever in child |
| 41 | Mock 2: 150 mixed questions | Full review |
| 42 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 43 | Paediatric neurology and seizures | Meningitis and encephalitis |
| 44 | Paediatric endocrine and renal | DKA, nephrotic syndrome |
| 45 | Paediatric emergency medicine | Sepsis, anaphylaxis, poisoning |
| 46 | Paediatric mixed review | Red-question repeat |
| 47 | Psychiatry: depressive disorders, bipolar disorder | Suicide risk and safety planning |
| 48 | Psychiatry: psychosis, delirium, dementia | Capacity assessment |
| 49 | Psychiatry: anxiety, OCD, PTSD, personality disorders | Therapeutic communication |
| 50 | Substance use, withdrawal, psychopharmacology | Acute agitation |
| 51 | Epidemiology: incidence, prevalence, risk, bias | Study-design questions |
| 52 | Biostatistics: NNT, ARR/RRR, likelihood ratios | Calculations without panic |
| 53 | Prevention and screening | Australian-style public health principles |
| 54 | Ethics, law, professional conduct | Confidentiality and mandatory reporting |
| 55 | Mock 3: 150 mixed questions | Full review |
| 56 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 57 | Cardiology second pass | ECG interpretation and emergency management |
| 58 | Respiratory second pass | Hypoxia, PE, pneumonia, asthma/COPD |
| 59 | Endocrine, renal and electrolyte second pass | DKA, AKI, acid-base |
| 60 | Gastroenterology and hepatology second pass | GI bleeds and liver failure |
| 61 | Neurology and infectious diseases second pass | Stroke, seizure, sepsis |
| 62 | Surgery and trauma second pass | Acute abdomen and shock |
| 63 | O&G emergency second pass | PPH, eclampsia, ectopic |
| 64 | Paediatric emergency second pass | Neonatal and paediatric sepsis |
| 65 | Psychiatry second pass | Risk, capacity, agitation |
| 66 | Population health and ethics second pass | Statistics and legal scenarios |
| 67 | Mixed 50-question timed block | Review all incorrect answers |
| 68 | Mixed 50-question timed block | Identify bottom 3 subjects |
| 69 | Mock 4: 150 mixed questions | Full review |
| 70 | Full break | No Q-bank |
| Day | Main work |
|---|---|
| 71 | Weak area 1 repair: 50 focused questions + content review |
| 72 | Weak area 2 repair: 50 focused questions + content review |
| 73 | Weak area 3 repair: 50 focused questions + content review |
| 74 | Mock 5: 150 mixed questions |
| 75 | Review Mock 5 and make a “Top 30 Errors” list |
| 76 | Timed mixed set: 75 questions in 105 minutes, then review |
| 77 | Emergency medicine, ethics and Indigenous health rapid review |
| 78 | Mock 6: 150 mixed questions |
| 79 | Review Mock 6 and repair weakest topic |
| 80 | Timed mixed set: 100 questions in 140 minutes, then review |
| 81 | Red-question marathon: 80 to 100 previously incorrect items |
| 82 | Australian clinical-priority revision: unstable patient, escalation, referral, safety-netting |
| 83 | Mock 7: 150 mixed questions |
| 84 | Full break |
| Day | Main work |
|---|---|
| 85 | Review Mock 7. Create final 20-page-or-less error summary |
| 86 | 75-question timed mixed set. Review only incorrect/guessed questions |
| 87 | One final full mock only if you are recovering well. Otherwise do a 100-question timed set |
| 88 | Review final mock. Revise emergency algorithms, ethics, statistics, common presentations |
| 89 | Light revision: flashcards, Top 30 Errors, 30 to 40 confidence-building questions |
| 90 | Very light study only. Sleep, food, logistics, identification, transport plan, no new resources |
| Metric | Week 2 | Week 4 | Week 6 | Week 8 | Week 10 | Final phase |
|---|---|---|---|---|---|---|
| New questions completed | 520 | 1,105 | 1,755 | 2,470 | 3,120 | 3,850-4,000 |
| Red/yellow questions reviewed | 150 | 350 | 600 | 900 | 1,300 | 1,800+ |
| Full mocks completed | 0 | 1 | 2 | 3 | 4 | 6-7 |
| Main target | Understand explanations | Improve timing | Stabilise emergencies | Repair weak areas | Mixed performance | Exam readiness |
Going to start the preparation, and can you suggest me some intensive courses and also all the books I have to read and give me a proper thing? Like, I want to take the exams next six months. I'm gonna start now, and I have, uh, two basic foundations of, um... Oh, so GUIDE ME
Which best describes your current foundation for AMC MCQ preparation? · How many focused study hours can you sustain most days for the next 6 months? · What resource approach do you want?
| Area | Screenshot weighting | First-pass question target | Main focus |
|---|---|---|---|
| Adult medicine | 30% | 1,150 | Cardiology, respiratory, gastroenterology, endocrine, renal, neurology, infectious diseases, rheumatology |
| Surgery and acute care | 20% | 770 | General surgery, trauma, peri-operative care, orthopaedics, urology, vascular, emergency care |
| Obstetrics and gynaecology | 12.5% | 490 | Antenatal care, labour, emergencies, contraception, gynaecology |
| Paediatrics | 12.5% | 490 | Neonatology, growth, common illness, paediatric emergencies, immunisation |
| Psychiatry | 12.5% | 490 | Mood, psychosis, anxiety, substance use, suicide risk, capacity |
| Population health and ethics | 12.5% | 490 | Epidemiology, biostatistics, prevention, ethics, Indigenous health, legal principles |
| Basic sciences and cross-topic weak areas | - | 30 to 100 | Only where linked to an incorrect clinical question |
| Time | Task | Output |
|---|---|---|
| 7:00-7:45 | Flashcards and review of yesterday’s red questions | 20 to 30 old errors |
| 8:00-10:00 | Question Block 1: 25 new questions, timed, then full review | 25 new questions |
| 10:15-12:00 | Topic learning from errors | One high-yield topic sheet |
| 12:00-1:00 | Lunch and walk | No studying |
| 1:00-3:00 | Question Block 2: 25 new questions, timed, then full review | 25 new questions |
| 3:15-4:30 | Error-book update and targeted recall | 10 to 15 key learning points |
| 4:45-6:00 | Australian guideline/ethics/Indigenous health revision or weak-topic repair | One short topic |
| 6:00-7:30 | Dinner, exercise, rest | No studying |
| 7:30-8:30 | Mixed review: 15 to 20 previously wrong or marked questions | Retention and pattern recognition |
| Time | Task |
|---|---|
| 7:30-11:00 | 150-question mock, one sitting, no phone, no notes |
| 11:00-12:00 | Lunch and break |
| 12:00-4:00 | Review every incorrect and guessed item |
| 4:15-5:30 | Categorise errors: knowledge, misread, prioritisation, guideline, time pressure |
| 7:30-8:30 | Write only the 10 highest-yield errors into the AMC Error Book |
| Day | Main topic | Secondary task |
|---|---|---|
| 1 | Cardiology: ACS, chest pain, heart failure | ECG basics and immediate management |
| 2 | Cardiology: arrhythmias, valvular disease, hypertension | Anticoagulation principles |
| 3 | Respiratory: asthma, COPD, pneumonia | ABG basics |
| 4 | Respiratory: pulmonary embolism, TB, pleural disease | Respiratory emergencies |
| 5 | Endocrinology: diabetes, DKA/HHS, thyroid | Adrenal disorders |
| 6 | Renal medicine: AKI, CKD, electrolytes | Acid-base disorders |
| 7 | Gastroenterology: GI bleed, liver disease, pancreatitis | Fluid resuscitation |
| 8 | Neurology: stroke, seizure, headache | Localisation basics |
| 9 | Infectious diseases: sepsis, HIV, antimicrobials | Fever in immunocompromised patients |
| 10 | Rheumatology: RA, SLE, vasculitis, gout | Steroid complications |
| 11 | Psychiatry: depression, anxiety, suicide assessment | Capacity and risk assessment |
| 12 | Population health: study design, screening, sensitivity/specificity | Biostatistics calculations |
| 13 | Ethics and Indigenous health | Consent, confidentiality, mandatory reporting, cultural safety |
| 14 | Full break | Sleep, exercise, family, no guilt and no catch-up |
| Day | Main topic | Secondary task |
|---|---|---|
| 15 | Surgical assessment, fluids, electrolytes | Pre-operative evaluation |
| 16 | General surgery: acute abdomen | Appendicitis, cholecystitis, obstruction |
| 17 | GI surgery: upper/lower GI bleeding, colorectal disease | Post-operative complications |
| 18 | Trauma: primary survey, shock, chest trauma | ABCDE approach |
| 19 | Orthopaedics: fractures, septic joint, cauda equina | Compartment syndrome |
| 20 | Urology: renal colic, retention, haematuria, testicular torsion | Urosepsis |
| 21 | Vascular surgery: acute limb ischaemia, DVT, AAA | Anticoagulation |
| 22 | Burns, wound management, surgical infections | Necrotising infection |
| 23 | Anaesthesia/peri-operative care | Pain, nausea, DVT prophylaxis |
| 24 | Emergency medicine: altered consciousness, poisoning | Anaphylaxis |
| 25 | Emergency medicine: ACS, arrhythmias, acute dyspnoea | Resuscitation priorities |
| 26 | Mixed surgery and acute care weak areas | Red-question repeat |
| 27 | Mock 1: 150 mixed questions | Full review same day |
| 28 | Full break | No Q-bank |
| Day | Main topic | Secondary task |
|---|---|---|
| 29 | Antenatal care and screening | Hypertension in pregnancy |
| 30 | Labour: stages, CTG basics, induction | Instrumental delivery |
| 31 | Obstetric emergencies | PPH, shoulder dystocia, eclampsia, cord prolapse |
| 32 | Early pregnancy | Ectopic pregnancy, miscarriage, hyperemesis |
| 33 | Gynaecology: AUB, fibroids, endometriosis | PID and pelvic pain |
| 34 | Contraception, infertility, cervical screening | Gynaecological cancers |
| 35 | Mixed O&G question day | Repeat all red O&G questions |
| 36 | Neonatology: resuscitation, jaundice, sepsis | Prematurity |
| 37 | Paediatric growth, development, nutrition | Safeguarding and non-accidental injury |
| 38 | Paediatric respiratory illness | Bronchiolitis, asthma, croup |
| 39 | Paediatric gastroenterology and dehydration | Fluids and electrolyte correction |
| 40 | Paediatric infections and immunisation | Fever in child |
| 41 | Mock 2: 150 mixed questions | Full review |
| 42 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 43 | Paediatric neurology and seizures | Meningitis and encephalitis |
| 44 | Paediatric endocrine and renal | DKA, nephrotic syndrome |
| 45 | Paediatric emergency medicine | Sepsis, anaphylaxis, poisoning |
| 46 | Paediatric mixed review | Red-question repeat |
| 47 | Psychiatry: depressive disorders, bipolar disorder | Suicide risk and safety planning |
| 48 | Psychiatry: psychosis, delirium, dementia | Capacity assessment |
| 49 | Psychiatry: anxiety, OCD, PTSD, personality disorders | Therapeutic communication |
| 50 | Substance use, withdrawal, psychopharmacology | Acute agitation |
| 51 | Epidemiology: incidence, prevalence, risk, bias | Study-design questions |
| 52 | Biostatistics: NNT, ARR/RRR, likelihood ratios | Calculations without panic |
| 53 | Prevention and screening | Australian-style public health principles |
| 54 | Ethics, law, professional conduct | Confidentiality and mandatory reporting |
| 55 | Mock 3: 150 mixed questions | Full review |
| 56 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 57 | Cardiology second pass | ECG interpretation and emergency management |
| 58 | Respiratory second pass | Hypoxia, PE, pneumonia, asthma/COPD |
| 59 | Endocrine, renal and electrolyte second pass | DKA, AKI, acid-base |
| 60 | Gastroenterology and hepatology second pass | GI bleeds and liver failure |
| 61 | Neurology and infectious diseases second pass | Stroke, seizure, sepsis |
| 62 | Surgery and trauma second pass | Acute abdomen and shock |
| 63 | O&G emergency second pass | PPH, eclampsia, ectopic |
| 64 | Paediatric emergency second pass | Neonatal and paediatric sepsis |
| 65 | Psychiatry second pass | Risk, capacity, agitation |
| 66 | Population health and ethics second pass | Statistics and legal scenarios |
| 67 | Mixed 50-question timed block | Review all incorrect answers |
| 68 | Mixed 50-question timed block | Identify bottom 3 subjects |
| 69 | Mock 4: 150 mixed questions | Full review |
| 70 | Full break | No Q-bank |
| Day | Main work |
|---|---|
| 71 | Weak area 1 repair: 50 focused questions + content review |
| 72 | Weak area 2 repair: 50 focused questions + content review |
| 73 | Weak area 3 repair: 50 focused questions + content review |
| 74 | Mock 5: 150 mixed questions |
| 75 | Review Mock 5 and make a “Top 30 Errors” list |
| 76 | Timed mixed set: 75 questions in 105 minutes, then review |
| 77 | Emergency medicine, ethics and Indigenous health rapid review |
| 78 | Mock 6: 150 mixed questions |
| 79 | Review Mock 6 and repair weakest topic |
| 80 | Timed mixed set: 100 questions in 140 minutes, then review |
| 81 | Red-question marathon: 80 to 100 previously incorrect items |
| 82 | Australian clinical-priority revision: unstable patient, escalation, referral, safety-netting |
| 83 | Mock 7: 150 mixed questions |
| 84 | Full break |
| Day | Main work |
|---|---|
| 85 | Review Mock 7. Create final 20-page-or-less error summary |
| 86 | 75-question timed mixed set. Review only incorrect/guessed questions |
| 87 | One final full mock only if you are recovering well. Otherwise do a 100-question timed set |
| 88 | Review final mock. Revise emergency algorithms, ethics, statistics, common presentations |
| 89 | Light revision: flashcards, Top 30 Errors, 30 to 40 confidence-building questions |
| 90 | Very light study only. Sleep, food, logistics, identification, transport plan, no new resources |
| Metric | Week 2 | Week 4 | Week 6 | Week 8 | Week 10 | Final phase |
|---|---|---|---|---|---|---|
| New questions completed | 520 | 1,105 | 1,755 | 2,470 | 3,120 | 3,850-4,000 |
| Red/yellow questions reviewed | 150 | 350 | 600 | 900 | 1,300 | 1,800+ |
| Full mocks completed | 0 | 1 | 2 | 3 | 4 | 6-7 |
| Main target | Understand explanations | Improve timing | Stabilise emergencies | Repair weak areas | Mixed performance | Exam readiness |
AMC CAT MCQ intensive course 2026 preparation course Australia
site:amc.org.au MCQ examination specifications preparation app eMedici 2026
medical licensing examination preparation AND question bank
| Time | Work |
|---|---|
| 7:00-7:45 | Review flashcards and 20 old wrong questions |
| 8:00-10:00 | 20 to 25 new Q-bank questions, timed, full review |
| 10:15-12:00 | Read the linked topic from Murtagh or Oxford Handbook |
| 12:00-1:00 | Lunch and walk |
| 1:00-3:00 | 20 to 25 new questions, timed, full review |
| 3:15-4:30 | Error Book entries and targeted eTG/AMH review |
| 4:45-6:00 | Australian ethics, public health, guideline review, or weak-topic repair |
| 7:30-8:30 | Red and yellow question repetition |
Create a personalized 6-month AMC timetable with exact daily topics
Select the timetable section you want first. I will then provide dated daily topics, Q-bank targets, review tasks, and rest days for that section.
| Area | Screenshot weighting | First-pass question target | Main focus |
|---|---|---|---|
| Adult medicine | 30% | 1,150 | Cardiology, respiratory, gastroenterology, endocrine, renal, neurology, infectious diseases, rheumatology |
| Surgery and acute care | 20% | 770 | General surgery, trauma, peri-operative care, orthopaedics, urology, vascular, emergency care |
| Obstetrics and gynaecology | 12.5% | 490 | Antenatal care, labour, emergencies, contraception, gynaecology |
| Paediatrics | 12.5% | 490 | Neonatology, growth, common illness, paediatric emergencies, immunisation |
| Psychiatry | 12.5% | 490 | Mood, psychosis, anxiety, substance use, suicide risk, capacity |
| Population health and ethics | 12.5% | 490 | Epidemiology, biostatistics, prevention, ethics, Indigenous health, legal principles |
| Basic sciences and cross-topic weak areas | - | 30 to 100 | Only where linked to an incorrect clinical question |
| Time | Task | Output |
|---|---|---|
| 7:00-7:45 | Flashcards and review of yesterday’s red questions | 20 to 30 old errors |
| 8:00-10:00 | Question Block 1: 25 new questions, timed, then full review | 25 new questions |
| 10:15-12:00 | Topic learning from errors | One high-yield topic sheet |
| 12:00-1:00 | Lunch and walk | No studying |
| 1:00-3:00 | Question Block 2: 25 new questions, timed, then full review | 25 new questions |
| 3:15-4:30 | Error-book update and targeted recall | 10 to 15 key learning points |
| 4:45-6:00 | Australian guideline/ethics/Indigenous health revision or weak-topic repair | One short topic |
| 6:00-7:30 | Dinner, exercise, rest | No studying |
| 7:30-8:30 | Mixed review: 15 to 20 previously wrong or marked questions | Retention and pattern recognition |
| Time | Task |
|---|---|
| 7:30-11:00 | 150-question mock, one sitting, no phone, no notes |
| 11:00-12:00 | Lunch and break |
| 12:00-4:00 | Review every incorrect and guessed item |
| 4:15-5:30 | Categorise errors: knowledge, misread, prioritisation, guideline, time pressure |
| 7:30-8:30 | Write only the 10 highest-yield errors into the AMC Error Book |
| Day | Main topic | Secondary task |
|---|---|---|
| 1 | Cardiology: ACS, chest pain, heart failure | ECG basics and immediate management |
| 2 | Cardiology: arrhythmias, valvular disease, hypertension | Anticoagulation principles |
| 3 | Respiratory: asthma, COPD, pneumonia | ABG basics |
| 4 | Respiratory: pulmonary embolism, TB, pleural disease | Respiratory emergencies |
| 5 | Endocrinology: diabetes, DKA/HHS, thyroid | Adrenal disorders |
| 6 | Renal medicine: AKI, CKD, electrolytes | Acid-base disorders |
| 7 | Gastroenterology: GI bleed, liver disease, pancreatitis | Fluid resuscitation |
| 8 | Neurology: stroke, seizure, headache | Localisation basics |
| 9 | Infectious diseases: sepsis, HIV, antimicrobials | Fever in immunocompromised patients |
| 10 | Rheumatology: RA, SLE, vasculitis, gout | Steroid complications |
| 11 | Psychiatry: depression, anxiety, suicide assessment | Capacity and risk assessment |
| 12 | Population health: study design, screening, sensitivity/specificity | Biostatistics calculations |
| 13 | Ethics and Indigenous health | Consent, confidentiality, mandatory reporting, cultural safety |
| 14 | Full break | Sleep, exercise, family, no guilt and no catch-up |
| Day | Main topic | Secondary task |
|---|---|---|
| 15 | Surgical assessment, fluids, electrolytes | Pre-operative evaluation |
| 16 | General surgery: acute abdomen | Appendicitis, cholecystitis, obstruction |
| 17 | GI surgery: upper/lower GI bleeding, colorectal disease | Post-operative complications |
| 18 | Trauma: primary survey, shock, chest trauma | ABCDE approach |
| 19 | Orthopaedics: fractures, septic joint, cauda equina | Compartment syndrome |
| 20 | Urology: renal colic, retention, haematuria, testicular torsion | Urosepsis |
| 21 | Vascular surgery: acute limb ischaemia, DVT, AAA | Anticoagulation |
| 22 | Burns, wound management, surgical infections | Necrotising infection |
| 23 | Anaesthesia/peri-operative care | Pain, nausea, DVT prophylaxis |
| 24 | Emergency medicine: altered consciousness, poisoning | Anaphylaxis |
| 25 | Emergency medicine: ACS, arrhythmias, acute dyspnoea | Resuscitation priorities |
| 26 | Mixed surgery and acute care weak areas | Red-question repeat |
| 27 | Mock 1: 150 mixed questions | Full review same day |
| 28 | Full break | No Q-bank |
| Day | Main topic | Secondary task |
|---|---|---|
| 29 | Antenatal care and screening | Hypertension in pregnancy |
| 30 | Labour: stages, CTG basics, induction | Instrumental delivery |
| 31 | Obstetric emergencies | PPH, shoulder dystocia, eclampsia, cord prolapse |
| 32 | Early pregnancy | Ectopic pregnancy, miscarriage, hyperemesis |
| 33 | Gynaecology: AUB, fibroids, endometriosis | PID and pelvic pain |
| 34 | Contraception, infertility, cervical screening | Gynaecological cancers |
| 35 | Mixed O&G question day | Repeat all red O&G questions |
| 36 | Neonatology: resuscitation, jaundice, sepsis | Prematurity |
| 37 | Paediatric growth, development, nutrition | Safeguarding and non-accidental injury |
| 38 | Paediatric respiratory illness | Bronchiolitis, asthma, croup |
| 39 | Paediatric gastroenterology and dehydration | Fluids and electrolyte correction |
| 40 | Paediatric infections and immunisation | Fever in child |
| 41 | Mock 2: 150 mixed questions | Full review |
| 42 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 43 | Paediatric neurology and seizures | Meningitis and encephalitis |
| 44 | Paediatric endocrine and renal | DKA, nephrotic syndrome |
| 45 | Paediatric emergency medicine | Sepsis, anaphylaxis, poisoning |
| 46 | Paediatric mixed review | Red-question repeat |
| 47 | Psychiatry: depressive disorders, bipolar disorder | Suicide risk and safety planning |
| 48 | Psychiatry: psychosis, delirium, dementia | Capacity assessment |
| 49 | Psychiatry: anxiety, OCD, PTSD, personality disorders | Therapeutic communication |
| 50 | Substance use, withdrawal, psychopharmacology | Acute agitation |
| 51 | Epidemiology: incidence, prevalence, risk, bias | Study-design questions |
| 52 | Biostatistics: NNT, ARR/RRR, likelihood ratios | Calculations without panic |
| 53 | Prevention and screening | Australian-style public health principles |
| 54 | Ethics, law, professional conduct | Confidentiality and mandatory reporting |
| 55 | Mock 3: 150 mixed questions | Full review |
| 56 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 57 | Cardiology second pass | ECG interpretation and emergency management |
| 58 | Respiratory second pass | Hypoxia, PE, pneumonia, asthma/COPD |
| 59 | Endocrine, renal and electrolyte second pass | DKA, AKI, acid-base |
| 60 | Gastroenterology and hepatology second pass | GI bleeds and liver failure |
| 61 | Neurology and infectious diseases second pass | Stroke, seizure, sepsis |
| 62 | Surgery and trauma second pass | Acute abdomen and shock |
| 63 | O&G emergency second pass | PPH, eclampsia, ectopic |
| 64 | Paediatric emergency second pass | Neonatal and paediatric sepsis |
| 65 | Psychiatry second pass | Risk, capacity, agitation |
| 66 | Population health and ethics second pass | Statistics and legal scenarios |
| 67 | Mixed 50-question timed block | Review all incorrect answers |
| 68 | Mixed 50-question timed block | Identify bottom 3 subjects |
| 69 | Mock 4: 150 mixed questions | Full review |
| 70 | Full break | No Q-bank |
| Day | Main work |
|---|---|
| 71 | Weak area 1 repair: 50 focused questions + content review |
| 72 | Weak area 2 repair: 50 focused questions + content review |
| 73 | Weak area 3 repair: 50 focused questions + content review |
| 74 | Mock 5: 150 mixed questions |
| 75 | Review Mock 5 and make a “Top 30 Errors” list |
| 76 | Timed mixed set: 75 questions in 105 minutes, then review |
| 77 | Emergency medicine, ethics and Indigenous health rapid review |
| 78 | Mock 6: 150 mixed questions |
| 79 | Review Mock 6 and repair weakest topic |
| 80 | Timed mixed set: 100 questions in 140 minutes, then review |
| 81 | Red-question marathon: 80 to 100 previously incorrect items |
| 82 | Australian clinical-priority revision: unstable patient, escalation, referral, safety-netting |
| 83 | Mock 7: 150 mixed questions |
| 84 | Full break |
| Day | Main work |
|---|---|
| 85 | Review Mock 7. Create final 20-page-or-less error summary |
| 86 | 75-question timed mixed set. Review only incorrect/guessed questions |
| 87 | One final full mock only if you are recovering well. Otherwise do a 100-question timed set |
| 88 | Review final mock. Revise emergency algorithms, ethics, statistics, common presentations |
| 89 | Light revision: flashcards, Top 30 Errors, 30 to 40 confidence-building questions |
| 90 | Very light study only. Sleep, food, logistics, identification, transport plan, no new resources |
| Metric | Week 2 | Week 4 | Week 6 | Week 8 | Week 10 | Final phase |
|---|---|---|---|---|---|---|
| New questions completed | 520 | 1,105 | 1,755 | 2,470 | 3,120 | 3,850-4,000 |
| Red/yellow questions reviewed | 150 | 350 | 600 | 900 | 1,300 | 1,800+ |
| Full mocks completed | 0 | 1 | 2 | 3 | 4 | 6-7 |
| Main target | Understand explanations | Improve timing | Stabilise emergencies | Repair weak areas | Mixed performance | Exam readiness |
| Time | Work |
|---|---|
| 7:00-7:45 | Review flashcards and 20 old wrong questions |
| 8:00-10:00 | 20 to 25 new Q-bank questions, timed, full review |
| 10:15-12:00 | Read the linked topic from Murtagh or Oxford Handbook |
| 12:00-1:00 | Lunch and walk |
| 1:00-3:00 | 20 to 25 new questions, timed, full review |
| 3:15-4:30 | Error Book entries and targeted eTG/AMH review |
| 4:45-6:00 | Australian ethics, public health, guideline review, or weak-topic repair |
| 7:30-8:30 | Red and yellow question repetition |
This patient presents with auditory hallucinations in the context of chronic alcohol use. The key features supporting substance-induced psychotic disorder (alcoholic hallucinosis) include clear consciousness, preserved orientation, predominantly auditory hallucinations, and maintained insight into the relationship between symptoms and alcohol use. Alcohol withdrawal delirium (delirium tremens) typically occurs 48-72 hours after cessation of alcohol and is characterised by confusion, disorientation, visual hallucinations, and autonomic instability. This patient has clear consciousness and predominantly auditory hallucinations. Early-onset schizophrenia is unlikely for several reasons. First, the diagnosis of schizophrenia requires symptoms to be present for at least one month during the active phase and a total duration of illness of at least six months, including prodromal and residual phases. Second, the symptoms must not be directly attributable to substance use - in this case, the hallucinations are clearly temporally related to alcohol consumption. Third, patients with schizophrenia typically have poor insight into their illness, whereas this patient demonstrates good insight by recognising the connection between his symptoms and alcohol use. Drug-induced delirium would present with fluctuating consciousness, disorientation, and visual hallucinations. This patient's clear sensorium and preserved orientation make this diagnosis unlikely. Acute paranoid psychosis would typically present with prominent delusions and thought disorder in addition to hallucinations, with poor insight into the nature of symptoms. Substance-induced psychotic disorder typically resolves within days to weeks of alcohol cessation with supportive care and abstinence. Antipsychotic medications may be used temporarily for symptom control. The presence of clear consciousness, preserved insight, and predominantly auditory hallucinations helps distinguish it from other alcohol-related conditions and primary psychotic disorders. Alcoholic hallucinosis typically presents with auditory hallucinations in a clear sensorium, unlike delirium tremens which involves clouded consciousness. Insight is usually preserved in alcoholic hallucinosis, unlike in schizophrenia. Alcoholic hallucinosis typically resolves within days to weeks of alcohol cessation, whereas primary psychotic disorders persist. QUESTION SOLVING TRICS FROM AMC QUESTION STRATEGY
Which topic would you like me to teach next with AMC-style examples and question-solving rules?
| Area | Screenshot weighting | First-pass question target | Main focus |
|---|---|---|---|
| Adult medicine | 30% | 1,150 | Cardiology, respiratory, gastroenterology, endocrine, renal, neurology, infectious diseases, rheumatology |
| Surgery and acute care | 20% | 770 | General surgery, trauma, peri-operative care, orthopaedics, urology, vascular, emergency care |
| Obstetrics and gynaecology | 12.5% | 490 | Antenatal care, labour, emergencies, contraception, gynaecology |
| Paediatrics | 12.5% | 490 | Neonatology, growth, common illness, paediatric emergencies, immunisation |
| Psychiatry | 12.5% | 490 | Mood, psychosis, anxiety, substance use, suicide risk, capacity |
| Population health and ethics | 12.5% | 490 | Epidemiology, biostatistics, prevention, ethics, Indigenous health, legal principles |
| Basic sciences and cross-topic weak areas | - | 30 to 100 | Only where linked to an incorrect clinical question |
| Time | Task | Output |
|---|---|---|
| 7:00-7:45 | Flashcards and review of yesterday’s red questions | 20 to 30 old errors |
| 8:00-10:00 | Question Block 1: 25 new questions, timed, then full review | 25 new questions |
| 10:15-12:00 | Topic learning from errors | One high-yield topic sheet |
| 12:00-1:00 | Lunch and walk | No studying |
| 1:00-3:00 | Question Block 2: 25 new questions, timed, then full review | 25 new questions |
| 3:15-4:30 | Error-book update and targeted recall | 10 to 15 key learning points |
| 4:45-6:00 | Australian guideline/ethics/Indigenous health revision or weak-topic repair | One short topic |
| 6:00-7:30 | Dinner, exercise, rest | No studying |
| 7:30-8:30 | Mixed review: 15 to 20 previously wrong or marked questions | Retention and pattern recognition |
| Time | Task |
|---|---|
| 7:30-11:00 | 150-question mock, one sitting, no phone, no notes |
| 11:00-12:00 | Lunch and break |
| 12:00-4:00 | Review every incorrect and guessed item |
| 4:15-5:30 | Categorise errors: knowledge, misread, prioritisation, guideline, time pressure |
| 7:30-8:30 | Write only the 10 highest-yield errors into the AMC Error Book |
| Day | Main topic | Secondary task |
|---|---|---|
| 1 | Cardiology: ACS, chest pain, heart failure | ECG basics and immediate management |
| 2 | Cardiology: arrhythmias, valvular disease, hypertension | Anticoagulation principles |
| 3 | Respiratory: asthma, COPD, pneumonia | ABG basics |
| 4 | Respiratory: pulmonary embolism, TB, pleural disease | Respiratory emergencies |
| 5 | Endocrinology: diabetes, DKA/HHS, thyroid | Adrenal disorders |
| 6 | Renal medicine: AKI, CKD, electrolytes | Acid-base disorders |
| 7 | Gastroenterology: GI bleed, liver disease, pancreatitis | Fluid resuscitation |
| 8 | Neurology: stroke, seizure, headache | Localisation basics |
| 9 | Infectious diseases: sepsis, HIV, antimicrobials | Fever in immunocompromised patients |
| 10 | Rheumatology: RA, SLE, vasculitis, gout | Steroid complications |
| 11 | Psychiatry: depression, anxiety, suicide assessment | Capacity and risk assessment |
| 12 | Population health: study design, screening, sensitivity/specificity | Biostatistics calculations |
| 13 | Ethics and Indigenous health | Consent, confidentiality, mandatory reporting, cultural safety |
| 14 | Full break | Sleep, exercise, family, no guilt and no catch-up |
| Day | Main topic | Secondary task |
|---|---|---|
| 15 | Surgical assessment, fluids, electrolytes | Pre-operative evaluation |
| 16 | General surgery: acute abdomen | Appendicitis, cholecystitis, obstruction |
| 17 | GI surgery: upper/lower GI bleeding, colorectal disease | Post-operative complications |
| 18 | Trauma: primary survey, shock, chest trauma | ABCDE approach |
| 19 | Orthopaedics: fractures, septic joint, cauda equina | Compartment syndrome |
| 20 | Urology: renal colic, retention, haematuria, testicular torsion | Urosepsis |
| 21 | Vascular surgery: acute limb ischaemia, DVT, AAA | Anticoagulation |
| 22 | Burns, wound management, surgical infections | Necrotising infection |
| 23 | Anaesthesia/peri-operative care | Pain, nausea, DVT prophylaxis |
| 24 | Emergency medicine: altered consciousness, poisoning | Anaphylaxis |
| 25 | Emergency medicine: ACS, arrhythmias, acute dyspnoea | Resuscitation priorities |
| 26 | Mixed surgery and acute care weak areas | Red-question repeat |
| 27 | Mock 1: 150 mixed questions | Full review same day |
| 28 | Full break | No Q-bank |
| Day | Main topic | Secondary task |
|---|---|---|
| 29 | Antenatal care and screening | Hypertension in pregnancy |
| 30 | Labour: stages, CTG basics, induction | Instrumental delivery |
| 31 | Obstetric emergencies | PPH, shoulder dystocia, eclampsia, cord prolapse |
| 32 | Early pregnancy | Ectopic pregnancy, miscarriage, hyperemesis |
| 33 | Gynaecology: AUB, fibroids, endometriosis | PID and pelvic pain |
| 34 | Contraception, infertility, cervical screening | Gynaecological cancers |
| 35 | Mixed O&G question day | Repeat all red O&G questions |
| 36 | Neonatology: resuscitation, jaundice, sepsis | Prematurity |
| 37 | Paediatric growth, development, nutrition | Safeguarding and non-accidental injury |
| 38 | Paediatric respiratory illness | Bronchiolitis, asthma, croup |
| 39 | Paediatric gastroenterology and dehydration | Fluids and electrolyte correction |
| 40 | Paediatric infections and immunisation | Fever in child |
| 41 | Mock 2: 150 mixed questions | Full review |
| 42 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 43 | Paediatric neurology and seizures | Meningitis and encephalitis |
| 44 | Paediatric endocrine and renal | DKA, nephrotic syndrome |
| 45 | Paediatric emergency medicine | Sepsis, anaphylaxis, poisoning |
| 46 | Paediatric mixed review | Red-question repeat |
| 47 | Psychiatry: depressive disorders, bipolar disorder | Suicide risk and safety planning |
| 48 | Psychiatry: psychosis, delirium, dementia | Capacity assessment |
| 49 | Psychiatry: anxiety, OCD, PTSD, personality disorders | Therapeutic communication |
| 50 | Substance use, withdrawal, psychopharmacology | Acute agitation |
| 51 | Epidemiology: incidence, prevalence, risk, bias | Study-design questions |
| 52 | Biostatistics: NNT, ARR/RRR, likelihood ratios | Calculations without panic |
| 53 | Prevention and screening | Australian-style public health principles |
| 54 | Ethics, law, professional conduct | Confidentiality and mandatory reporting |
| 55 | Mock 3: 150 mixed questions | Full review |
| 56 | Full break | No study |
| Day | Main topic | Secondary task |
|---|---|---|
| 57 | Cardiology second pass | ECG interpretation and emergency management |
| 58 | Respiratory second pass | Hypoxia, PE, pneumonia, asthma/COPD |
| 59 | Endocrine, renal and electrolyte second pass | DKA, AKI, acid-base |
| 60 | Gastroenterology and hepatology second pass | GI bleeds and liver failure |
| 61 | Neurology and infectious diseases second pass | Stroke, seizure, sepsis |
| 62 | Surgery and trauma second pass | Acute abdomen and shock |
| 63 | O&G emergency second pass | PPH, eclampsia, ectopic |
| 64 | Paediatric emergency second pass | Neonatal and paediatric sepsis |
| 65 | Psychiatry second pass | Risk, capacity, agitation |
| 66 | Population health and ethics second pass | Statistics and legal scenarios |
| 67 | Mixed 50-question timed block | Review all incorrect answers |
| 68 | Mixed 50-question timed block | Identify bottom 3 subjects |
| 69 | Mock 4: 150 mixed questions | Full review |
| 70 | Full break | No Q-bank |
| Day | Main work |
|---|---|
| 71 | Weak area 1 repair: 50 focused questions + content review |
| 72 | Weak area 2 repair: 50 focused questions + content review |
| 73 | Weak area 3 repair: 50 focused questions + content review |
| 74 | Mock 5: 150 mixed questions |
| 75 | Review Mock 5 and make a “Top 30 Errors” list |
| 76 | Timed mixed set: 75 questions in 105 minutes, then review |
| 77 | Emergency medicine, ethics and Indigenous health rapid review |
| 78 | Mock 6: 150 mixed questions |
| 79 | Review Mock 6 and repair weakest topic |
| 80 | Timed mixed set: 100 questions in 140 minutes, then review |
| 81 | Red-question marathon: 80 to 100 previously incorrect items |
| 82 | Australian clinical-priority revision: unstable patient, escalation, referral, safety-netting |
| 83 | Mock 7: 150 mixed questions |
| 84 | Full break |
| Day | Main work |
|---|---|
| 85 | Review Mock 7. Create final 20-page-or-less error summary |
| 86 | 75-question timed mixed set. Review only incorrect/guessed questions |
| 87 | One final full mock only if you are recovering well. Otherwise do a 100-question timed set |
| 88 | Review final mock. Revise emergency algorithms, ethics, statistics, common presentations |
| 89 | Light revision: flashcards, Top 30 Errors, 30 to 40 confidence-building questions |
| 90 | Very light study only. Sleep, food, logistics, identification, transport plan, no new resources |
| Metric | Week 2 | Week 4 | Week 6 | Week 8 | Week 10 | Final phase |
|---|---|---|---|---|---|---|
| New questions completed | 520 | 1,105 | 1,755 | 2,470 | 3,120 | 3,850-4,000 |
| Red/yellow questions reviewed | 150 | 350 | 600 | 900 | 1,300 | 1,800+ |
| Full mocks completed | 0 | 1 | 2 | 3 | 4 | 6-7 |
| Main target | Understand explanations | Improve timing | Stabilise emergencies | Repair weak areas | Mixed performance | Exam readiness |
| Time | Work |
|---|---|
| 7:00-7:45 | Review flashcards and 20 old wrong questions |
| 8:00-10:00 | 20 to 25 new Q-bank questions, timed, full review |
| 10:15-12:00 | Read the linked topic from Murtagh or Oxford Handbook |
| 12:00-1:00 | Lunch and walk |
| 1:00-3:00 | 20 to 25 new questions, timed, full review |
| 3:15-4:30 | Error Book entries and targeted eTG/AMH review |
| 4:45-6:00 | Australian ethics, public health, guideline review, or weak-topic repair |
| 7:30-8:30 | Red and yellow question repetition |
Uh, no, what I mean, I mean, what I want is an AMC STEM-style strategic way of approaching questions. I want, like, a proper PDF, uh, so that, uh, any kind of psychiatric question, uh, I have to look for these stems or roadmaps so that I can solve the question immediately with ease, you know? Like, making notes for a beginner who is going to learn psychiatry and, uh, you know, how he can end up, uh, into the diagnosis thing, you know? It's a complete map, what, what, what you have to look for in question stem, and you have to, you know, relate into such subtopics, and then how you're going to solve it with 100% accuracy, you know? I want to study it in a smarter way of psychiatry so that I'll make a small error notes, not like an error note, but it's like a revision note, uh, for psychiatry for solving, uh, questions of AMC stems. Can you make a notes for me, please? WITH SIMPLE DEF AND EXPLANATIONS AND STEM CLUES WHAT THEY GIVE AND ALL
Create the complete AMC psychiatry revision PDF
psychiatric emergency clinical practice guideline
site:health.gov.au OR site:healthdirect.gov.au OR site:rcpsych.ac.uk psychiatric emergency suicide risk capacity delirium alcohol withdrawal clinical guidance Australia
~/
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mkdir -p "/tmp/workspace/amc-psychiatry-pdf/src" "/tmp/workspace/amc-psychiatry-pdf/output" && printf '%s' 'ready'
cat > "/tmp/workspace/amc-psychiatry-pdf/src/create_pdf.py" <<'PY' from reportlab.lib.pagesizes import A4 from reportlab.lib import colors from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.lib.enums import TA_CENTER from reportlab.lib.units import cm from reportlab.platypus import SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, PageBreak, KeepTogether from reportlab.pdfbase.ttfonts import TTFont from reportlab.pdfbase import pdfmetrics from reportlab.lib.colors import HexColor from reportlab.pdfgen import canvas from reportlab.lib.pagesizes import A4 OUT='/tmp/workspace/amc-psychiatry-pdf/output/AMC_Psychiatry_Stem_Solving_Revision_Guide.pdf' NAVY=HexColor('#123047'); BLUE=HexColor('#1976A3'); TEAL=HexColor('#147D7E'); PALE=HexColor('#EAF4F7'); GOLD=HexColor('#F6E7B0'); RED=HexColor('#A8333A'); GREY=HexColor('#455A64') styles=getSampleStyleSheet() styles.add(ParagraphStyle(name='TitleX', parent=styles['Title'], fontName='Helvetica-Bold', fontSize=25, leading=30, textColor=NAVY, alignment=TA_CENTER, spaceAfter=12)) styles.add(ParagraphStyle(name='SubTitle', parent=styles['Normal'], fontSize=11, leading=15, textColor=GREY, alignment=TA_CENTER)) styles.add(ParagraphStyle(name='H1x', parent=styles['Heading1'], fontName='Helvetica-Bold', fontSize=17, leading=21, textColor=NAVY, spaceBefore=8, spaceAfter=8)) styles.add(ParagraphStyle(name='H2x', parent=styles['Heading2'], fontName='Helvetica-Bold', fontSize=12.5, leading=16, textColor=TEAL, spaceBefore=8, spaceAfter=5)) styles.add(ParagraphStyle(name='Bodyx', parent=styles['BodyText'], fontSize=9.1, leading=12.2, spaceAfter=5)) styles.add(ParagraphStyle(name='Smallx', parent=styles['BodyText'], fontSize=7.7, leading=9.7)) styles.add(ParagraphStyle(name='Boxx', parent=styles['BodyText'], fontSize=9.1, leading=12, backColor=PALE, borderColor=HexColor('#B7D8E3'), borderWidth=.5, borderPadding=8, spaceBefore=5, spaceAfter=8)) class NumberedCanvas(canvas.Canvas): def __init__(self,*args,**kwargs): canvas.Canvas.__init__(self,*args,**kwargs); self.pages=[] def showPage(self): self.pages.append(dict(self.__dict__)); self._startPage() def save(self): n=len(self.pages) for state in self.pages: self.__dict__.update(state) self.setStrokeColor(HexColor('#B7D8E3')); self.line(1.5*cm,1.35*cm,19.5*cm,1.35*cm) self.setFont('Helvetica',8); self.setFillColor(GREY) self.drawString(1.5*cm,.85*cm,'AMC Psychiatry Stem-Solving Revision Guide') self.drawRightString(19.5*cm,.85*cm,f'{self._pageNumber} / {n}') canvas.Canvas.showPage(self) canvas.Canvas.save(self) def P(text,style='Bodyx'): return Paragraph(text,styles[style]) def bullets(items): return [P('• '+x) for x in items] def table(headers, rows, widths=None, small=True): data=[[P('<b>'+x+'</b>','Smallx') for x in headers]]+[[P(x,'Smallx' if small else 'Bodyx') for x in r] for r in rows] t=Table(data,colWidths=widths, repeatRows=1, hAlign='LEFT') t.setStyle(TableStyle([('BACKGROUND',(0,0),(-1,0),NAVY),('TEXTCOLOR',(0,0),(-1,0),colors.white),('VALIGN',(0,0),(-1,-1),'TOP'),('GRID',(0,0),(-1,-1),.25,HexColor('#B9CDD6')),('ROWBACKGROUNDS',(0,1),(-1,-1),[colors.white,HexColor('#F5FAFC')]),('LEFTPADDING',(0,0),(-1,-1),5),('RIGHTPADDING',(0,0),(-1,-1),5),('TOPPADDING',(0,0),(-1,-1),4),('BOTTOMPADDING',(0,0),(-1,-1),4)])) return t def section(title, intro=None): out=[P(title,'H1x')] if intro: out.append(P(intro,'Boxx')) return out doc=SimpleDocTemplate(OUT,pagesize=A4,rightMargin=1.45*cm,leftMargin=1.45*cm,topMargin=1.45*cm,bottomMargin=1.75*cm) story=[] story += [Spacer(1,2.3*cm),P('AMC Psychiatry<br/>Stem-Solving Revision Guide','TitleX'),P('A beginner-friendly decision map for diagnosis, safety and single-best-answer questions','SubTitle'),Spacer(1,.7*cm),P('<b>Purpose:</b> recognise the syndrome, identify the discriminating clue, exclude dangerous mimics, then choose the most specific diagnosis or safest next step. This is a revision guide, not a substitute for local supervision or current Australian guidelines.','Boxx'),Spacer(1,.5*cm),P('<b>How to use it:</b> Before each question block, read the one-page algorithm. After each wrong answer, add one line to your own error log: “clue I missed -> diagnosis/next step”.','Bodyx'),Spacer(1,4.4*cm),P('Version 1.0 | Prepared for AMC CAT MCQ revision | September 2026','SubTitle'),PageBreak()] story += section('1. The universal AMC psychiatry algorithm','Psychiatry stems are usually solved by ordering the clues. Do not start by naming a psychiatric diagnosis. Start by excluding danger, delirium and substances.') story += [P('<b>THE 7-STEP ROUTE</b>','H2x'),P('<b>1. What is the question asking?</b> Diagnosis, immediate action, investigation, risk, capacity, or treatment? The correct answer changes if the patient is unsafe.','Bodyx'),P('<b>2. Is there immediate danger?</b> Suicide plan/intent, violence, severe agitation, inability to care for self, intoxication/withdrawal, delirium, or medical instability. Safety and medical assessment come before a label.','Bodyx'),P('<b>3. Is this delirium or a medical cause?</b> Acute onset + fluctuating course + impaired attention = delirium until proved otherwise.','Bodyx'),P('<b>4. Is there a substance or medication timeline?</b> Intoxication, withdrawal, prescribed drugs and recreational drugs can cause mood, psychotic, anxiety and cognitive syndromes.','Bodyx'),P('<b>5. Name the syndrome.</b> Psychosis, depression, mania, anxiety/fear, trauma, eating disorder, cognitive disorder, personality pattern.','Bodyx'),P('<b>6. Use time course and impairment.</b> Hours-days, days-weeks, weeks-months, episodic or chronic? Is function impaired?','Bodyx'),P('<b>7. Choose the most specific option supported by the stem.</b> Do not select a more dramatic diagnosis if a basic criterion is absent.','Bodyx'),P('<b>AMC reset phrase:</b> “Safety -> sensorium -> substances/medical -> syndrome -> duration -> best answer.”','Boxx')] story += [P('Question wording changes the task','H2x'),table(['If the question asks...','Your mental task'],[ ('Most likely diagnosis','Find the discriminator: attention, duration, mood episode, substance timing, function.'),('Most appropriate next step','Stabilise danger and exclude medical causes before definitive psychiatric treatment.'),('Best management','Match severity and risk: outpatient support versus urgent assessment/admission.'),('Capacity/consent','Assess the decision for this specific treatment now. Do not confuse an unwise choice with incapacity.'),('Investigation','Look for a first episode, atypical age, delirium, medical/substance clues or drug safety monitoring.')],[5.2*cm,12.5*cm])] story.append(PageBreak()) story += section('2. Read the mental-state clues hidden in the stem') story += [table(['Stem phrase','Translate it as','AMC meaning'],[ ('“Mood is low, nothing feels enjoyable”','Depressed mood + anhedonia','Depressive syndrome'),('“Talks rapidly, jumps topic to topic”','Pressured speech + flight of ideas','Mania/hypomania if elevated/irritable mood and activation'),('“Hears voices discussing him”','Auditory hallucinations','Psychosis, but first check delirium/substances'),('“Believes neighbours have installed cameras”','Persecutory delusion','Psychosis, mood disorder, substance effect, or dementia depending context'),('“Thoughts are being inserted/broadcast”','Passivity/first-rank-type psychotic symptom','Strong psychosis clue, not alone a diagnosis'),('“Cannot maintain attention; worse overnight”','Inattention + fluctuation','Delirium'),('“Affect is flat; stopped work and friends”','Negative symptoms/functional decline','Schizophrenia-spectrum possibility if persistent'),('“Knows the voices are related to drinking”','Possible insight','Supports substance relationship but does not by itself rule out primary psychosis'),('“I want to die”','Suicidal ideation','Requires direct risk assessment, not reassurance only')],[4.3*cm,5.3*cm,8.1*cm]),P('Mental-state examination quick map','H2x'),P('<b>Appearance/behaviour:</b> self-care, agitation, retardation, eye contact. <b>Speech:</b> pressured, slowed, poverty of speech. <b>Mood:</b> the patient’s sustained feeling. <b>Affect:</b> observed emotional expression. <b>Thought form:</b> flight of ideas, loosening, thought blocking. <b>Thought content:</b> delusions, overvalued ideas, obsessions, suicidal thoughts. <b>Perception:</b> hallucinations. <b>Cognition:</b> attention, orientation, memory. <b>Insight/judgement:</b> awareness and decision-making.','Bodyx'),P('<b>High-yield separation:</b> thought <i>form</i> is how ideas connect; thought <i>content</i> is what the patient believes. Obsessions are intrusive and usually recognised as unreasonable; delusions are fixed beliefs not amenable to evidence.','Boxx')] story.append(PageBreak()) story += section('3. First fork: delirium, dementia or primary psychiatric illness','Do not diagnose a primary psychiatric disorder in an acutely confused patient. The hallmark of delirium is impaired attention, often with acute onset and fluctuation.') story += [table(['Feature','Delirium','Dementia','Primary psychosis/mood disorder'],[ ('Onset/course','Hours to days; fluctuates','Months to years; progressive','Variable, usually clear consciousness'),('Attention','Impaired - key clue','Usually intact early','Usually intact'),('Consciousness','Altered/clouded','Usually clear until late','Clear'),('Orientation','Often impaired','Later impaired','Usually preserved'),('Hallucinations','Often visual or mixed','Can occur later','Auditory more typical in psychosis'),('Action','Find and treat medical/substance cause urgently','Cognitive assessment and cause work-up','Risk assessment; exclude medical/substance cause when appropriate')],[3.2*cm,4.6*cm,4.6*cm,5.2*cm]),P('Delirium stem triggers','H2x')] + bullets(['Acute change from baseline, fluctuating alertness, unable to say months backwards or sustain attention, sleep-wake reversal, older or medically unwell patient, recent surgery/infection/medication change, autonomic instability.','Visual hallucinations do not equal delirium by themselves. The discriminator is <b>inattention with acute fluctuation</b>.','In an AMC “next step” item, assess ABCs, observations, glucose, medication/substance exposure and underlying causes. Do not give a psychiatric discharge diagnosis first.']) + [P('<b>Alcohol trap:</b> delirium tremens is severe alcohol-withdrawal delirium: clouded consciousness/inattention, autonomic hyperactivity and possible hallucinations. Alcoholic hallucinosis/alcohol-induced psychosis has a relatively clear sensorium, often auditory hallucinations, but still requires withdrawal-risk and medical assessment.','Boxx')] story.append(PageBreak()) story += section('4. Psychosis decision map','Psychosis means impaired reality testing, usually delusions, hallucinations or disorganised thinking/behaviour. It is a syndrome, not yet the final diagnosis.') story += [P('<b>PSYCHOSIS MAP:</b> Clear attention? -> substance/medical link? -> prominent mood episode? -> duration? -> functional decline/negative symptoms?','Boxx'),table(['Stem pattern','Most likely direction','What rules it out / distractor'],[ ('Acute fluctuating confusion + inattention','Delirium','Do not call it schizophrenia'),('Symptoms during/soon after intoxication or withdrawal','Substance/medication-induced psychotic disorder','Persistence well beyond expected substance effects requires reassessment'),('Psychosis only during clear mania or major depression','Mood disorder with psychotic features','If psychosis occurs without mood episode, consider schizophrenia-spectrum'),('Mood episode plus psychosis also persists for a substantial period without mood symptoms','Schizoaffective disorder','Needs longitudinal history, not one isolated mood symptom'),('Psychosis 1 day to <1 month, full return to baseline','Brief psychotic disorder','Exclude substances/medical cause'),('Psychosis 1 to <6 months','Schizophreniform disorder','Diagnosis may evolve with time'),('Characteristic psychosis and functional impairment for >=6 months','Schizophrenia','Must exclude substances and mood disorders as primary explanation'),('One or more delusions >=1 month; function relatively preserved; no prominent bizarre behaviour','Delusional disorder','Hallucinations, if present, are not prominent and relate to delusion')],[4.5*cm,6.3*cm,6.8*cm]),P('Psychosis stem clues','H2x')] + bullets(['<b>Positive symptoms:</b> delusions, hallucinations, disorganised speech/behaviour. <b>Negative symptoms:</b> reduced emotion, speech, motivation, social function.','The presence of voices is not enough for schizophrenia. Read the timeline, functional change, mood symptoms, drug/alcohol use, medication list, cognition and physical signs.','First episode, older onset, neurological signs, atypical cognition or abrupt course should make you look for medical or substance causes.']) story.append(PageBreak()) story += section('5. Mood disorders: the duration and mania traps') story += [table(['Condition','Simple definition','Stem clues','Key discriminator'],[ ('Major depressive episode','>=2 weeks of depressed mood and/or loss of interest plus other symptoms with distress/impairment','Sleep/appetite/energy/concentration/guilt changes, psychomotor change, death thoughts','Screen every “depression” stem for lifetime mania/hypomania'),('Manic episode','At least 1 week of elevated/irritable mood and increased energy, or any duration if hospitalisation is needed','Decreased need for sleep, grandiosity, pressured speech, flight of ideas, risky behaviour, marked impairment/psychosis','Mania = severe impairment, hospitalisation or psychosis can establish severity'),('Hypomanic episode','At least 4 days of similar activation but not severe impairment, hospitalisation or psychosis','Others notice change; patient may feel “productive”','Hypomania is not simply feeling happy'),('Bipolar I disorder','At least one manic episode','Past depression is common but not required','Any clear mania -> bipolar I framework'),('Bipolar II disorder','Hypomanic episode(s) + major depressive episode(s), no history of mania','Often presents as “depression”','Antidepressant-only reflex can be a trap'),('Persistent depressive disorder','Chronic depressed mood most days for >=2 years','Long-standing low mood, pessimism, low energy','Chronicity, not one short severe episode')],[3.2*cm,4.4*cm,5.5*cm,4.5*cm]),P('Mood-question route','H2x'),P('1. Depression symptoms? 2. Ask about <b>past elevated/irritable periods, reduced need for sleep, increased goal-directed activity and risky behaviour</b>. 3. Is there psychosis? 4. Is there suicide risk, inability to eat/drink, catatonia, severe self-neglect or mania? If yes, the safe next step may be urgent assessment rather than routine medication selection.','Boxx'),P('<b>Psychotic depression clue:</b> mood-congruent guilt, nihilism, poverty or illness delusions occurring during a severe depressive episode. Psychosis does not automatically mean schizophrenia.','Bodyx')] story.append(PageBreak()) story += section('6. Anxiety, trauma and OCD: identify the feared event') story += [table(['Diagnosis','Core pattern','Stem clue','Common trap'],[ ('Panic attack','Abrupt surge of intense fear/discomfort peaking within minutes','Palpitations, dyspnoea, chest pain, fear of dying/losing control','Rule out acute medical illness when first/atypical'),('Panic disorder','Recurrent unexpected panic attacks + persistent worry/behaviour change','“Now avoids exercise/shops because another attack may happen”','Expected panic only in a specific feared situation suggests phobia'),('Generalised anxiety disorder','Excessive, hard-to-control worry about several areas for >=6 months','Restlessness, fatigue, poor concentration, irritability, muscle tension, sleep disturbance','Not just one fear or one panic event'),('Social anxiety disorder','Fear of scrutiny/negative evaluation','Avoids presentations, eating or speaking in public','Not simply introversion'),('Specific phobia','Marked fear of a specific object/situation','Needles, flying, animals, blood','Fear is focused rather than broad'),('Agoraphobia','Fear/avoidance of situations where escape/help may be difficult','Public transport, crowds, open/enclosed spaces, leaving home alone','Can occur with or without panic disorder'),('OCD','Obsessions and/or compulsions, time-consuming or impairing','Intrusive contamination/harm thoughts; checking/washing rituals','Obsessions are unwanted and ego-dystonic, unlike delusions'),('PTSD','Trauma exposure + intrusion + avoidance + negative mood/cognition + hyperarousal for >1 month','Nightmares, flashbacks, hypervigilance after trauma','Acute stress disorder is 3 days to 1 month after trauma')],[3.0*cm,4.7*cm,5.3*cm,4.6*cm]),P('<b>Fast technique:</b> ask “What does the patient fear?” A panic patient fears sudden bodily catastrophe; social anxiety fears judgement; agoraphobia fears no escape/help; OCD fears the meaning or consequence of an intrusive thought; PTSD re-experiences a trauma.','Boxx')] story.append(PageBreak()) story += section('7. Alcohol, drugs and medications: timing is diagnostic') story += [table(['Syndrome','Typical stem pattern','Priorities'],[ ('Alcohol intoxication','Recent drinking, disinhibition, ataxia, slurred speech, impaired judgement','Assess trauma, hypoglycaemia, co-ingestants, airway/observations and risk'),('Uncomplicated alcohol withdrawal','After reduction/cessation in dependent person: tremor, sweating, anxiety, insomnia, nausea, tachycardia','Assess severity, seizures/DT risk; give thiamine as clinically indicated and manage in appropriate setting'),('Withdrawal seizure','Usually generalised seizure after cessation/reduction','Medical assessment, exclude other causes, withdrawal management'),('Delirium tremens','Severe withdrawal with delirium: impaired attention/cognition, autonomic hyperactivity, hallucinations','Medical emergency: monitored treatment and cause assessment'),('Alcohol-induced psychotic disorder / hallucinosis','Hallucinations, often auditory, with relatively clear consciousness and alcohol temporal link','Assess risk, withdrawal severity, medical causes and persistence after abstinence'),('Stimulant intoxication','Agitation, insomnia, sympathetic activation, paranoia','Safety, hyperthermia/chest pain/arrhythmia assessment'),('Cannabis-induced psychosis','Psychosis temporally linked to cannabis, often acute','Consider risk and follow-up: persistent symptoms may reveal primary psychosis'),('Opioid intoxication','Reduced consciousness, pinpoint pupils, respiratory depression','Airway and breathing first; emergency reversal pathway'),('Opioid withdrawal','Mydriasis, diarrhoea, aches, piloerection, yawning','Usually highly distressing; assess dehydration/risk and treatment access'),('Benzodiazepine withdrawal','Anxiety, tremor, insomnia, seizures in severe cases','Do not stop abruptly in dependent use; medical supervision')],[3.5*cm,7.2*cm,6.9*cm]),P('<b>Substance rule:</b> a temporal relationship supports a substance-induced diagnosis, but do not assume causation merely because substance use exists. Look for clear onset/offset relationship, intoxication or withdrawal signs, collateral history and symptoms persisting after abstinence.','Boxx')] story.append(PageBreak()) story += section('8. Personality, eating and functional/somatic presentations') story += [table(['Presentation','Stem clues','AMC approach'],[ ('Borderline personality disorder','Unstable intense relationships, fear of abandonment, affective instability, impulsivity, recurrent self-harm, chronic emptiness','Validate distress; assess current suicide/self-harm risk every time; do not dismiss symptoms as “attention seeking”'),('Antisocial personality disorder','Disregard for rights of others since age 15, deceit, impulsivity, lack of remorse; conduct disorder before 15','Do not confuse with isolated aggression or psychosis'),('Anorexia nervosa','Restriction, low body weight, fear of weight gain/body-image disturbance','Medical instability can be life-threatening: observations, ECG/electrolytes and urgent care when indicated'),('Bulimia nervosa','Binge eating with compensatory behaviour, weight may be normal','Look for electrolyte/arrhythmia risk and dental/parotid clues'),('Somatic symptom disorder','Distressing physical symptoms plus excessive thoughts/behaviour about them','Symptoms are real; avoid implying “it is all in the mind”'),('Illness anxiety disorder','Preoccupation with having/acquiring serious illness with minimal symptoms','Address health anxiety without unnecessary repeated investigation'),('Functional neurological symptom disorder','Incompatible/incongruent neurological symptoms, not intentionally produced','Make a positive diagnosis after appropriate assessment, not simply exclusion')],[4.2*cm,7.3*cm,6.1*cm])] story.append(PageBreak()) story += section('9. Child, adolescent and older-person psychiatry') story += [table(['Condition/presentation','Stem pattern','Diagnostic or safety pivot'],[ ('ADHD','Inattention and/or hyperactivity-impulsivity in >=2 settings, onset in childhood, functional impairment','Obtain developmental and school/collateral history; consider sleep, anxiety, learning and trauma'),('Autism spectrum disorder','Persistent social communication differences plus restricted/repetitive behaviours, early development','Do not diagnose from shyness alone; assess support needs and co-occurring anxiety/ADHD'),('Conduct disorder','Repeated violation of rules/rights: aggression, destruction, deceit, serious rule breaking','Differentiate from oppositional behaviour and assess safety/environment'),('Adolescent depression','Irritability may dominate; withdrawal, school decline, self-harm','Directly ask about self-harm, suicide, bullying, substances and abuse'),('Postpartum psychosis','Acute psychosis/mania soon after delivery','Psychiatric emergency: risk to mother and infant; urgent assessment'),('Postnatal depression','Depressive symptoms after childbirth with function/risk assessment','Ask about bonding, intrusive thoughts, psychosis and safety'),('Late-onset psychosis','New psychosis in older adult','Medical, cognitive, medication and sensory causes need active consideration'),('Dementia with behavioural symptoms','Progressive cognitive decline; agitation/psychosis may occur','First assess pain, delirium, infection, medications, environment and carer stress')],[4.2*cm,7.1*cm,6.3*cm])] story.append(PageBreak()) story += section('10. Safety, suicide, capacity and ethics','In AMC questions, safety takes priority over diagnostic perfection. A person may be calm and still be high risk.') story += [P('Suicide/self-harm stem checklist','H2x'),table(['Ask/look for','Why it matters'],[ ('Thoughts, intent, plan, access to means, timeframe','Specific plan, intent, available lethal means and near timeframe increase immediate concern'),('Past attempts/self-harm, recent discharge, severe mood symptoms, psychosis, intoxication, agitation','Important risk context, especially when combined'),('Protective factors and supports','Part of formulation, but do not use one protective factor to dismiss clear acute risk'),('Ability to collaborate with a safety plan; supervision; safeguarding','Determines safe disposition and escalation'),('Children/dependents, domestic violence, neglect/abuse','May require safeguarding action')],[7*cm,10.6*cm]),P('<b>Risk formulation, not a score:</b> Current risk is based on the person’s current state, intent, means, history, supports, ability to engage and environment. In Australia, use local policy and senior support for acute risk decisions.','Boxx'),P('Capacity in a stem','H2x'),P('Capacity is decision-specific and time-specific. A patient generally needs to be able to <b>understand</b> relevant information, <b>retain</b> it long enough, <b>use or weigh</b> it to decide, and <b>communicate</b> a choice. Do not equate a psychiatric diagnosis, disagreement, or an unwise decision with lack of capacity. Check local law and policy.','Bodyx'),P('Confidentiality shortcut','H2x'),P('Maintain confidentiality unless there is a lawful/ethical reason to disclose, such as serious imminent safety concerns or mandatory reporting. Share the minimum necessary information and follow local Australian law/policy.','Bodyx')] story.append(PageBreak()) story += section('11. Management questions: choose the safe sequence') story += [table(['Stem situation','Best strategic first move','Avoid'],[ ('Agitated, threatening, intoxicated or confused patient','Call for help, de-escalate, assess safety/medical causes; use local emergency protocol','Arguing about delusions or attempting prolonged psychotherapy'),('First psychotic episode','Risk assessment, collateral, physical examination and substance/medical screen as indicated','Assuming schizophrenia before excluding delirium/substances'),('Severe depression with suicidal intent or psychosis','Urgent psychiatric assessment and safe environment','Routine outpatient follow-up only'),('Mania with severe impairment/psychosis','Urgent assessment, reduce stimulation, assess risk and medical/substance causes','Treating as uncomplicated anxiety'),('Alcohol withdrawal risk','Assess severity and history of seizures/DT; appropriate monitored management and thiamine considerations','Sending home without risk assessment'),('Panic-like chest pain, first episode or atypical features','Exclude acute medical causes first','Assuming panic solely because patient is anxious'),('Eating disorder with bradycardia, syncope, electrolyte concern or severe restriction','Medical assessment and escalation','Focusing only on psychotherapy'),('Delirium','Identify and treat cause, non-drug supportive measures, safety','Labelling it “behavioural” or starting with a primary psychiatric diagnosis')],[5.3*cm,7.1*cm,5.2*cm]),P('<b>One-line AMC management rule:</b> If the stem shows immediate risk, impaired attention, abnormal observations, intoxication/withdrawal or inability to care for self, choose the option that stabilises, observes, assesses or escalates before the option that provides long-term therapy.','Boxx')] story.append(PageBreak()) story += section('12. Single-best-answer tactics and common traps') story += [P('The 20-second workflow','H2x'),P('<b>1.</b> Read the final question first. <b>2.</b> Underline time course, consciousness/attention, substance timing, mood symptoms, risk and functional impairment. <b>3.</b> Predict your answer before looking at options. <b>4.</b> Eliminate choices contradicted by one hard fact. <b>5.</b> Select the most specific answer that answers the question asked.','Boxx'),table(['Trap','How to defeat it'],[ ('Anchoring on hallucinations','Ask: clear sensorium? substance timing? mood episode? duration?'),('Calling every anxiety episode “panic disorder”','Check recurrent unexpected attacks plus persistent concern/avoidance.'),('Calling all low mood “major depression”','Check duration, core symptoms, impairment, grief/context and past hypomania/mania.'),('Missing delirium','Always test attention and acute fluctuation in older/medically ill/intoxicated patients.'),('Choosing a diagnosis when the stem asks management','Find danger first. Safety can be the answer.'),('Confusing obsession with delusion','Obsessions are intrusive/unwanted and resisted; delusions are fixed beliefs.'),('Overusing insight as a rule-out','Insight varies. Weight attention, timeline, mood, function and substances more heavily.'),('Treating a recall fact as universal','Use stem evidence and current local guidance, especially for legal/medication questions.')],[5.6*cm,12*cm]),P('Three mini-stem drills','H2x'),P('<b>A.</b> “A 68-year-old becomes confused overnight after surgery, cannot recite months backwards and sees insects.” -> <b>Delirium</b>. The decisive clue is inattention with acute fluctuation, not the visual hallucination alone.','Bodyx'),P('<b>B.</b> “A 24-year-old has slept 2 hours nightly for 8 days, is grandiose, has pressured speech and spent thousands online.” -> <b>Manic episode</b>. Duration/marked activation and impairment matter. Screen substances and risk.','Bodyx'),P('<b>C.</b> “A dependent drinker hears accusatory voices after reducing alcohol. He is oriented and attentive, with no fluctuating consciousness.” -> <b>Alcohol-induced psychotic disorder/hallucinosis is favoured</b>, but assess withdrawal severity, suicidality, medical causes and persistence.','Bodyx')] story.append(PageBreak()) story += section('13. One-page rapid revision map') story += [P('<b>PSYCHIATRY STEM = SAFETY + SENSORIUM + SUBSTANCES + SYNDROME + TIME</b>','Boxx'),table(['If you see...','Think first...','Then ask...'],[ ('Confusion, fluctuation, visual phenomena, medically unwell','Delirium','Can the patient attend? What is the cause?'),('Voices/delusions','Psychosis syndrome','Substance? mood episode? duration? function?'),('Low mood/anhedonia','Depression syndrome','Mania/hypomania ever? suicide risk? psychosis?'),('Less sleep + energy + risky behaviour','Mania/hypomania','Duration? impairment/psychosis? substances?'),('Sudden fear + palpitations','Panic attack','First/atypical medical cause? recurrent unexpected attacks?'),('Trauma + nightmares/avoidance','Trauma-related disorder','Time since trauma? intrusion, avoidance, hyperarousal?'),('Intrusive unwanted thought + ritual','OCD','Is it ego-dystonic and time-consuming?'),('Alcohol/drug change','Intoxication/withdrawal/substance-induced syndrome','Timeline? observations? delirium? seizures?'),('Self-harm, plan, command voices, violence','Safety emergency','Intent, means, supervision, urgent escalation?'),('Refusal of treatment','Capacity/consent','Understand, retain, use/weigh, communicate?')],[4.5*cm,6.5*cm,6.6*cm]),P('Final caution','H2x'),P('No note can guarantee 100% accuracy. AMC questions can test exceptions, comorbidity and management priorities. Your goal is a reproducible process that reduces avoidable errors: identify the discriminating clue, rule out danger and delirium, and answer the question actually asked.','Boxx'),P('Selected study sources','H2x'),P('Kaplan and Sadock’s Synopsis of Psychiatry, psychiatry chapters. Harrison’s Principles of Internal Medicine, delirium chapter. Rosen’s Emergency Medicine, alcohol withdrawal content. Current AMC MCQ examination information and Australian national/state guidance should be checked before the exam for policy-sensitive topics. The Australian Commission on Safety and Quality in Health Care describes delirium as a priority for early identification and treatment; RANZCP emphasises formulation-based rather than checklist-only suicide risk assessment.','Smallx')] doc.build(story,canvasmaker=NumberedCanvas) print(OUT) PY python "/tmp/workspace/amc-psychiatry-pdf/src/create_pdf.py" python - <<'PY' from pypdf import PdfReader p='/tmp/workspace/amc-psychiatry-pdf/output/AMC_Psychiatry_Stem_Solving_Revision_Guide.pdf' r=PdfReader(p) print('PAGES',len(r.pages),'SIZE',__import__('os').path.getsize(p)) print((r.pages[0].extract_text() or '')[:300]) print((r.pages[-1].extract_text() or '')[:300]) PY
AMC Psychiatry Stem Solving Revision Guide
PDF Document · PDF
... i want a cheat sheet To solve, um, psychiatric questions, um, in an AMC, MCQ CAT, um, exam.
site:amc.org.au AMC CAT MCQ examination 150 questions 3.5 hours 2026
psychiatric emergency assessment AND systematic review
~/
cat > "/tmp/workspace/amc-psychiatry-pdf/src/create_cheatsheet.py" <<'PY' from reportlab.lib.pagesizes import A4 from reportlab.lib import colors from reportlab.lib.colors import HexColor from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.lib.enums import TA_CENTER from reportlab.lib.units import cm from reportlab.platypus import SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, PageBreak from reportlab.pdfgen import canvas from pypdf import PdfReader import os out='/tmp/workspace/amc-psychiatry-pdf/output/AMC_Psychiatry_MCQ_CAT_Cheat_Sheet.pdf' N=HexColor('#102F44'); T=HexColor('#087E8B'); P=HexColor('#EAF6F6'); Y=HexColor('#FFF4CC'); R=HexColor('#8C2D32'); G=HexColor('#40525B') s=getSampleStyleSheet() s.add(ParagraphStyle(name='title',parent=s['Title'],fontName='Helvetica-Bold',fontSize=21,leading=25,textColor=N,alignment=TA_CENTER,spaceAfter=5)) s.add(ParagraphStyle(name='sub',parent=s['Normal'],fontSize=9,leading=11,textColor=G,alignment=TA_CENTER,spaceAfter=7)) s.add(ParagraphStyle(name='h',parent=s['Heading2'],fontName='Helvetica-Bold',fontSize=11,leading=13,textColor=T,spaceBefore=5,spaceAfter=3)) s.add(ParagraphStyle(name='b',parent=s['BodyText'],fontSize=7.75,leading=9.4,spaceAfter=2)) s.add(ParagraphStyle(name='sm',parent=s['BodyText'],fontSize=6.65,leading=7.8)) s.add(ParagraphStyle(name='box',parent=s['BodyText'],fontSize=8.1,leading=9.8,backColor=P,borderColor=HexColor('#A5D5D7'),borderWidth=.45,borderPadding=5,spaceAfter=5)) def p(x,st='b'): return Paragraph(x,s[st]) def tab(headers,rows,widths): d=[[p('<b>'+x+'</b>','sm') for x in headers]]+[[p(x,'sm') for x in row] for row in rows] t=Table(d,colWidths=widths,repeatRows=1) t.setStyle(TableStyle([('BACKGROUND',(0,0),(-1,0),N),('TEXTCOLOR',(0,0),(-1,0),colors.white),('GRID',(0,0),(-1,-1),.22,HexColor('#AFC6CE')),('VALIGN',(0,0),(-1,-1),'TOP'),('ROWBACKGROUNDS',(0,1),(-1,-1),[colors.white,HexColor('#F6FBFC')]),('LEFTPADDING',(0,0),(-1,-1),3),('RIGHTPADDING',(0,0),(-1,-1),3),('TOPPADDING',(0,0),(-1,-1),2.5),('BOTTOMPADDING',(0,0),(-1,-1),2.5)])) return t class Footer(canvas.Canvas): def __init__(self,*a,**k): canvas.Canvas.__init__(self,*a,**k); self.states=[] def showPage(self): self.states.append(dict(self.__dict__)); self._startPage() def save(self): for st in self.states: self.__dict__.update(st); self.setStrokeColor(HexColor('#A5D5D7')); self.line(1.1*cm,1.1*cm,19.9*cm,1.1*cm); self.setFont('Helvetica',7); self.setFillColor(G); self.drawString(1.1*cm,.67*cm,'AMC Psychiatry MCQ CAT Cheat Sheet | Use with current Australian/local guidance'); self.drawRightString(19.9*cm,.67*cm,str(self._pageNumber)); canvas.Canvas.showPage(self) canvas.Canvas.save(self) doc=SimpleDocTemplate(out,pagesize=A4,leftMargin=1.1*cm,rightMargin=1.1*cm,topMargin=1.05*cm,bottomMargin=1.45*cm) S=[] S += [p('AMC Psychiatry MCQ CAT Cheat Sheet','title'),p('Read the final question first. Then use: <b>SAFETY -> SENSORIUM -> SUBSTANCES/MEDICAL -> SYNDROME -> TIME -> BEST ANSWER</b>.','sub'),p('<b>10-second start:</b> Is there danger? Is attention impaired? Is there alcohol/drug/medicine timing? Is there mania? What is the duration?','box')] S += [p('1. The universal stem algorithm','h'),tab(['Order','What to scan for','If present...'],[ ('1. SAFETY','Suicide plan/intent, command voices, violence, severe agitation, inability to care for self, child safety','Choose urgent assessment, safe environment, de-escalation/escalation before routine treatment.'), ('2. SENSORIUM','Acute onset, fluctuation, inattention, disorientation, abnormal observations','<b>Delirium/medical cause</b> until proved otherwise.'), ('3. SUBSTANCES','Alcohol reduction, intoxication, cannabis/stimulants, medications, withdrawal signs','Consider substance/medication-induced syndrome; still assess risk and medical causes.'), ('4. SYNDROME','Psychosis, depression, mania, fear/anxiety, obsession, trauma, cognitive decline','Name the syndrome before selecting a final diagnosis.'), ('5. TIME + FUNCTION','Hours-days? >=2 weeks? >=4 days? >=1 week? >=1 month? >=6 months? decline?','Duration eliminates close distractors.')],[1.55*cm,7.4*cm,10.0*cm]),p('2. The highest-yield fork: delirium vs psychiatric disorder','h'),tab(['Feature','Delirium','Primary psychosis/mood disorder'],[ ('Course','Acute, fluctuating','Usually clear consciousness; course depends on illness'),('Attention','<b>Impaired: hallmark</b>','Usually intact'),('Orientation','Often impaired','Usually preserved'),('Hallucinations','Often visual/mixed','Auditory is more typical in psychosis'),('Action','Find/treat cause, safety, observations','Risk assessment, exclude substances/medical causes when indicated')],[3.2*cm,7.1*cm,8.65*cm]),p('<b>Memory hook:</b> “Acute + fluctuating + cannot focus = delirium.” Hallucinations do not change this rule.','box')] S += [p('3. Psychosis: the 5-question filter','h'),tab(['Ask','Stem clue','Direction'],[ ('Clear sensorium?','Inattention, fluctuation, disorientation','Delirium, not schizophrenia'),('Substance/medicine timing?','During/soon after intoxication or withdrawal','Substance-induced psychosis possible'),('Mood episode dominates?','Psychosis only during mania or severe depression','Mood disorder with psychotic features'),('How long?','1 day-<1 month; 1-<6 months; >=6 months','Brief psychotic; schizophreniform; schizophrenia-spectrum'),('Function/negative symptoms?','Social/work decline, low motivation, flat affect','Supports schizophrenia-spectrum if persistent')],[4.0*cm,7.1*cm,7.85*cm]),tab(['Diagnosis','Fast clue','Do not miss'],[ ('Schizophrenia','Psychosis + functional impairment with continuous disturbance >=6 months','Exclude substances/medical causes and primary mood disorder'),('Brief psychotic disorder','Psychosis >=1 day and <1 month; full return to baseline','Exclude substance/medical cause'),('Delusional disorder','>=1 month delusion; function relatively preserved; no prominent bizarre/disorganised syndrome','Hallucinations, if any, are not prominent and relate to delusion'),('Psychotic depression','Severe depressive episode with psychosis','Psychosis may be mood-congruent: guilt, worthlessness, nihilism'),('Alcohol hallucinosis','Auditory hallucinations with relatively clear sensorium and alcohol temporal link','Assess withdrawal severity, suicide risk and persistence')],[3.25*cm,6.2*cm,9.5*cm]),PageBreak()] S += [p('4. Mood: never diagnose depression without screening for mania','h'),tab(['Syndrome','Stem clues','Time discriminator'],[ ('Major depressive episode','Depressed mood and/or anhedonia + neurovegetative/cognitive symptoms with impairment','>=2 weeks'),('Mania','Elevated/irritable mood + increased energy; reduced need for sleep, grandiosity, pressured speech, flight of ideas, risky activity','>=1 week, or any duration if hospitalised; severe impairment/psychosis'),('Hypomania','Same activation pattern but no marked impairment, hospitalisation or psychosis','>=4 days'),('Bipolar I','Any clear manic episode','Do not need prior depression'),('Bipolar II','Hypomania + major depression; never mania','Often presents as “depression”')],[3.1*cm,10.3*cm,5.55*cm]),p('<b>Mania clue:</b> reduced <i>need</i> for sleep, not insomnia with tiredness. <b>Exam trap:</b> if severe mania, psychosis or suicide risk is present, urgent assessment is usually more appropriate than routine outpatient medication selection.','box'),p('5. Anxiety, OCD and trauma: ask “what is the fear?”','h'),tab(['If the fear is...','Think...','Stem discriminator'],[ ('Sudden bodily catastrophe','Panic attack','Abrupt peak within minutes'),('Another unexpected attack','Panic disorder','Recurrent unexpected attacks + persistent worry/avoidance'),('Many life areas, most days','GAD','Hard-to-control worry >=6 months'),('Negative evaluation','Social anxiety','Fear of scrutiny/presentation/embarrassment'),('One object/situation','Specific phobia','Needle, flight, animal etc.'),('No escape/help in places','Agoraphobia','Crowds, transport, outside alone'),('Intrusive thought and ritual','OCD','Thought is unwanted/ego-dystonic; compulsion reduces anxiety'),('Re-experiencing trauma','PTSD','Intrusion + avoidance + hyperarousal >1 month')],[3.8*cm,4.4*cm,10.75*cm]),p('6. Alcohol and drugs: timing wins','h'),tab(['Pattern','Think','Discriminator'],[ ('Dependent drinker reduces/stops, tremor, sweat, anxiety, tachycardia','Alcohol withdrawal','Assess seizure/DT risk and medical severity'),('Alcohol withdrawal + inattention/confusion + autonomic hyperactivity','Delirium tremens','Medical emergency'),('Alcohol link + voices but clear, oriented and attentive','Alcohol-induced psychotic disorder/hallucinosis','Not DT, but assess risk/withdrawal/persistence'),('Stimulant use + agitation/paranoia + sympathetic signs','Stimulant intoxication','Check hyperthermia, chest pain, arrhythmia, safety'),('Pinpoint pupils + low respiratory rate','Opioid intoxication','Airway/breathing first')],[5.1*cm,5.4*cm,8.45*cm])] S += [p('7. What action should I choose?','h'),tab(['Question stem','Best first principle'],[ ('Agitation/violence/intoxication','Call help, protect staff/patient, de-escalate, assess medical drivers. Do not argue about delusions.'),('Suicidal intent/plan/means or command hallucinations','Immediate safety and urgent psychiatric/medical assessment. Ask intent, plan, means, timeframe, past attempts, supports.'),('First psychosis or atypical age/neurology','Collateral, physical examination and substance/medical assessment as appropriate.'),('Delirium','Treat cause. Check observations, glucose, infection, pain, drugs, alcohol withdrawal, hypoxia and environment.'),('Refuses treatment','Assess capacity for this decision: understand, retain, use/weigh, communicate. An unwise decision alone is not incapacity.'),('Postpartum acute psychosis/mania','Emergency due to maternal and infant risk.')],[7.1*cm,11.85*cm]),p('8. Final CAT tactics','h'),p('<b>Read last line first.</b> Diagnosis? next step? investigation? management? Then find the two discriminators, not every fact. <b>Eliminate hard contradictions:</b> acute inattention eliminates schizophrenia; previous mania eliminates unipolar depression framework; clear substance timing weakens primary psychosis. <b>Answer every item:</b> the AMC states no marks are deducted for incorrect answers.','box'),p('<b>Keep this list beside your Q-bank:</b> attention, orientation, fluctuation, substances, mood episode, duration, function, risk, capacity.','sub')] doc.build(S,canvasmaker=Footer) r=PdfReader(out) assert len(r.pages)==2 assert 'AMC Psychiatry' in (r.pages[0].extract_text() or '') print(out, len(r.pages), os.path.getsize(out)) PY python "/tmp/workspace/amc-psychiatry-pdf/src/create_cheatsheet.py"
sed -i "s/name='title'/name='ctitle'/; s/name='sub'/name='csub'/; s/name='h'/name='ch'/; s/name='b'/name='cb'/; s/name='sm'/name='csm'/; s/name='box'/name='cbox'/; s/'b'/'cb'/g; s/'sm'/'csm'/g; s/'h'/'ch'/g; s/'box'/'cbox'/g; s/'title'/'ctitle'/g; s/'sub'/'csub'/g" "/tmp/workspace/amc-psychiatry-pdf/src/create_cheatsheet.py" && python "/tmp/workspace/amc-psychiatry-pdf/src/create_cheatsheet.py"
AMC Psychiatry MCQ CAT Cheat Sheet
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