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MCQ June 2018
| 1. | Which of the following chronic condition has the strongest association with Multi-morbidity as noted in the paper titled “A study of the prevalence of Multi-morbidities among public primary healthcare services in the New Territories West area of Hong Kong”? |
| A. | Depression. |
| B. | Diabetes. |
| C. | Chronic Kidney Disease. |
| D. | Psoriasis. |
| E. | Schizophrenia. |
Answer: B.
| 2. | Which of the following tool(s) could be used to measure Multi-morbidity? |
| A. | Clinician Rated Disease Count. |
| B. | Cumulative Illness Rating Scale. |
| C. | Centor score. |
| D. | A and B. |
| E. | A, B and C. |
Answer: D.
| 3. | The following statements related to the new classification criteria (2010 ACR/ELAR) for Rheumatoid Arthritis (RA) is correct EXCEPT: |
| A. | Patients have at least 1 joint with clinical synovitis and the synovitis is not better explained by other diseases. |
| B. | The criteria do not rely on radiographic changes for diagnosis. |
| C. | Patients with erosive disease typical of rheumatoid arthritis with a history compatible with prior fulfillment of 2010 criteria should be classified as having RA. |
| D. | A score of 4/10 is indicative of the presence of definite RA. |
| E. | It facilitates the assessment of early stage of arthritis and serves as the basis for starting DMARDs. |
Answer: D.
| 4. | Which ONE of the following statements regarding management of Rheumatoid Arthritis is INCORRECT? |
| A. | RA patients should be screened for bone mineral density as they are high-risk group for fragility fracture and osteoporosis. |
| B. | Patients who are currently taking biological drugs are recommended for herpes zoster vaccination. |
| C. | Disease remission (i.e. DAS28 < 2.6) had become the accepted treatment goal to arrest joint damage. |
| D. | Hydroxychloroquine can cause retinal toxicity and hence we need to monitor visual symptoms for patients on this drug. |
| E. | Pneumonitis is one of the side effects of methotrexate. |
Answer: B.
| 5. | The followings are common sites of fixed drug eruption EXCEPT: |
| A. | Scalp. |
| B. | Genitalia. |
| C. | Lips. |
| D. | Feet. |
| E. | Trunk. |
Answer: A.
| 6. | Which of the following is known NOT to be a causative agent of fixed drug eruption? |
| A. | Nitrofurantoin. |
| B. | Etoricoxib. |
| C. | Paracetamol. |
| D. | Hydroxyzine. |
| E. | None of the above. |
Answer: E.
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