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MCQ March 2013
| 1. | Which ONE of the following statements about blood pressure monitoring is TRUE? |
| A. | Clinic blood pressure monitoring is usually accurate to detect blood pressure variations. |
| B. | Ambulatory blood pressure monitoring requires regular manual blood pressure measurement in a community setting. |
| C. | Blood pressure changes undetected in a physician’s office will be similarly missed using ambulatory blood pressure monitoring. |
| D. | Hypertensive target organ damage is better predicted with office blood pressure measurements. |
| E. | Ambulatory blood pressure monitoring typically requires monitoring over a 24 hour period. |
Answer: E.
| 2. | Which ONE of the following is NOT an indication for ambulatory blood pressure monitoring? |
| A. | Suspected white-coat phenomenon |
| B. | Drug resistant hypertension |
| C. | Borderline high blood pressure |
| D. | Pulmonary hypertension |
| E. | Orthostatic hypotension |
Answer: D.
| 3. | Which ONE of the following statements about diabetic monitoring is FALSE? |
| A. | The majority of diabetic patients were not aware of normal HbA1c values. |
| B. | Pre-consultation capillary glucose is a preferable and accurate mode of monitoring in a clinical setting. |
| C. | Pre-consultation capillary glucose monitoring lacks clinical evidence to support its regular use in a clinical setting. |
| D. | Studies looking into the relationship between patient’s knowledge and its influence on glycaemic control are lacking. |
| E. | Patients may often mix up between capillary blood glucose and HbA1c values. |
Answer: B.
| 4. | Which one of the following statements in this study on patients’ understanding of methods of monitoring DM control is TRUE? |
| A. | A total of 7090 patients from GOPCs were recruited into the study. |
| B. | Tung Chung GOPC saw 323 patients regularly for Type II diabetes mellitus follow up in their clinic. |
| C. | The study took less than one month to recruit subjects for study. |
| D. | The sample size for this study was calculated using confidence level 90% with confidence interval of 5. |
| E. | The population studied to explore patients’ knowledge of methods of monitoring DM control was taken from the GOPCs of the Hong Kong Government Dept of Health. |
Answer: C.
| 5. | Which one of the following statements concerning valsalva retinopathy is INCORRECT? |
| A. | There is a sudden increase in intraocular venous pressure. |
| B. | Rupture of retinal capillaries. |
| C. | Causes of valsalva retinopathy include weight lifting, sexual activity, severe coughing and constipation. |
| D. | Haemorrhage occurs at the sub-internal limiting membrane. |
| E. | Typical presentation is a sudden painful visual loss. |
Answer: E.
| 6. | Which one of the following statements about valsalva retinopathy is INCORRECT?
|
| A. | Severity of visual loss depends on the amount of retinal haemorrhage. |
| B. | Bilateral involvement is typical. |
| C. | Hypertensive retinopathy and branch retinal vein occlusion are the differential diagnoses. |
| D. | Management is mainly conservative. |
| E. | Nd:YAG laser therapy is indicated in certain patients. |
Answer: B.
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