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MCQ September 2015

1. Which ONE of the following statements is TRUE regarding sudden cardiac arrest (SCA)?

A. It is most commonly caused by atrial fibrillation
B. Timing of defibrillation has no relation to survival
C. Survival rate has improved with advances in technology
D. Among patients resuscitated outside the hospital, around 30% are ultimately discharged from hospital
E. Bystander CPR is an important component in reducing SCA elapsed time

Answer: E.


2. In a recent local study concerning community-based resuscitation, which ONE of the following statements is FALSE?

A. Infection risk was of concern to a significant proportion of doctors.
B. Those with CPR certification felt more confident in performing CPR.
C. Those with CPR certification were no more confident in the use of automated defibrillator than those without certification.
D. Those working in public clinics were less likely to be concerned about injuries caused by automated defibrillator usage.
E. Only a minority of doctors were concerned about medicolegal issues.

Answer: C.


3. All of the following statements about dacryocystitis are correct EXCEPT:

A. It usually occurs in patients with underlying nasolacrimal duct obstruction.
B. Staphylococcus and streptococcus are commonly involved.
C. Intravenous antibiotic is the definitive treatment.
D. It may proceed to orbital cellulitis.
E. A painful swelling is present over the nasal aspect of the lower eyelid.

Answer: C.


4. Which of the following statements concerning keratitis is INCORRECT?

A. Patients usually present with painful red eye, reduced vision and photophobia.
B. Localized ulcer or abscess may be seen over the cornea.
C. Pseudomonas aeruginosa is the commonest causative organism in contact lens keratitis.
D. Steroid is contraindicated in all causes of corneal ulceration.
E. Systemic antiviral therapy is indicated in keratitis complicating herpes zoster ophthalmicus.

Answer: D.


5. Which of the following is NOT a case definition feature for dengue without warning signs?

A. Positive tourniquet test.
B. Retro-orbital pain.
C. Myalgia.
D. Nausea.
E. Leukopenia.

Answer: B.


6. Regarding mosquito preventive measures, which ONE of the following statements is TRUE?

A. Repellents should be applied to skin under clothing.
B. Repellents must also be applied to simple abrasions in order to minimize exposure.
C. Children should use higher concentrations of DEET containing repellents.
D. Roll-on preparations are preferred over sprays for children.
E. Pregnant should avoid using repellents.

Answer: D.


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