| 1. | Mr Cheung, a 65 year-old gentleman, has had recurrent productive cough for the last year. His chest X-ray was unremarkable. His FEV1/FVC ratio was 0.65 while his FEV1 was 70% of predicted. His CAT score was 5. Which ONE of the following statements regarding Mr Cheung’s management is CORRECT? |
| A. | Mr Cheung needs to be referred to a respiratory physician for further management. |
| B. | Mr Cheung should be started on inhaled corticosteroids. |
| C. | Mr Cheung should be started on a combination of long acting 2 agonist and long acting muscarinic antagonist. |
| D. | A complete assessment requires the use of the mMRC scale. |
| E. | None of the above. |
| 2. | Referring to a local study on chronic obstructive pulmonary disease, which ONE of the following statements is TRUE? |
| A. | Only a very small proportion of GOPC patients are at high risk of COPD exacerbations. |
| B. | All patients are receiving recommended treatment. |
| C. | The mMRC scale provides a multi-dimensional assessment of patient’s symptoms. |
| D. | There is moderate agreement in GOLD categories assignment between CAT and mMRC scale. |
| E. | In view of the similarity between CAT and mMRC, clinicians can freely interchange between the two tools for patient assessment. |
| 3. | The following statements concerning diabetic peripheral neuropathy is correct EXCEPT: |
| A. | Chronic hyperglycaemia is believed to be responsible for peripheral nerve damage. |
| B. | The overall prevalence of sensory neuropathy in Hong Kong is estimated to be around 2%. |
| C. | The diagnosis is based on clinical symptomatology. |
| D. | Distal symmetric polyneuropathy is the most common form usually affecting the hands and arms first. |
| E. | Symptoms usually start in distal extremities and spread proximally. |
| 4. | Which ONE of the following statements regarding management of diabetic peripheral neuropathy is INCORRECT? |
| A. | Good glycaemic control is essential. |
| B. | Tramadol is considered a second line agent. |
| C. | Multidisciplinary approach is adopted in resistant cases. |
| D. | Physical stimulation technique can be a good adjunct. |
| E. | 2- ligands ligands are the best among all first line agents. |
| 5. | Which ONE of the following statements regarding constipation in primary care is TRUE? |
| A. | According to existing literature, the prevalence of constipation is around 40% |
| B. | Constipation is defined as bowel opening that is less than once per day |
| C. | Constipation is more common among the paediatric population |
| D. | Functional constipation is the commonest type of constipation in clinical practice |
| E. | Normal transit constipation is the second commonest cause of constipation in clinical practice |
| 6. | Which ONE of the following statements regarding the management of constipation in primary care is TRUE? |
| A. | Primary care patients with constipation should undergo routine investigations including blood tests as part of management. |
| B. | Increasing fibre intake is the initial management for most patients. |
| C. | Patients should be advised to defaecate 15 to 20 minutes after their evening meal. |
| D. | Initial management should include both non-pharmacological and pharmacological measures. |
| E. | Stimulant laxatives is the first line pharmacological agent. |