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MCQ December 2015
| 1. | Mr Cheung, a 65 year-old gentleman, needs to undergo routine dental cleaning next week. Which ONE of the following conditions mandates the use of prophylactic antibiotics? |
| A. | Previous infective myocarditis |
| B. | Ventricular septal defect |
| C. | Prosthetic heart valves |
| D. | Atrial septal defect |
| E. | Mitral valve prolapse with regurgitation |
Answer: C.
| 2. | Mrs Au, a 49 year-old lady, will be receiving a cystoscopy in two weeks for microscopic haematuria. Previous urine culture was unremarkable. Which ONE of following statements regarding pre-operative antibiotic prophylaxis (PAP) is TRUE for Mrs AU’s scenario? |
| A. | PAP must be used if Mrs Au has an underlying prosthetic valve |
| B. | PAP must be used if Mrs Au has a history of infective endocarditis |
| C. | If PAP were to be given, ciprofloxacin would be the antibiotic of choice |
| D. | If PAP were to be given, coverage for anaerobic organisms is of top priority |
| E. | PAP is not required for Mrs Au |
Answer: E.
| 3. | Which ONE of the following statements concerning female smokers is generally regarded as INCORRECT? |
| A. | Female smokers have a 25% greater relative risk of coronary heart disease than male smokers. |
| B. | The prevalence was 3.1% in Hong Kong according to the Thermatic Household Survey Report No. 53 conducted in 2012. |
| C. | Female smokers have lower nicotine dependence than men. |
| D. | Both nicotine and behavioural treatments are important in helping female smokers. |
| E. | Females with higher education level tend to quit more easily. |
Answer: E.
| 4. | All of the following are negative predictors of smoking cessation EXCEPT: |
| A. | Having smokers around. |
| B. | High score on the Fagerstrom Test for Nicotine Dependence. |
| C. | Self-perceived importance of smoking cessation. |
| D. | Sadness and despair. |
| E. | Insomnia. |
Answer: C.
| 5. | All of the following statements regarding dual psychiatric diagnosis are correct EXCEPT: |
| A. | It was traditionally defined as the occurrence of substance use disorder in patients with severe mental illness. |
| B. | Symptoms of psychiatric disorder and substance use disorder are easily distinguishable. |
| C. | The prevalence is lower in Asian countries. |
| D. | Patients with dual diagnosis usually have more severe symptoms and impairment. |
| E. | It is currently defined as the occurrence of any mental illness along with a substance use disorder. |
Answer: B.
| 6. | Which of the following statements concerning the management of patients with dual psychiatric diagnosis is CORRECT? |
| A. | A multidisciplinary approach involving various professionals are adopted. |
| B. | A course of assessment and evaluation is often required. |
| C. | Primary care physicians should make early referral for patients with substance use disorder to secondary care mental health services if psychosis or suspected psychosis arises. |
| D. | Management is more difficult and prognosis worse than individual psychiatric disorder. |
| E. | All of the above. |
Answer: E.
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