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MCQ Sept 2019

1. Vaccines have been developed to protect against which hepatitis viruses?

A. Hepatitis A & E
B. Hepatitis A & B
C. Hepatitis B & C
D. Hepatitis C & D
E. Hepatitis D & E

Answer: B.


2. The rate of chronicity of hepatitis B virus infection is highest at which stage?

A. At birth or during the first year of life
B. Children aged 1 - 6 years
C. Children above 6 years of age
D. In adults
E. None of above

Answer: A.


3. Which of the following about Herpes Zoster is TRUE?

A. Post herpetic neuralgia is a rare complication of Herpes Zoster.
B. The estimated overall incidence of Herpes Zoster increases with age, especially in those aged over 80 years.
C. Herpes Zoster is a reactivation of the latent Varicella Zoster virus infection in the motor nerve ganglion.
D. The burden of illness of Herpes Zoster infection is not a concern in developed countries.
E. Herpes Zoster vaccine can reduce the risk of having Herpes Zoster but it cannot reduce the incidence of post-herpetic neuralgia.

Answer: B.


4. Which of the following about Herpes Zoster vaccine is TRUE? (I) In 2011, the US Food and Drug Administration approved the use of this vaccination for adults >18 year-old. (II) The Herpes Zoster vaccine reduced the risk of post-herpetic neuralgia. (III) There were a few studies showing that the Herpes Zoster vaccine acceptance rate was higher in patients with a history of influenza vaccination. (IV) The Herpes Zoster vaccine is not registered in Hong Kong.

A. (I) and (II)
B. (II) and (III)
C. (I), (III) and (IV)
D. (I), (II) and (III)
E. (I), (II), (III) and (IV)

Answer: B.


5. For the diagnosis of rosacea, which one of the followings is a diagnostic phenotype:

A. Papules and pustules
B. Telangiectasia
C. Ocular manifestations
D. Phymatous changes
E. Burning or stinging

Answer: D.


6. Concerning the treatment of rosacea, which one of the following statements is NOT TRUE:

A. The use of cosmetic camouflage is considered as a general non-pharmacological measure for the treatment of rosacea.
B. Light-based modalities do not cure rosacea, and periodic treatments to maintain improvement are often required.
C. The mechanism through which metronidazole improves rosacea is well proven to be solely due to its antimicrobial property.
D. Tetracyclines are the best-studied agents amongst the oral antibiotics used to treat rosacea.
E. Patients with signs or symptoms of ocular involvement should be referred to an ophthalmologist for further evaluation.

Answer: C.


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