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MCQ March 2018

1. In the study on the use of Varenicline, the 7-day point prevalence quit rate at 26th week for smokers on Varenicline quoted below was INCORRECT except:

A. 15%.
B. 21.8%.
C. 24.8%.
D. 31%.
E. 43.3%.

Answer: E.


2. The most common reported side effect of Varenicline was:

A. Headache.
B. Nausea.
C. Muscle ache.
D. Insomnia.
E. Dysgeusia.

Answer: B.


3. Which of the following is NOT a typical site of osteoporotic fractures?

A. Compression fracture of the vertebrae.
B. Neck of femur fracture.
C. Colles fracture of the wrist.
D. Fracture of the humerus.
E. None of the above.

Answer: D.


4. Which of the following is THE most common sign/symptom which a patient with multiple myeloma may experience?

A. Anaemia.
B. Bone pain.
C. Deranged renal functions.
D. Hypercalcemia.
E. Weight loss.

Answer: A.


5. Which of the following statement concerning diagnostic work up of palpable breast mass is INCORRECT?

A. Triple assessment includes clinical, radiological and pathological assessment. If all investigation concur, diagnosis was made in 96% of patients.
B. The commonly used reporting system for mammography is the Breast Imaging Reporting & Data System (BIRADS), which is recommended by the American College of Radiology.
C. Breast MRI is the most sensitive and is the standard imaging modality for the work up of any palpable breast mass.
D. Core needle biopsy is recommended if the palpable breast mass is suspicious of breast cancer.
E. Management of disconcordant lesions shall be discussed in a multidisciplinary meeting involving breast surgeons, radiologists and pathologists.

Answer: C.


6. Regarding modern management of breast cancer, all of the following statements are true EXCEPT:

A. For early operable breast cancers, surgery is the mainstay of treatment.
B. Breast conservative surgery (BCS) plus irradiation has been proven to offer equal benefits in overall survival compared to mastectomy for breast cancer.
C. Oncoplastic breast surgery and neoadjuvant chemotherapy can extend the indication of breast conserving surgery for breast cancer patients.
D. Sentinel lymph node (SLN) biopsy is now considered the standard axillary staging procedure for clinical node negative breast cancer patients.
E. Genomic assay should be offered to all breast cancer patients who require adjuvant treatment.

Answer: E.


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